Publications by authors named "H E Kuper"

Background: People with disabilities often incur higher costs for healthcare, due to higher needs, greater indirect costs, and the need for services not offered by the public system. Yet, people with disabilities are more likely to experience poverty and so have reduced capacity to pay. Health insurance is an important social protection strategy to meet healthcare needs and avoid catastrophic expenditures for this group.

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This paper explores the use of participatory video (PV) in a case study conducted in Arcoverde, Brazil, to address the call for greater participation of individuals with disabilities in health and social care planning and research. PV is grounded in similar concepts to the Disability Rights Movement's principle of "Nothing About Us, Without Us" and serves as a potential collaborative tool for individuals with disabilities to shape their narratives and contribute to research. The study was part of a multi-methods research project on healthcare access, with the PV research focusing on primary healthcare in Arcoverde.

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Article Synopsis
  • The study aims to assess and improve the accessibility of primary health facilities for people with disabilities in Luuka District, Uganda, recognizing the health disparities faced by this group.
  • A tool called the Disability Awareness Checklist (DAC) was adapted and pilot-tested, involving youth researchers with disabilities in the adaptation process, to measure accessibility across various indicators.
  • Results showed low median accessibility scores (17.8% overall), with the highest scores in universal design, indicating significant room for improvement in staff training and service linkages.
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Introduction: Early Hearing Detection and Intervention (EHDI) programmes were established to reduce the impact of hearing loss on children. High-income countries (HICs) have resources and knowledge to execute these programmes. However, financial and other resource constraints limit the availability of these programmes to low-income and middle-income countries (LMICs).

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