Ableism, human rights, and the COVID-19 pandemic : healthcare-related barriers experienced by deaf people in Aotearoa New Zealand

Roguski, Michael; Officer, Tara N.; Nazari Orakani, Solmaz; Good, Gretchen; Händler-Schuster, Daniela; McBride-Henry, Karen

doi:10.3390/ijerph192417007

Please use this identifier to cite or link to this item: https://doi.org/10.21256/zhaw-26522

Publication type:	Article in scientific journal
Type of review:	Peer review (publication)
Title:	Ableism, human rights, and the COVID-19 pandemic : healthcare-related barriers experienced by deaf people in Aotearoa New Zealand
Authors:	Roguski, Michael Officer, Tara N. Nazari Orakani, Solmaz Good, Gretchen Händler-Schuster, Daniela McBride-Henry, Karen
et. al:	No
DOI:	10.3390/ijerph192417007 10.21256/zhaw-26522
Published in:	International Journal of Environmental Research and Public Health
Volume(Issue):	19
Issue:	24
Page(s):	17007
Issue Date:	Dec-2022
Publisher / Ed. Institution:	MDPI
ISSN:	1660-4601 1661-7827
Language:	English
Subjects:	Deaf; Disability; CRDP; COVID-19; Aotearoa New Zealand; Healthcare; Access; Barrier; Qualitative; Human right
Subject (DDC):	614: Public health and prevention of disease
Abstract:	The COVID-19 pandemic significantly affected global healthcare access and exacerbated pre-pandemic structural barriers. Literature on disabled people’s experiences accessing healthcare is limited, with even less framing healthcare access as a human rights issue. This study documents and critically analyses Deaf people’s healthcare access experiences in Aotearoa New Zealand during the COVID-19 pandemic. Eleven self-identified Deaf individuals participated in semi-structured videoconferencing interviews. Discourse analysis was applied to participant narratives with discourses juxtaposed against a human rights analysis. Barriers influencing healthcare access included: (1) the inability of healthcare providers to communicate appropriately, including a rigid adherence to face mask use; (2) cultural insensitivity and limited awareness of Deaf people’s unique needs; and (3) the impact of ableist assumptions and healthcare delaying care. Barriers to healthcare access represent consecutive breaches of rights guaranteed under the United Nations Convention on the Rights of Persons with Disabilities (CRPD). Such breaches delay appropriate healthcare access and risk creating future compounding effects. Action is required to address identified breaches: (1) The CRPD should also underpin all health policy and practice development, inclusive of pandemic and disaster management responsiveness. (2) Health professionals and support staff should be trained, and demonstrate competency, in Deaf cultural awareness and sensitivity.
URI:	https://digitalcollection.zhaw.ch/handle/11475/26522
Fulltext version:	Published version
License (according to publishing contract):	CC BY 4.0: Attribution 4.0 International
Departement:	School of Health Sciences
Organisational Unit:	Institute of Nursing (IPF)
Published as part of the ZHAW project:	Eine globale Brücke in den Gesundheitsberufen bauen
Appears in collections:	Publikationen Gesundheit

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Roguski, M., Officer, T. N., Nazari Orakani, S., Good, G., Händler-Schuster, D., & McBride-Henry, K. (2022). Ableism, human rights, and the COVID-19 pandemic : healthcare-related barriers experienced by deaf people in Aotearoa New Zealand. International Journal of Environmental Research and Public Health, 19(24), 17007. https://doi.org/10.3390/ijerph192417007

Roguski, M. et al. (2022) ‘Ableism, human rights, and the COVID-19 pandemic : healthcare-related barriers experienced by deaf people in Aotearoa New Zealand’, International Journal of Environmental Research and Public Health, 19(24), p. 17007. Available at: https://doi.org/10.3390/ijerph192417007.

M. Roguski, T. N. Officer, S. Nazari Orakani, G. Good, D. Händler-Schuster, and K. McBride-Henry, “Ableism, human rights, and the COVID-19 pandemic : healthcare-related barriers experienced by deaf people in Aotearoa New Zealand,” International Journal of Environmental Research and Public Health, vol. 19, no. 24, p. 17007, Dec. 2022, doi: 10.3390/ijerph192417007.

ROGUSKI, Michael, Tara N. OFFICER, Solmaz NAZARI ORAKANI, Gretchen GOOD, Daniela HÄNDLER-SCHUSTER und Karen MCBRIDE-HENRY, 2022. Ableism, human rights, and the COVID-19 pandemic : healthcare-related barriers experienced by deaf people in Aotearoa New Zealand. International Journal of Environmental Research and Public Health. Dezember 2022. Bd. 19, Nr. 24, S. 17007. DOI 10.3390/ijerph192417007

Roguski, Michael, Tara N. Officer, Solmaz Nazari Orakani, Gretchen Good, Daniela Händler-Schuster, and Karen McBride-Henry. 2022. “Ableism, Human Rights, and the COVID-19 Pandemic : Healthcare-Related Barriers Experienced by Deaf People in Aotearoa New Zealand.” International Journal of Environmental Research and Public Health 19 (24): 17007. https://doi.org/10.3390/ijerph192417007.

Roguski, Michael, et al. “Ableism, Human Rights, and the COVID-19 Pandemic : Healthcare-Related Barriers Experienced by Deaf People in Aotearoa New Zealand.” International Journal of Environmental Research and Public Health, vol. 19, no. 24, Dec. 2022, p. 17007, https://doi.org/10.3390/ijerph192417007.