Publications by authors named "Sara Rotenberg"

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.
View Article and Find Full Text PDF

Background: Quality maternal health care is central to the Sustainable Development Goals efforts to reduce maternal mortality, yet there remain limited quantitative data on maternal care inequities for women with disabilities in sub-Saharan Africa.

Objectives: This study aims to understand the differences in maternal care providers for women with and without disabilities.

Method: We used Multiple Indicator Cluster Surveys from 13 sub-Saharan African countries conducted between 2017-2020.

View Article and Find Full Text PDF

Background: The COVID-19 pandemic has had widespread health, social and economic impacts worldwide. In many contexts, it has likely exacerbated existing inequalities.

Objective: This study compares the economic impacts of the COVID-19 pandemic amongst people with and without disabilities in Viet Nam.

View Article and Find Full Text PDF

Introduction: A key Sustainable Development Goal target is to eliminate all forms of malnutrition. Existing evidence suggests children with disabilities are at greater risks of malnutrition, exclusion from nutrition programmes and mortality from severe acute malnutrition than children without disabilities. However, there is limited evidence on the nutritional outcomes of children with disabilities in large-scale global health surveys.

View Article and Find Full Text PDF

Health systems often fail people with disabilities, which might contribute to their shorter life expectancy and poorer health outcomes than people without disabilities. This Review provides an overview of the existing evidence on health inequities faced by people with disabilities and describes existing approaches to making health systems disability inclusive. Our Review documents a broad range of health-care inequities for people with disabilities (eg, lower levels of cancer screening), which probably contribute towards health differentials.

View Article and Find Full Text PDF

Background: Globally, 1·3 billion people have a disability and are more likely to experience poor health than the general population. However, little is known about the mortality or life expectancy gaps experienced by people with disabilities. We aimed to undertake a systematic review and meta-analysis of the association between disability and mortality, compare these findings to the evidence on the association of impairment types and mortality, and model the estimated life expectancy gap experienced by people with disabilities.

View Article and Find Full Text PDF

Background: Cervical cancer screening is an important public health priority, yet many marginalized groups are not reached by existing programs. The nearly 700 million women with disabilities globally face substantial barriers in accessing cervical cancer screening and have lower coverage, yet there is limited evidence on what would support enhanced uptake among this population.

Methods: We updated a systematic review to estimate the disparity in screening uptake for women with disabilities.

View Article and Find Full Text PDF

Introduction: Disability and HIV are intricately linked, as people with disabilities are at higher risk of contracting HIV, and living with HIV can lead to impairments and disability. Despite this well-established relationship, there remains limited internationally comparable evidence on HIV knowledge and access to testing for people with disabilities.

Methods: We used cross-sectional data from 37 Multiple Indicator Cluster Surveys.

View Article and Find Full Text PDF

In Latin America and the Caribbean (LAC), there are 85 million people with disabilities (PwD). They often experience barriers accessing healthcare and die, on average, 10-20 years earlier than those without disabilities. This study aimed to systematically review the quantitative literature on access to general healthcare among PwD, compared to those without disabilities, in LAC.

View Article and Find Full Text PDF
Article Synopsis
  • Play is crucial for the development of all children, but children with disabilities face about 9% fewer play opportunities than their peers without disabilities.
  • Data from over 212,000 children across 38 Low and Middle-Income Countries revealed significant disparities, particularly in countries like Mongolia and São Tomé and Príncipe.
  • The study indicates that children with disabilities, especially girls and those with communication or learning impairments, are less likely to engage in play, which could negatively affect their overall development.
View Article and Find Full Text PDF
Article Synopsis
  • The birth prevalence of clubfoot ranges from 0.5 to 2 per 1000 births, but there has been no global estimate until now.
  • A systematic review found a pooled prevalence of 1.18 per 1000 births based on data from over 44 million births, with higher rates in low- and middle-income countries, particularly in South-East Asia and Africa.
  • The study emphasizes the need for better access to treatment and prevention strategies for clubfoot in resource-limited settings, as it estimates around 176,476 children are born with this condition globally each year.
View Article and Find Full Text PDF

As Canada begins to recover and learn from the COVID-19 pandemic, health equity and public health policies must be a central tenet of reform. Recent work has begun to provide guidance on an equitable pandemic recovery in Canada, which highlights many important groups that require specific consideration in recovery policies.1 There is a key omission in many of these guidelines and, in fact, most health equity efforts-people with disabilities.

View Article and Find Full Text PDF
Article Synopsis
  • * The analysis involved data from over 323,000 children aged 2-17 across 24 countries, revealing wide variations in the rates of non-registration, child labor, and violent discipline.
  • * Findings indicated inequities, particularly in birth registration and labor conditions, with girls and boys with disabilities facing higher risks, highlighting the need for targeted research and monitoring to address these disparities.
View Article and Find Full Text PDF

Background: Approximately 70 million children in sub-Saharan Africa (SSA) are disabled, yet little is known about the prevalence of and care-seeking patterns for common childhood illnesses, such as acute respiratory infection (ARI), diarrhoea, and fever.

Methods: Data were from 10 SSA countries with data available from 2017 to 2020 in the UNICEF-supported Multiple Indicator Cluster Survey (MICS) online repository. Children aged 2-4 years who completed the child functioning module were included.

View Article and Find Full Text PDF

Background: Health worker training on disability is a recognized component of achieving high standards of health for people with disabilities, given that health worker's lack of knowledge, stigma, and negative attitudes towards people with disabilities act as barriers to high quality health care.

Objective: To understand the published literature on training health workers about disability.

Methods: We searched five databases for relevant peer-reviewed articles published between January 2012 and January 2021.

View Article and Find Full Text PDF

To accelerate their demographic transition, sub-Saharan African (SSA) countries must trigger significant and rapid fertility declines. These fertility declines will open a demographic window of opportunity and enable countries to capture a first demographic dividend. Despite some successes, many programs aimed at decreasing fertility in SSA have yielded disappointing results.

View Article and Find Full Text PDF

Launched at Davos in January 2017 with funding from sovereign investors and philanthropic institutions, the Coalition for Epidemic Preparedness Innovations (CEPI) is an innovative partnership between public, private, philanthropic, and civil organisations whose mission is to stimulate, finance and co-ordinate vaccine development against diseases with epidemic potential in cases where market incentives fail. As of December 2019, CEPI has committed to investing up to $706 million in vaccine development. This includes 19 vaccine candidates against its priority pathogens (Lassa fever virus, Middle East respiratory syndrome coronavirus, Nipah virus, Chikungunya, Rift Valley fever) and three vaccine platforms to develop vaccines against Disease X, a novel or unanticipated pathogen.

View Article and Find Full Text PDF