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Based on the findings and concerns of the respondents, recommendations are suggested in Table 4 classifying them into three categories, namely, policy, intervention, and research.

Table 4

Recommendation from policy, intervention, and research aspects to ensure sustainable WASH and menstruation issues in the slum for the disabled-female

Policy 
  • ✓ Introduce participatory slum-gender-disabled-females inclusive planning/policy melding with national planning to ensure improved WASH and MHM.

  • ✓ Formal/vocational education beyond the primary level for adolescents (or above) girls with disabilities should be enforced.

  • ✓ Awareness programmes on WASH should include/encourage MHM discussions enabling environment for disabled-females.

  • ✓ Empowerment options, e.g., the quota system for disabled-females can be initiated.

  • ✓ Income opportunities for disabled-females or her family should be created. Zero-interest credit access or incentives may encourage in this regard.

  • ✓ GO incentive for improvement, e.g., cheap food ration cards can be provided for basic needs.

  • ✓ Vigorous guidelines should be set for the maintenance and monitoring of existing disabled-friendly structures including water supply.

  • ✓ Disabled-females should get priority for renting accommodation within the premises of existing disabled-friendly washrooms.

  • ✓ Disabled focus initiatives and programmes by GO and NGOs should be enhanced.

  • ✓ Youth advocacy groups can be formed in the slum to negotiate with GO service providers.

  • ✓ Options for legal land set up with relevant investment/infrastructure/charity through legal advocacy can be promoted, such as self-help and in-situ upgradation or resettlement.

 
Intervention 
  • ✓ Drainage lines maintenance or replacement is immediately required.

  • ✓ More disabled-friendly structures (e.g., toilets, water points) and public services (e.g., care centres, affordable accommodation, local transport) can be established through co-funding or GO–NGO partnership.

  • ✓ Provide adequate inclusive toilet facilities in public places with the availability of menstrual hygiene commodities at affordable prices.

  • ✓ Disabled-friendly toilet should ensure necessary facilities such as low plinth platform but elevated toilet structure, wide accessible entrance, ramp or stairs with handle in walls, electric light, etc.; introduce piped water system inside and a regular budget for maintenance.

  • ✓ Separate water supply lines for drinking and other domestic uses as a solution to reduce the problems related to water scarcity.

  • ✓ Separate in-house water supply dedicated for disabled-females to be constructed with easy access to water sources.

  • ✓ Schools should have a provision of extra care or health services in and around slums for disabled-females to get extra care and benefit related to WASH and menstruation.

 
Research 
  • ✓ Skill development programmes, e.g., group/collective business plan for entrepreneurship development for disabled-females can be introduced.

  • ✓ More research on changing social views and behaviour towards MHM and disabled-females can contribute to increasing awareness. Knowledge gathering may also be able to reverse the powerlessness situation for disabled-females.

  • ✓ Identify scope to self-help, rehabilitate, or in-situ slum upgradation for Dhaka.

  • ✓ Identify the knowledge gaps and scopes to meld inter-sectoral conflict; hence, improve coordination that can be effective in creating ownership.

 
Policy 
  • ✓ Introduce participatory slum-gender-disabled-females inclusive planning/policy melding with national planning to ensure improved WASH and MHM.

  • ✓ Formal/vocational education beyond the primary level for adolescents (or above) girls with disabilities should be enforced.

  • ✓ Awareness programmes on WASH should include/encourage MHM discussions enabling environment for disabled-females.

  • ✓ Empowerment options, e.g., the quota system for disabled-females can be initiated.

  • ✓ Income opportunities for disabled-females or her family should be created. Zero-interest credit access or incentives may encourage in this regard.

  • ✓ GO incentive for improvement, e.g., cheap food ration cards can be provided for basic needs.

  • ✓ Vigorous guidelines should be set for the maintenance and monitoring of existing disabled-friendly structures including water supply.

  • ✓ Disabled-females should get priority for renting accommodation within the premises of existing disabled-friendly washrooms.

  • ✓ Disabled focus initiatives and programmes by GO and NGOs should be enhanced.

  • ✓ Youth advocacy groups can be formed in the slum to negotiate with GO service providers.

  • ✓ Options for legal land set up with relevant investment/infrastructure/charity through legal advocacy can be promoted, such as self-help and in-situ upgradation or resettlement.

 
Intervention 
  • ✓ Drainage lines maintenance or replacement is immediately required.

  • ✓ More disabled-friendly structures (e.g., toilets, water points) and public services (e.g., care centres, affordable accommodation, local transport) can be established through co-funding or GO–NGO partnership.

  • ✓ Provide adequate inclusive toilet facilities in public places with the availability of menstrual hygiene commodities at affordable prices.

  • ✓ Disabled-friendly toilet should ensure necessary facilities such as low plinth platform but elevated toilet structure, wide accessible entrance, ramp or stairs with handle in walls, electric light, etc.; introduce piped water system inside and a regular budget for maintenance.

  • ✓ Separate water supply lines for drinking and other domestic uses as a solution to reduce the problems related to water scarcity.

  • ✓ Separate in-house water supply dedicated for disabled-females to be constructed with easy access to water sources.

  • ✓ Schools should have a provision of extra care or health services in and around slums for disabled-females to get extra care and benefit related to WASH and menstruation.

 
Research 
  • ✓ Skill development programmes, e.g., group/collective business plan for entrepreneurship development for disabled-females can be introduced.

  • ✓ More research on changing social views and behaviour towards MHM and disabled-females can contribute to increasing awareness. Knowledge gathering may also be able to reverse the powerlessness situation for disabled-females.

  • ✓ Identify scope to self-help, rehabilitate, or in-situ slum upgradation for Dhaka.

  • ✓ Identify the knowledge gaps and scopes to meld inter-sectoral conflict; hence, improve coordination that can be effective in creating ownership.

 

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