Addressing transport safety and accessibility for people with a disability in developing countries: a formative evaluation of the Journey Access Tool in Cambodia

Article


King, Julie A., King, Mark J., Edwards, Niki, Hair, Sara A., Cheang, Sarim, Pearson, Anita and Coelho, Sophie. 2018. "Addressing transport safety and accessibility for people with a disability in developing countries: a formative evaluation of the Journey Access Tool in Cambodia." Global Health Action. 11 (1), pp. 1-11. https://doi.org/10.1080/16549716.2018.1538658
Article Title

Addressing transport safety and accessibility for people with a disability in developing countries: a formative evaluation of the Journey Access Tool in Cambodia

ERA Journal ID200558
Article CategoryArticle
AuthorsKing, Julie A. (Author), King, Mark J. (Author), Edwards, Niki (Author), Hair, Sara A. (Author), Cheang, Sarim (Author), Pearson, Anita (Author) and Coelho, Sophie (Author)
Journal TitleGlobal Health Action
Journal Citation11 (1), pp. 1-11
Article Number1538658
Number of Pages11
Year2018
Place of PublicationUnited Kingdom
ISSN1654-9880
Digital Object Identifier (DOI)https://doi.org/10.1080/16549716.2018.1538658
Web Address (URL)https://www.tandfonline.com/doi/full/10.1080/16549716.2018.1538658
Abstract

Background: The intersection between health, disability and transport has significant practical challenges for people with a disability living in low- and middle-income countries (LMICs), where road infrastructure is poor and travel unsafe. Lack of transport access to health, education, employment and other services impedes achievement of the Sustainable Development Goals and affects quality of life. The Journey Access Tool (JAT) combines access audit and road safety audit approaches to identify barriers to transport on journeys taken by people with a disability. To be useful and effective, it must fit the expectations of people with a disability (be acceptable) and be feasible for use in different settings (adoptable). Accordingly, a formative evaluation process was undertaken in Phnom Penh, Cambodia. Objectives: To undertake a formative evaluation of the JAT using an iterative process to tailor the tool, pilot its use by people with a disability, and develop a template for its implementation in other LMICs. Methods: An iterative process of consultation and three pilots was undertaken. Participants were people with a disability who undertook journeys with a public transport component accompanied by assistants. Focus groups were held after each pilot, and results were integrated into JAT revisions. Results: Issues of terminology were resolved early, as were process issues related to the length of time taken to complete the JAT. Interpersonal issues were more difficult to address, with assistants tending to exceed their role and record their own comments. Use of the tool provided rich information on barriers. Conclusions: The JAT was both acceptable and adoptable for people with a disability and other stakeholders, and the experience gained will facilitate adaptation of the tool to new settings. The tool has significant potential to shape and support advocacy for change and engagement with transport services and also health, education, employment and other services.

KeywordsAudit; barriers; built environment; public transport
ANZSRC Field of Research 2020420318. People with disability
330409. Transport planning
330410. Urban analysis and development
Byline AffiliationsQueensland University of Technology
Handicap International, Cambodia
Institution of OriginUniversity of Southern Queensland
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