Measuring the Impact of Disability-Inclusive Emergency Planning on Vulnerable Populations

Author(s): Ishrat Jahan Shila, Masud Rana, Moniruzzaman, Somaiya Sultana, Mohammad Anamul Haque, Naimul Islam, Dilshad Sony.

Background: In Bangladesh, where 70% of the population lives in floodprone areas, individuals with disabilities face heightened risks during emergencies. Despite efforts to improve emergency planning, there is a lack of specific tools tailored to the needs of these populations. This study was evaluated an adapted disability-inclusive emergency planning tool, developed based on the AUCD framework, for its effectiveness in enhancing preparedness among individuals with disabilities in Gazipur district. Methods: A sample of 100 participants, including individuals with physical, sensory, and cognitive disabilities, as well as parents, community volunteers, and emergency responders, was selected using purposive sampling. Pre- and post-intervention surveys and key informant interviews were conducted to measure changes in preparedness. Results: The intervention led to significant improvements in emergency preparedness metrics. Knowledge of flood preparedness increased from 45% to 85% (p < 0.001), access to emergency resources rose from 31% to 70% (p < 0.001), participation in emergency drills grew from 20% to 63% (p < 0.001), confidence in emergency response improved from 41% to 72% (p < 0.001), and accessibility of shelters increased from 48% to 84% (p < 0.001). Participant feedback was largely positive, with high ratings for the tool's ease of use and cultural relevance. Conclusion: The adapted AUCD tool significantly improved preparedness and response capabilities among individuals with disabilities. The findings highlight the effectiveness of tailored interventions and underscore the need for ongoing training and resource development to address barriers and enhance emergency planning for all populations.