How to train medical staff on making accessible healthcare for persons with disabilities

Background: Approximately 1.3 billion people worldwide face barriers in accessing inclusive healthcare due to disabilities, leading to worse health outcomes, particularly in low and middle-income countries (LMIC).

Objectives: We used mixed methods to develop a comprehensive training program for healthcare workers with standardised elements for healthcare workers in Uganda, focusing on improving their knowledge, attitudes, and skills in providing care for people with disabilities.

Methods: We conducted an umbrella review to gather relevant literature on disability training for healthcare workers. Interviews were conducted with international experts to gain insights and perspectives on the topic. Additionally, interviews were conducted with people with disabilities and healthcare workers in Uganda to understand their experiences and needs. Based on the findings from these data sources, a participatory workshop was organised, involving key stakeholders, to collaboratively design the training material.

Results: Eight review articles examined training programs for healthcare workers on disability. Training settings ranged from specialised clinical settings to non-clinical settings, and the duration and evaluation methods of the training varied across the articles. Lectures and didactic methods were commonly used, often combined with other approaches such as case studies and simulations. Interviews with experts and participants emphasised the importance of involving people with disabilities in the training and improving communication and understanding between healthcare providers and people with disabilities.

Six themes for healthcare worker training on disability were generated through the workshop, including responsibilities and rights, communication, informed consent, accommodation, and referral and connection.

Conclusion: We present a novel approach to develop a training program that aims to enhance healthcare services for people with disabilities in Uganda.