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Tending to the most vulnerable in Bangladesh

Yoonyoung Cho's picture
Bus lift for persons with disabilities that I saw when I first arrived in Madison, Wisconsin.
Photo Credit: Ride Metro Bus

When I first visited the college town of Madison, Wisconsin (USA) in 2000, what first stood out wasn’t its beautiful university campus or its famous brat and beer combo. What caught my attention was a public bus which had the equipment to lift a wheelchair. “Beep, beep, beep,” a sound would signal as the bus would lower and extend a ramp to aid people in wheelchairs to board the bus.

At that time, I had never seen anything like this bus and thought, “Wow! Why can’t we have such services back in my country?” No such buses existed in Korea where I grew up. But more than just the bus, I remembered thinking that I rarely noticed people with special needs in Korea. In hindsight, the lack of support and consideration for people with disabilities and ignorant attitudes were also reasons why people with disabilities were rarely seen in public.

Addressing needs through action                                                                                 
In 2014, I became the task leader for Bangladesh’s Disability and Children at Risk (DCAR) project. The difficult situation faced by persons with disabilities in the country was a reminder of the contrast I had experienced in that college town. Accessible transportation was not the only service lacking for people with disabilities. There was a lack of access to health facilities for checkups and treatment along with a short supply of therapy equipment and wheelchairs. A lack of respect towards persons with disabilities by the wider public was also a challenge. Moreover, the project was not delivering the results that it expected to achieve.

Indeed, DCAR was launched in 2009 with a high level of political commitment and expectation to serve the country’s most marginalized people. Key activities included establishing Disability Service Centers (DSCs) and supporting them through hiring and training staff and technicians. The centers were to provide regular checkups and therapy equipment, thereby improving access to and quality of services. In addition, to help address public misunderstanding, the project was designed to inform public perceptions about persons with disabilities. Despite positive intentions and clear goals, the project implementation struggled for the first five years.
Mobile vans with facilities that provide treatment to persons with disabilities and children at risk. 
Photo Credit: Ministry of Social Welfare
Reassessing the project, our team along with the implementing agencies worked vigorously to turn the project around. We restructured the project by focusing on the core activities, and provided hands-on support to implementing agencies and the Ministry of Social Welfare in planning center activities, training staff, and procuring necessary items. Slowly, the project started moving forward with centers beginning to operate and serving those in need at full capacity. As the project progressed, third party spot checks revealed great customer satisfaction and appreciation for the services provided, as well as more positive community awareness towards persons with disabilities. The project team and our government counterparts together began to delve deeper into the quality of services beyond solely increasing the numbers of persons reached.

Identifying new opportunities
Building upon this positive momentum, we agreed to support the provision of mobile services to reach out to persons with disabilities that were unable to travel to centers. The project helped finance custom-built mobile vans equipped with a lift, therapy devices, diagnosis bed, and a medical dispensary. Careful inspections of the functionality of the vans were conducted, and staff were trained for the operation. With the launch by the Prime Minister, the long awaited and highly anticipated mobile services began in December 2015. The mobile services provided by 20 vans reached around 20,000 new beneficiaries within two months, with numbers increasing day by day.

Today, the project is fast approaching its completion date. The DCAR Project managed to expand access to quality services and improve public perceptions despite many constraints, benefiting over 140,000 persons with disabilities as of March 2016. Upon completion of the project, the centers’ activities and mobile services are expected to be integrated as a mainstream government service. The transition may not be easy given the large financial commitment necessary, and it will be important that all involved continue to recognize the impact of such services with a view towards addressing the rights and needs of persons with disabilities.
 
Photo Credit: Promobricks
The recent release of the first Lego figure in a wheel chair received worldwide applause in its recognition of diversity and inclusion. Our hope is that we hear more such news in real life, that persons with disabilities receive the respect they deserve and the services that they require. How wonderful would it be for Bangladesh to seize the opportunity to significantly improve the lives and livelihoods of persons with disabilities, so that they can realize their dreams and aspirations. I am hopeful that the DCAR Project has been foundational towards this end. 

For more information, click here to read the project results brief. 

Comments

Submitted by Navid on

Hi Dear, I am pleased that such a wonderful initiative has been taken in a low-income country where government normally struggles to spend on basic health care services. It shows the great commitment of DCAR Project team who brought all stakeholders on ground. Well Done!! Could you please specify/mention what services you were offering to PWD.

Best Regards,
Navid

Submitted by Joe Qian on
The projected has helped establish and operate 50 Disability Service Centers (DSCs), as well as equip an additional 53 DSCs, and 11 Integrated Child Protection Service Centers (ICPSCs) which have provided access to counseling, diagnostic, and treatment services to 150,000 persons with disabilities (PwDs) and reintegration and protection services to 5,000 vulnerable children, among whom about 40 percent are female. 

Submitted by Anonymous on

Fantastic project! This kind of projects need to be duplicated in other low income countries as well. I am keen on learning abut how the custom-built mobile vans work - specifically, how people know these vans would come to their towns and what kind of treatments, other than diagnostics, they could provide. Also, are there any impact evaluations of such services from other countries? If not, the project team could consider providing those information, in addition to the number of people who received these services, in the future.

Submitted by Project team on

Mobile services from the custom built vans were widely publicized. People learn about the type and schedule of services through media, Disability Service Centers, and words of mouth. So far, the reach-out has been highly successful.
We have not conducted any impact evaluation so far, but regularly assessed the performance through third party spot checks. More information is available from the project's results brief: http://wrld.bg/vHLj300lHO6

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