Services for people with communication disability in Fiji

Barriers and drivers of change

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Abstract

The World Report on Disability calls upon all nations to 'remove the barriers which prevent [people with disabilities] from participating in their communities; getting a quality education, finding decent work, and having their voices heard' (p. 5). People with communication disability (PWCD), as a consequence of their atypical communication, may be more likely to be excluded from society, and denied their basic human rights than other people with disability. Fiji, a multicultural and multilingual nation in the south-western Pacific Ocean has limited services for PWCD. Service providers in Fiji include disability care workers, special education teachers, traditional healers, and a small number of visiting volunteer speech-language pathologists. This paper outlines the historical and current barriers to, and drivers of change for service development for PWCD in Fiji. Five barriers to service development for PWCD in Fiji were identified. (1) A major structural barrier is the small population size to develop appropriate infrastructure including professional education programs. (2) Geographical barriers include the dispersed geography across 300 islands, low population density, the rural-urban divide, and risk of disaster via cyclones and flooding. (3) Linguistic diversity, while culturally important, can present a barrier to the provision of quality services that are available in the languages spoken by PWCD. (4) The cultural barriers include historical political instability that has become more stable due to the recent democratic elections. The social climate impacts development of services that are appropriate for different dominant cultural groups. (5) Finally, financial barriers include the low gross domestic product, low financial security and low human development index; however, the financial outlook for Fiji is steadily improving due to the change in political stability. Three levels of drivers of change were identified. Macro-level drivers included Fiji's endorsement of international policy and increased globalisation (e.g., tourism). Meso-level drivers of change included: receipt of foreign aid and support from international non-government organisations (NGOs), development of disability inclusive legislation and policy within Fiji, and strengthening of government policies that support disabled people's organisations. Micro-level drivers of change included: establishment of disabled people's organisations by consumers, adoption of disability inclusive policy and procedures by service providers, and changes in the perceptions of disability within the general community.Fijian prevalence data confirms that there is an underserved population of PWCD in need of specialist services. Significant advocacy work in the disability field by Fijian and international disabled people's organisations has led to the Fiji government signing international policy (e.g., Convention on the Rights of Peoples with Disabilities, CRPD); inclusion of disability rights in national legislation (e.g., 2013 Constitution of Fiji Islands); and localised policy and practice documentation (e.g., inclusive education policy by the Fiji Islands Ministry of Education). Continued service development is required if Fijians with communication disability (FWCD) are to have their needs met. The drivers of change at all levels are positioned well to overcome current barriers to change; however, a coordinated approach including macro-, meso-, and micro-level drivers is required to ensure the future development of adequate services for PWCD in Fiji.
Original languageEnglish
Pages (from-to)1-10
Number of pages10
JournalRural and Remote Health
Volume15
Issue number3
Publication statusPublished - 2015

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Fiji
Communication Disorders
Melanesia
Disabled Persons
disability
driver
communication
Islands
Organizations
Population Density
Legislation
Education
Consumer Organizations
Language
meso level
Pacific Ocean
Gross Domestic Product
Cyclonic Storms
International Cooperation
Special Education

Cite this

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title = "Services for people with communication disability in Fiji: Barriers and drivers of change",
abstract = "The World Report on Disability calls upon all nations to 'remove the barriers which prevent [people with disabilities] from participating in their communities; getting a quality education, finding decent work, and having their voices heard' (p. 5). People with communication disability (PWCD), as a consequence of their atypical communication, may be more likely to be excluded from society, and denied their basic human rights than other people with disability. Fiji, a multicultural and multilingual nation in the south-western Pacific Ocean has limited services for PWCD. Service providers in Fiji include disability care workers, special education teachers, traditional healers, and a small number of visiting volunteer speech-language pathologists. This paper outlines the historical and current barriers to, and drivers of change for service development for PWCD in Fiji. Five barriers to service development for PWCD in Fiji were identified. (1) A major structural barrier is the small population size to develop appropriate infrastructure including professional education programs. (2) Geographical barriers include the dispersed geography across 300 islands, low population density, the rural-urban divide, and risk of disaster via cyclones and flooding. (3) Linguistic diversity, while culturally important, can present a barrier to the provision of quality services that are available in the languages spoken by PWCD. (4) The cultural barriers include historical political instability that has become more stable due to the recent democratic elections. The social climate impacts development of services that are appropriate for different dominant cultural groups. (5) Finally, financial barriers include the low gross domestic product, low financial security and low human development index; however, the financial outlook for Fiji is steadily improving due to the change in political stability. Three levels of drivers of change were identified. Macro-level drivers included Fiji's endorsement of international policy and increased globalisation (e.g., tourism). Meso-level drivers of change included: receipt of foreign aid and support from international non-government organisations (NGOs), development of disability inclusive legislation and policy within Fiji, and strengthening of government policies that support disabled people's organisations. Micro-level drivers of change included: establishment of disabled people's organisations by consumers, adoption of disability inclusive policy and procedures by service providers, and changes in the perceptions of disability within the general community.Fijian prevalence data confirms that there is an underserved population of PWCD in need of specialist services. Significant advocacy work in the disability field by Fijian and international disabled people's organisations has led to the Fiji government signing international policy (e.g., Convention on the Rights of Peoples with Disabilities, CRPD); inclusion of disability rights in national legislation (e.g., 2013 Constitution of Fiji Islands); and localised policy and practice documentation (e.g., inclusive education policy by the Fiji Islands Ministry of Education). Continued service development is required if Fijians with communication disability (FWCD) are to have their needs met. The drivers of change at all levels are positioned well to overcome current barriers to change; however, a coordinated approach including macro-, meso-, and micro-level drivers is required to ensure the future development of adequate services for PWCD in Fiji.",
keywords = "Agents of change, Barriers and drivers of change, Bilingual, Children, Communication, Communication disability, Education, Fiji, Language, Multilingual, Pacific, Service development, Speech, Speech-language pathology",
author = "Suzanne Hopf and Sharynne McLeod",
note = "Includes bibliographical references",
year = "2015",
language = "English",
volume = "15",
pages = "1--10",
journal = "Rural and Remote Health",
issn = "1445-6354",
publisher = "Deakin University",
number = "3",

}

TY - JOUR

T1 - Services for people with communication disability in Fiji

T2 - Barriers and drivers of change

AU - Hopf, Suzanne

AU - McLeod, Sharynne

N1 - Includes bibliographical references

PY - 2015

Y1 - 2015

N2 - The World Report on Disability calls upon all nations to 'remove the barriers which prevent [people with disabilities] from participating in their communities; getting a quality education, finding decent work, and having their voices heard' (p. 5). People with communication disability (PWCD), as a consequence of their atypical communication, may be more likely to be excluded from society, and denied their basic human rights than other people with disability. Fiji, a multicultural and multilingual nation in the south-western Pacific Ocean has limited services for PWCD. Service providers in Fiji include disability care workers, special education teachers, traditional healers, and a small number of visiting volunteer speech-language pathologists. This paper outlines the historical and current barriers to, and drivers of change for service development for PWCD in Fiji. Five barriers to service development for PWCD in Fiji were identified. (1) A major structural barrier is the small population size to develop appropriate infrastructure including professional education programs. (2) Geographical barriers include the dispersed geography across 300 islands, low population density, the rural-urban divide, and risk of disaster via cyclones and flooding. (3) Linguistic diversity, while culturally important, can present a barrier to the provision of quality services that are available in the languages spoken by PWCD. (4) The cultural barriers include historical political instability that has become more stable due to the recent democratic elections. The social climate impacts development of services that are appropriate for different dominant cultural groups. (5) Finally, financial barriers include the low gross domestic product, low financial security and low human development index; however, the financial outlook for Fiji is steadily improving due to the change in political stability. Three levels of drivers of change were identified. Macro-level drivers included Fiji's endorsement of international policy and increased globalisation (e.g., tourism). Meso-level drivers of change included: receipt of foreign aid and support from international non-government organisations (NGOs), development of disability inclusive legislation and policy within Fiji, and strengthening of government policies that support disabled people's organisations. Micro-level drivers of change included: establishment of disabled people's organisations by consumers, adoption of disability inclusive policy and procedures by service providers, and changes in the perceptions of disability within the general community.Fijian prevalence data confirms that there is an underserved population of PWCD in need of specialist services. Significant advocacy work in the disability field by Fijian and international disabled people's organisations has led to the Fiji government signing international policy (e.g., Convention on the Rights of Peoples with Disabilities, CRPD); inclusion of disability rights in national legislation (e.g., 2013 Constitution of Fiji Islands); and localised policy and practice documentation (e.g., inclusive education policy by the Fiji Islands Ministry of Education). Continued service development is required if Fijians with communication disability (FWCD) are to have their needs met. The drivers of change at all levels are positioned well to overcome current barriers to change; however, a coordinated approach including macro-, meso-, and micro-level drivers is required to ensure the future development of adequate services for PWCD in Fiji.

AB - The World Report on Disability calls upon all nations to 'remove the barriers which prevent [people with disabilities] from participating in their communities; getting a quality education, finding decent work, and having their voices heard' (p. 5). People with communication disability (PWCD), as a consequence of their atypical communication, may be more likely to be excluded from society, and denied their basic human rights than other people with disability. Fiji, a multicultural and multilingual nation in the south-western Pacific Ocean has limited services for PWCD. Service providers in Fiji include disability care workers, special education teachers, traditional healers, and a small number of visiting volunteer speech-language pathologists. This paper outlines the historical and current barriers to, and drivers of change for service development for PWCD in Fiji. Five barriers to service development for PWCD in Fiji were identified. (1) A major structural barrier is the small population size to develop appropriate infrastructure including professional education programs. (2) Geographical barriers include the dispersed geography across 300 islands, low population density, the rural-urban divide, and risk of disaster via cyclones and flooding. (3) Linguistic diversity, while culturally important, can present a barrier to the provision of quality services that are available in the languages spoken by PWCD. (4) The cultural barriers include historical political instability that has become more stable due to the recent democratic elections. The social climate impacts development of services that are appropriate for different dominant cultural groups. (5) Finally, financial barriers include the low gross domestic product, low financial security and low human development index; however, the financial outlook for Fiji is steadily improving due to the change in political stability. Three levels of drivers of change were identified. Macro-level drivers included Fiji's endorsement of international policy and increased globalisation (e.g., tourism). Meso-level drivers of change included: receipt of foreign aid and support from international non-government organisations (NGOs), development of disability inclusive legislation and policy within Fiji, and strengthening of government policies that support disabled people's organisations. Micro-level drivers of change included: establishment of disabled people's organisations by consumers, adoption of disability inclusive policy and procedures by service providers, and changes in the perceptions of disability within the general community.Fijian prevalence data confirms that there is an underserved population of PWCD in need of specialist services. Significant advocacy work in the disability field by Fijian and international disabled people's organisations has led to the Fiji government signing international policy (e.g., Convention on the Rights of Peoples with Disabilities, CRPD); inclusion of disability rights in national legislation (e.g., 2013 Constitution of Fiji Islands); and localised policy and practice documentation (e.g., inclusive education policy by the Fiji Islands Ministry of Education). Continued service development is required if Fijians with communication disability (FWCD) are to have their needs met. The drivers of change at all levels are positioned well to overcome current barriers to change; however, a coordinated approach including macro-, meso-, and micro-level drivers is required to ensure the future development of adequate services for PWCD in Fiji.

KW - Agents of change

KW - Barriers and drivers of change

KW - Bilingual

KW - Children

KW - Communication

KW - Communication disability

KW - Education

KW - Fiji

KW - Language

KW - Multilingual

KW - Pacific

KW - Service development

KW - Speech

KW - Speech-language pathology

M3 - Article

VL - 15

SP - 1

EP - 10

JO - Rural and Remote Health

JF - Rural and Remote Health

SN - 1445-6354

IS - 3

ER -