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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
Waged employment Apprenticeships
Job searching services
Overcome physical and social barriers to the workplace
Job placement
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)
Birth registration
Social assistance intervention
AT and rehabilitation Rehabilitation
Assistive technology
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.