{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,13]],"date-time":"2026-09-13T05:18:27Z","timestamp":1789276707651,"version":"build-2803163510"},"reference-count":31,"publisher":"MDPI AG","issue":"18","license":[{"start":{"date-parts":[[2022,9,9]],"date-time":"2022-09-09T00:00:00Z","timestamp":1662681600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Christian Blind Mission (CBM) India Trust"},{"name":"Handicap International (Humanity &amp; Inclusion)"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>Background: There is a paucity of data to assess the impact of the COVID-19 pandemic on persons with disabilities (PwDs) in India. About 27.4 million cases were reported as of 27 May 2021. The continuing pandemic in the form of subsequent waves is expected to have negative repercussions for the disabled globally, particularly in India, where access to health, rehabilitation, and social care services is very limited. Therefore, this study aimed to assess the impact of the COVID-19 pandemic and lockdown restrictions on PwDs in India. Objective: To determine the level of disruption due to COVID-19 and the associated countrywide lockdown restrictions on PwD in India during the first wave. Methods: Using a cross-sectional, mixed-methods approach, data were collected from a representative sample of 403 persons with disabilities in 14 states in India during the COVID-19 first wave at two different points in time (Lockdown and post-lockdown phase). Factors associated with the negative impact were examined using the Chi-square test for associations. The paired comparisons between \u2018lockdown\u2019 with the \u2018post-lockdown\u2019 phase are presented using McNemar\u2019s test and the marginal homogeneity test to compare the proportions. Additionally, a subsample of the participants in the survey was identified to participate in in-depth interviews and focus group discussions to gain in-depth insights on the study question and substantiate the quantitative findings. The framework approach was used to conduct a thematic analysis of the qualitative data. Results: About 60% of the PwDs found it difficult to access emergency medical services during the lockdown, and 4.6% post lockdown (p &lt; 0.001). Likewise, 12% found it difficult to access rehabilitation services during the lockdown, and 5% post lockdown (p = 0.03). About 76% of respondents were apprehensive of the risk of infection during the lockdown, and this increased to 92% post lockdown (p &lt; 0.001). Parents with children were significantly impacted due to lockdown in the areas of Medical (p = 0.007), Rehabilitation (p = 0.001), and Mental health services (p = 0.001). The results from the qualitative study supported these quantitative findings. PWDs felt that the lockdown restrictions had negatively impacted their productivity, social participation, and overall engagement in everyday activities. Access to medicines and rehabilitation services was felt to be extremely difficult and detrimental to the therapeutic benefits that were gained by them during the pre-pandemic time. None of the pandemic mitigation plans and services was specific or inclusive of PWDs. Conclusions: COVID-19 and the associated lockdown restrictions have negatively impacted persons with disabilities during the first wave in India. It is critical to mainstream disability within the agenda for health and development with pragmatic, context-specific strategies and programs in the country.<\/jats:p>","DOI":"10.3390\/ijerph191811373","type":"journal-article","created":{"date-parts":[[2022,9,12]],"date-time":"2022-09-12T22:53:46Z","timestamp":1663023226000},"page":"11373","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":15,"title":["Evaluation of the Impact of the First Wave of COVID-19 and Associated Lockdown Restrictions on Persons with Disabilities in 14 States of India"],"prefix":"10.3390","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7006-6935","authenticated-orcid":false,"given":"Shailaja","family":"Tetali","sequence":"first","affiliation":[{"name":"South Asia Centre for Disability and Inclusive Development and Research, Indian Institute of Public Health, Hyderabad 500033, Telanagana, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4407-7838","authenticated-orcid":false,"given":"Sureshkumar","family":"Kamalakannan","sequence":"additional","affiliation":[{"name":"South Asia Centre for Disability and Inclusive Development and Research, Indian Institute of Public Health, Hyderabad 500033, Telanagana, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shilpa","family":"Sadanand","sequence":"additional","affiliation":[{"name":"South Asia Centre for Disability and Inclusive Development and Research, Indian Institute of Public Health, Hyderabad 500033, Telanagana, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Melissa Glenda","family":"Lewis","sequence":"additional","affiliation":[{"name":"South Asia Centre for Disability and Inclusive Development and Research, Indian Institute of Public Health, Hyderabad 500033, Telanagana, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sara","family":"Varughese","sequence":"additional","affiliation":[{"name":"CBM India Trust, Bengaluru 560018, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Annie","family":"Hans","sequence":"additional","affiliation":[{"name":"Handicap International (Humanity Inclusion), Noida 201307, Uttar Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"G. V. S.","family":"Murthy","sequence":"additional","affiliation":[{"name":"South Asia Centre for Disability and Inclusive Development and Research, Indian Institute of Public Health, Hyderabad 500033, Telanagana, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2022,9,9]]},"reference":[{"key":"ref_1","unstructured":"(2021, May 13). COVID-19 Map\u2014Johns Hopkins Coronavirus Resource Center. Available online: https:\/\/coronavirus.jhu.edu\/map.html."},{"key":"ref_2","unstructured":"Gettleman, J., and Schultz, K. (The New York Times, 2020). Coronavirus in India: Modi Orders Total Lockdown of 21 Days, The New York Times."},{"key":"ref_3","first-page":"100036","article-title":"Lives or livelihood: Insights from locked-down India due to COVID19","volume":"2","author":"Sharma","year":"2020","journal-title":"Soc. Sci. Humanit. Open"},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"100944","DOI":"10.1016\/j.dhjo.2020.100944","article-title":"The COVID-19 pandemic and people with disability","volume":"13","author":"Turk","year":"2020","journal-title":"Disabil. Health J."},{"key":"ref_5","doi-asserted-by":"crossref","unstructured":"Kamalakannan, S., Bhattacharjya, S., Bogdanova, Y., Papadimitriou, C., Arango-Lasprilla, J.C., Bentley, J., Jesus, T.S., and Refugee Empowerment Task Force, International Networking Group of the American Congress of Rehabilitation Medicine (2021). Health Risks and Consequences of a COVID-19 Infection for People with Disabilities: Scoping Review and Descriptive Thematic Analysis. Int. J. Environ. Res. Public Health, 18.","DOI":"10.3390\/ijerph18084348"},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"652","DOI":"10.23736\/S1973-9087.20.06539-9","article-title":"Rehabilitation and COVID-19: The Cochrane Rehabilitation 2020 rapid living systematic review. Update as of July 31st, 2020","volume":"56","author":"Negrini","year":"2020","journal-title":"Eur. J. Phys. Rehabil. Med."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"79","DOI":"10.12688\/wellcomeopenres.15833.1","article-title":"Disability-inclusive COVID-19 response: What it is, why it is important and what we can learn from the United Kingdom\u2019s response","volume":"5","author":"Kuper","year":"2020","journal-title":"Wellcome Open Res."},{"key":"ref_8","doi-asserted-by":"crossref","unstructured":"Jesus, T.S., Bhattacharjya, S., Papadimitriou, C., Bogdanova, Y., Bentley, J., Arango-Lasprilla, J.C., Kamalakannan, S., and The Refugee Empowerment Task Force, International Networking Group of the American Congress of Rehabilitation Medicine (2021). Lockdown-Related Disparities Experienced by People with Disabilities during the First Wave of the COVID-19 Pandemic: Scoping Review with Thematic Analysis. Int. J. Environ. Res. Public Health, 18.","DOI":"10.3390\/ijerph18126178"},{"key":"ref_9","doi-asserted-by":"crossref","unstructured":"Gudlavalleti, M.V.S., John, N., Allagh, K., Sagar, J., Kamalakannan, S., Ramachandra, S.S., and South India Disability Evidence Study Group (2014). Access to health care and employment status of people with disabilities in South India, the SIDE (South India Disability Evidence) study. BMC Public Health, 14.","DOI":"10.1186\/1471-2458-14-1125"},{"key":"ref_10","doi-asserted-by":"crossref","unstructured":"Grills, N.J., Hoq, M., Wong, C.P.P., Allagh, K., Singh, L., Soji, F., and Murthy, G.V.S. (2020). Disabled People\u2019s Organisations increase access to services and improve well-being: Evidence from a cluster randomized trial in North India. BMC Public Health, 20.","DOI":"10.1186\/s12889-020-8192-0"},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"e019443","DOI":"10.1136\/bmjopen-2017-019443","article-title":"Multiple barriers to participation for people with psychosocial disability in Dehradun district, North India: A cross-sectional study","volume":"8","author":"Mathias","year":"2018","journal-title":"BMJ Open"},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"703","DOI":"10.4103\/ijo.IJO_843_20","article-title":"COVID-19 pandemic: Lessons learned and future directions","volume":"68","author":"Khanna","year":"2020","journal-title":"Indian J. Ophthalmol."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"29","DOI":"10.1177\/004908570903900102","article-title":"Poverty and disability in India","volume":"39","author":"Rao","year":"2009","journal-title":"Soc. Chang."},{"key":"ref_14","first-page":"27","article-title":"Disability, Economy and the Limits of Inclusive Education","volume":"11","author":"Dsouza","year":"2018","journal-title":"Perspectivas da Educa\u00e7\u00e3o Matem\u00e1tica"},{"key":"ref_15","unstructured":"The World Health Organisation (2020). Rapid Assessment of Service Delivery for NCDs during the COVID-19 Pandemic, The World Health Organisation."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"101014","DOI":"10.1016\/j.dhjo.2020.101014","article-title":"Impact of COVID-19 on people with physical disabilities: A rapid review","volume":"14","author":"Lebrasseur","year":"2021","journal-title":"Disabil. Health J."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"3","DOI":"10.18061\/dsq.v41i3.8375","article-title":"Lives Turned Upside Down in COVID-19 Times: Exploring Disabled People\u2019s Experiences in 5 Low-and-middle Income Countries Using Narrative Interviews","volume":"41","author":"Wickenden","year":"2021","journal-title":"Disabil. Stud. Q."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"97","DOI":"10.1007\/s41062-021-00693-9","article-title":"Impact of COVID-19 pandemic lockdown on the public transportation system and strategic plans to improve PT ridership: A review","volume":"7","author":"Subbarao","year":"2022","journal-title":"Innov. Infrastruct. Solut."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"796074","DOI":"10.3389\/fresc.2021.796074","article-title":"Countries Response for People With Disabilities During the COVID-19 Pandemic","volume":"2","author":"Spir","year":"2022","journal-title":"Front. Rehabilit. Sci."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"667925","DOI":"10.3389\/fneur.2021.667925","article-title":"Tele-Neurorehabilitation During the COVID-19 Pandemic: Implications for Practice in Low- and Middle-Income Countries","volume":"12","author":"Srivastava","year":"2021","journal-title":"Front. Neurol."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"912","DOI":"10.1016\/S0140-6736(20)30460-8","article-title":"The psychological impact of quarantine and how to reduce it: Rapid review of the evidence","volume":"395","author":"Brooks","year":"2020","journal-title":"Lancet"},{"key":"ref_22","unstructured":"United Nation Sustainable Development Group (2020). The Impact of COVID-19 on Children, United Nation."},{"key":"ref_23","unstructured":"Kumar, L., Aparajita, M., and Suman, S. (2020). Impact of COVID-19 & Lockdown on Persons with Disabilities in India, EVARA Foundation."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"204","DOI":"10.1186\/s12939-021-01526-y","article-title":"PREparedness, REsponse and SySTemic transformation (PRE-RE-SyST): A model for disability-inclusive pandemic responses and systemic disparities reduction derived from a scoping review and thematic analysis","volume":"20","author":"Jesus","year":"2021","journal-title":"Int. J. Equity Health"},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"1893","DOI":"10.1007\/s11135-017-0574-8","article-title":"Saturation in qualitative research: Exploring its conceptualization and operationalization","volume":"52","author":"Saunders","year":"2018","journal-title":"Qual. Quant."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"52","DOI":"10.7748\/nr2011.01.18.2.52.c8284","article-title":"Qualitative data analysis: The framework approach","volume":"18","author":"Smith","year":"2011","journal-title":"Nurse Res."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"105","DOI":"10.1016\/j.nedt.2003.10.001","article-title":"Qualitative content analysis in nursing research: Concepts, procedures and measures to achieve trustworthiness","volume":"24","author":"Graneheim","year":"2004","journal-title":"Nurse Educ. Today"},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"131","DOI":"10.1186\/s12939-020-01244-x","article-title":"Disability inclusiveness of government responses to COVID-19 in South America: A framework analysis study","volume":"19","author":"Sakellariou","year":"2020","journal-title":"Int. J. Equity Health"},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"844","DOI":"10.1080\/09687599.2020.1754165","article-title":"COVID-19 and disabled people: Perspectives from Iran","volume":"35","author":"Jalali","year":"2020","journal-title":"Disabil Soc."},{"key":"ref_30","unstructured":"(2021, May 13). Abandoned, Forgotten and Ignored. The Impact of the Coronavirus Pandemic on Disabled People, Available online: www.ons.gov.uk\/."},{"key":"ref_31","unstructured":"(2022, February 18). Accessible India Campaign|Department of Empowerment of Persons with Disabilities|MSJE|GOI, Available online: https:\/\/disabilityaffairs.gov.in\/content\/page\/accessible-india-campaign.php."}],"container-title":["International Journal of Environmental Research and Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1660-4601\/19\/18\/11373\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T00:28:39Z","timestamp":1760142519000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1660-4601\/19\/18\/11373"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,9,9]]},"references-count":31,"journal-issue":{"issue":"18","published-online":{"date-parts":[[2022,9]]}},"alternative-id":["ijerph191811373"],"URL":"https:\/\/doi.org\/10.3390\/ijerph191811373","relation":{},"ISSN":["1660-4601"],"issn-type":[{"value":"1660-4601","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,9,9]]}}}