Consensus on development of a tool to guide implementation of CRPD-aligned standards of universal design and reasonable accommodation for healthcare workers with disabilities.

IF 1.6 Q4 HEALTH CARE SCIENCES & SERVICES
African Journal of Disability Pub Date : 2026-05-29 eCollection Date: 2026-01-01 DOI:10.4102/ajod.v15i0.1910
Meluleki S Thethwayo, Nomzamo Chemane, Jill Hanass-Hancock, Verusia Chetty
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引用次数: 0

Abstract

Background: Despite the existence of South African frameworks guiding the inclusion and accessibility of persons with disabilities in the workplace, there is no tool available to guide how healthcare facilities meet the inclusion and accessibility standards set out in the Convention of the Rights of Persons with Disabilities (CRPD) and national frameworks.

Objectives: This study sought to achieve consensus among experts regarding the tool that can be utilised to guide the implementation of the CRPD-aligned standards of universal design and reasonable accommodation in the public healthcare sector.

Method: A panel of experts (27) in the field of disability across South Africa participated in a two-round modified Delphi technique. The 80% agreement threshold was set to determine the level of agreement among experts.

Results: Consensus was reached on all seven domains (with various disability indicators) as outlined by the CRPD to be included in the development of a tool. These domains are, namely, the prohibition of discrimination, protecting and promoting the rights of persons with disabilities, labour and trade union participation, access to technical and vocational training, employment opportunities and career advancement, reasonable accommodation and professional and vocational rehabilitation training programmes for persons with disabilities.

Conclusion: The panellists agreed that the developed tool can be utilised to evaluate and guide the implementation of universal design and reasonable accommodation in the public healthcare sector.

Contribution: This study provides a consensus-based, CRPD-aligned assessment tool that enables healthcare facilities to systematically evaluate and improve disability inclusion and accessibility in the workplace.

就开发一种工具以指导实施与残疾人权利公约相一致的通用设计和合理便利卫生保健工作者标准达成共识。
背景:尽管南非有指导工作场所包容和无障碍残疾人的框架,但没有可用的工具来指导卫生保健设施如何满足《残疾人权利公约》和国家框架中规定的包容和无障碍标准。目的:本研究试图在专家之间就可用于指导公共医疗保健部门通用设计和合理住宿的crpd一致标准的实施的工具达成共识。方法:一组专家(27)在残疾领域在南非参加了两轮改进德尔菲技术。80%的一致阈值被设定为确定专家之间的一致程度。结果:就CRPD概述的所有七个领域(包括各种残疾指标)达成了共识,这些领域将纳入工具的开发。这些领域包括禁止歧视、保护和促进残疾人的权利、参加劳工和工会、获得技术和职业培训、就业机会和职业晋升、合理便利以及残疾人的专业和职业康复培训方案。结论:小组成员一致认为,开发的工具可用于评估和指导公共卫生部门实施通用设计和合理住宿。贡献:本研究提供了一个基于共识的、与crpd一致的评估工具,使医疗机构能够系统地评估和改善工作场所的残疾人包容和可及性。
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来源期刊
African Journal of Disability
African Journal of Disability HEALTH CARE SCIENCES & SERVICES-
CiteScore
2.10
自引率
5.90%
发文量
50
审稿时长
20 weeks
期刊介绍: The African Journal of Disability, the official journal of CRS, AfriNEAD and CEDRES, introduce and discuss issues and experiences relating to and supporting the act of better understanding the interfaces between disability, poverty and practices of exclusion and marginalisation. Its articles yield new insight into established human development practices, evaluate new educational techniques and disability research, examine current cultural and social discrimination, and bring serious critical analysis to bear on problems shared across the African continent. Emphasis is on all aspects of disability particularity in the developing African context. This includes, amongst others: -disability studies as an emerging field of public health enquiry -rehabilitation, including vocational and community-based rehabilitation -community development and medical issues related to disability and poverty -disability-related stigma and discrimination -inclusive education -legal, policy, human rights and advocacy issues related to disability -the role of arts and media in relation to disability -disability as part of global Sustainable Development Goals transformation agendas -disability and postcolonial issues -globalisation and cultural change in relation to disability -environmental and climate-related issues linked to disability -disability, diversity and intersections of identity -disability and the promotion of human development.
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