The Voice and Vision of Children who are Blind: Do we Hear and see them? A Qualitative Study in Bangladesh
Globally, 1.4 million children are blind. The UN's Education for All global initiative, WHO’s global initiative VISION 2020, and many other international initiatives aim to support the educational, medical, rehabilitation and social needs of these children as a priority. Programmes and policies nearly always developed without consulting children who are blind (CWB). As a result, they often fail to identify and address the issues and concerns of CWB. In order to move programme planners from a 'medical model' to a 'comprehensive model(Psycho-social-medical)' of disability and allow them to develop more holistic programmes; qualitative data is required which describe children's own perception.
This study was undertaken in rural Bangladesh to explore the perspective of children (CWB) on issues related to their challenges, achievements, hopes, aspirations and identity. Through 18 in-depth qualitative interviews and 4 focus group discussions, conducted in natural settings (home, school, hostel), in native language (Bengali), children (CWB), aged 10 to 15 years, were empowered to share their life experience as a child with blindness; and communicate their needs and vision through rich description of events, thoughts and views.
Results: Analysis of the transcripts identified several themes related to physical and attitudinal environment some of which increase and some decrease the disability. Their learning and development challenges included problems with reading and writing, mobility to school and play ground, exclusion from sports and extracurricular activities. They faced bullying both at home and at school or in the community. They were excluded from religious and cultural events as well as play and social activities. They were concerned about their lack of future prospect of marriage and employment. However, children also described their own personal experience of supportive environment provided by family and friends. Children articulated clearly, their concept of ‘personhood’ and described their ‘vision’ for a better world without poverty, discrimination and conflict.
Keywords: Children, Disability, Blindness, Social Model of Disability, Exclusion, Qualitative Research, ICF
Dr. Mohammad Muhit
Clinical Research Fellow, International Centre for Eye Health |
Nita Odedra
Affiliation not supplied
|
Prof. Sally Hartley
Professor of Communication and Health, Institute of Health, University of East Anglia
|
Ref: D07P0220