Towards economic empowerment: segregation versus inclusion in the Kenyan context

Given the well-documented links between poverty and disability in the majority world, and the mandate given to address this issue by international agreements, such as the recent United Nations Convention on the Rights of Persons with Disabilities, this paper examines the issue of how best to promote economic empowerment in the Kenyan context. The paper presents findings from recent field research, based on a series of 10 case studies, conducted in Kenya during June and July 2010. The main aim of the study was to compare the effectiveness of segregated and inclusive strategies. The paper concludes that, while inclusive strategies have a number of advantages over segregated strategies, and have achieved considerable success, segregated strategies may still have an important role to play.     

Is aspiration and sclerotherapy treatment for hydroceles in the aging male an evidence-based treatment?

Symptomatic hydroceles are commonly treated with surgical repair. They are associated with sexual dysfunction in the aging male. Patients who are not fit for surgery often undergo aspiration and sclerotherapy of the hydrocele. There is a range of sclerosing agents used in the literature. I performed a literature search to assess whether one sclerosant was better than the others. STDS is the sclerosing agent with the best cure rate after a single injection and low side effect rates. The cure rates of sodium tetradecyl sulphate (STDS) after a single aspiration and injection were 76%. After multiple treatments 94% achieved a cure. Patient satisfaction rates at mean 40 months were 95%. Complication rates were generally low and much lower than surgical repair. Aspiration and sclerotherapy have a role in treating symptomatic hydroceles. This literature review shows that this is over and above its current use in the UK, where it is used for patients unfit for general anaesthetic. If the patients are carefully selected for this procedure, they can have a good outcome and avoid the higher complication rate and longer recovery rates of surgical repair. Patients should be counselled about aspiration and sclerotherapy as part of the informed consent process.     

Towards economic participation: examining the impact of the Convention on the Rights of Persons with Disabilities in India

This paper examines the probable impact of India’s ratification of the United Nations Convention on the Rights of Persons with Disabilities (CRPD), particularly in terms of promoting economic participation. The paper presents findings from recent fieldwork, conducted in India at the beginning of 2011. The main aim of the study was to examine some current national-level developments, relevant to disability, and to compare various approaches to promoting economic participation at the grass-roots level, with a view to determining the potential of the CRPD to make a real difference to the everyday lives of disabled people. The paper concludes that the CRPD has already had some impact at the national level. Furthermore, there are signs that some parts of Indian society are becoming more inclusive of disabled people, in the areas where research was carried out, thus increasing the likelihood of greater economic participation for disabled people in the future.