Just to add if it is of any help to anyone: Hannah Kuper, Ashrita Saran, Howard White, Morgan Banks and I have just published a protocol for a review with Campbell which looks at “What interventions work to improve livelihoods outcomes among people with disabilities in low- and middle-income countries?” (it is available online here: https://onlinelibrary.wiley.com/doi/full/10.1002/cl2.1184). The piece looks at:
1. What is the effect size of the effectiveness of interventions to improve livelihood outcomes for people with disabilities in LMICs, and what is the quality of the evidence base?
2. What works to improve livelihood outcomes for people with disabilities in LMICs?
3. Which interventions appear most effective for different categories of disability?
4. What are the barriers and facilitators to the improvement of livelihood outcomes to people with disabilities?
We’ve tried to structure our review along the domains of livelihoods suggested by the WHO CBR matrix (see below our list of eligible interventions):
|Intervention category||Intervention sub-category|
|Skills development||Training opportunities for employment such as vocational training|
|Access to basic educational opportunities|
|Social and communications skills training|
|Business skills training|
|Self-employment||Agricultural or non-agricultural|
|Job searching services|
|Overcome physical and social barriers to the workplace|
|Financial services||Access to credit|
|Savings and loans initiatives|
|Social protection||Health and social insurance schemes|
|Cash transfers, in kind transfers (e.g. food for work programmes)|
|Social assistance intervention|
|AT and rehabilitation||Rehabilitation|
|Policies||International legislation like universal declaration of human rights|
|Employment policies (e.g. antidiscrimination, quotas or accessible buildings)|
Outcomes of interest are quite wide-ranging, including:
- Acquisition of skills for the workplace
- Access to job market
- Employment in formal and informal sector
- Income and earnings from work
- Access to financial services such as grants and loans
- Access to social protection programs
We have finished the full review (it is being evaluated by Campbell at the moment) and will provide an update of this post when our final piece is published. But so glad to see there is interest and thinking about livelihoods.