Table 1

21 core concepts of EquiFrame, adapted for disability inclusion in the context of water, sanitation and hygiene (WASH)

No.Core conceptKey questionKey language
1Non-discriminationDoes the guidance support the rights of people with disabilities with equal opportunity in receiving WASH services?People with disabilities are not directly or indirectly discriminated against within the WASH system
2Individualised servicesDoes the guidance support the rights of people with disabilities with individually tailored WASH services to meet their needs, choices and impairments?People with disabilities receive specific, appropriate and effective WASH services. This includes reasonable adjustments made/supported, when necessary
3EntitlementDoes the guidance indicate entitlements for people with disabilities (eg, respite grant or reduced user fee), and how they may qualify for specific benefits relevant to them?People with disabilities who have limited resources are entitled to some services free of charge or at a sliding scale tariff, especially if in unpaid work
4Capability based servicesDoes the guidance recognise the capabilities of people with disabilities?For instance, programmes including peer support, mentoring and group advocacy. People with disabilities are meaningfully represented in WASH committees and programmes may be implemented by Organisations of Persons with Disabilities (OPDs)
5ParticipationDoes the guidance support the right of people with disabilities to participate in the decisions that affect their lives and enhance their empowerment?People with disabilities can exercise choices and influence decisions affecting their life. Consultation may include planning, development, implementation and evaluation
6Coordination of servicesDoes the guidance support assistance of people with disabilities in accessing services from within a single provider system (inter-agency) or more than one provider system (intra-agency) or more than one sector (inter-sectoral)?People with disabilities know how services should interact where inter-agency, intra-agency and inter-sectoral collaboration is required. This includes coordination between health services, schools, households and public places, with regards to WASH. Additional coordination opportunities include the WASH sector with the private sector, civil society and rights groups
7Protection from harmDoes the guidance outline that people with disabilities are to be protected from harm during their interaction with WASH and related services?People with disabilities are protected from harm during their interaction with WASH services and health related systems, as well as from families and the community who may have negative attitudes about WASH for people with disabilities
8LibertyDoes the guidance support the right of people with disabilities to be free from unwarranted physical or other confinement?People with disabilities are protected from unwarranted physical or other confinement while in the custody of the service system/provider. This includes at home and a healthcare service.
9AutonomyDoes the guidance support the right of people with disabilities to consent, refuse to consent, withdraw consent, or otherwise control or exercise choice over what happens to them?People with disabilities can express ‘independence’ or ‘self-determination’. For instance, persons with an intellectual disability will have recourse to an independent third party regarding issues of consent and choice.
10PrivacyDoes the guidance address the need for information regarding people with disabilities to be kept private and confidential?Information regarding people with disabilities need not be shared among others
11IntegrationDoes the guidance promote the use of mainstream services by people with disabilities?People with disabilities are supported to use the WASH services that are provided for general population
12ContributionDoes the guidance recognise that people with disabilities can be productive contributors to society?People with disabilities make a meaningful contribution to society and the WASH sector
13Family resourceDoes the guidance recognise the value of the family members of people with disabilities in addressing WASH needs?The document recognises the value of family members of people with disabilities as a resource for addressing WASH needs
14Family supportDoes the guidance recognise individual members of people with disabilities may have an impact on the family members requiring additional support from WASH services?Caring for persons with disabilities may have mental health effects on other family members, such that these family members themselves require support
15Cultural responsivenessDoes the guidance ensure that services respond to the beliefs, values, gender, interpersonal styles, attitudes, cultural, ethnic or linguistic, aspects of the person, as well as personal safety and dignity?i) People with disabilities are consulted on the acceptability of the service provided ii) Hygiene facilities, goods and services are respectful of ethical principles and culturally appropriate, that is, respectful of the culture of people with disabilities
16AccountabilityDoes the guidance specify to whom, and for what, services providers are accountable?People with disabilities have access to internal and independent professional evaluation or procedural safeguard. Law/regulations provide mechanisms that ensure complaints are effectively heard and there are clear systems for people to lodge these complaints. Judicial bodies are available to resolve conflicts, for both public and private institutions
17PreventionDoes the guidance support people with disabilities in seeking primary, secondary and tertiary prevention of health conditions associated with WASH?Includes WASH-related illnesses and details on how people with disabilities can seek primary, secondary and tertiary prevention of health conditions. For example, Trachoma, Soil-Transmitted Helminthes—intestinal worms, Lymphatic Flariasis, Leprosy, urinary tract infections
18Capacity buildingDoes the guidance support the capacity building of health workers and of the system that they work in addressing WASH needs of people with disabilities?Includes awareness raising among communities and families on disability and on the specific issues/barriers facing people with disabilities
19AccessDoes the guidance support people with disabilities—physical, economic and information access to WASH services?People with disabilities have accessible and safe WASH services within, or in the immediate vicinity, of household, health and educational institutions, public institutions and workplace. All information must be understandable and in appropriate format
20QualityDoes the guidance support quality services to people with disabilities through evidence-based and professionally skilled practice? Does the guidance promote innovation in WASH services for people with disabilities (eg, technology)?People with disabilities are assured that services are based on best practice/evidence and support innovative strategies/technology
21EfficiencyDoes the guidance support efficiency by providing a structured way of matching WASH system resources with service demands in addressing WASH needs of people with disabilities?WASH services are sustainable for people with disabilities. Services will be available at times of financial crisis and will ensure appropriate technology choices. Contracts with providers take into account operation and maintenance and funds from donors are sustainable