Resource Library

Best Practices
Team Macedonia of seven women gathered around laptop

Partners for Accessible Healthcare in Macedonia

How do you describe a partnership that not only achieves its goals, but transforms the entire way in which each partner works? MIUSA's Empower Partnerships program simply calls it, “Team Macedonia.” With support from the U.S. Department of State, MIUSA brought together organizations from around the world for a new style of collaborative program designed to advance disability rights.

Tip Sheets
Wheelchair strapped to the back of a motor scooter.

Wheelchair-Accessible Transportation

With information and an open mind, there are many ways to successfully problem solve transportation issues in any country. Depending on where someone will be living, transportation can vary dramatically. In big cities and even small towns in many countries, taxis, buses and public transport will be wheelchair accessible. Some basic questions about where a participant will be, what is common in that area, and what alternatives exist will help you think through the transportation options.

Tip Sheets
Young girl transfered from wheelchair to bedroom desk to study

Wheelchair Access in Lodging

The living situation for an exchange participant is not just a place to stay, but a way to learn about family, culture and language. Some participants will be better suited to living in a dormitory, while others will thrive in a homestay family. In either case, what's key is finding a place and people who will welcome a participant with a disability into many aspects of life in the new country.

Tip Sheets
Young foreign student with mobility disability talks with an advisor

Knowing What Disability Questions to Ask: Sample Accommodations Forms

Are you advising someone with a disability who is traveling abroad for your volunteer, study or professional program? Do you know what questions to ask to assist them in preparing for travel and living abroad related to their disability?

These access information forms provide starting points to learn more about what may be needed. The advisor guidelines also help know what the individual's responses may mean and what follow-up questions you could ask. Download and adapt these for your own use; it may mean asking fewer questions on the forms and more in face to face conversations.

Tip Sheets
Pushing woman in wheelchair up a ramp.

How Will I Pay for Personal Assistance Abroad?

The costs of international travel for just one person - whether for airfare, housing, or all the tasty local food - are harrowing enough. So if you're someone who will require the services of a personal assistant during your international exchange experience, the idea of doubling or even tripling these expenses can make it seem like international travel is out of reach.

Not so! For affordable PAS abroad, look for creative ways to reduce or share costs, raise funds, or negotiate with your exchange program provider to help defray the costs.

Tip Sheets
A woman is carried up stairs on someone's back, while others bring her wheelchair.

Setting Clear Expectations for Personal Assistants

Simply being available to travel wasn't enough to meet U.S. student Lauren Presutti's criteria for providing personal assistance during her studies abroad to Australia. "It was crucial for me to find the right two people who I felt most comfortable with and who I could completely trust," says Lauren of what made her time abroad a success.

Promoting a sense of trust and confidence between you and your personal assistant (PA) begins with establishing clear roles and responsibilities for what is expected of each other while you're abroad. Begin now.

Tip Sheets
Woman in wheelchair gets a push from a friend.

Will I Need Personal Assistance Services Abroad?

There are many unknowns when preparing for an exchange experience in another country, especially when it comes to figuring out how you'll get what you need to be independent. Getting from place to place, taking care of yourself, and getting assistance when needed are all part of the equation.

Not sure whether you will need personal assistance services (PAS) during your international experience or not? Ask yourself these questions to help inform your decision.

Tip Sheets
Close up of two young women smiling.

Who Can Assist Me When I Go Abroad?

Personal assistance during your international exchange can come from a wide variety of sources, whether a hired professional, a friend or family member, a fellow traveler or even a friendly local. Weigh the potential pros and cons of your options to find the best fit for you.

Tip Sheets
A young woman using a manual wheelchair hangs onto the back of a young man's power wheelchair as he pulls her along a street.

Disability-Focused International Exchanges

As a person with a disability, you have the right to participate in the same international exchange opportunities as people who do not have disabilities. You may decide that you want to participate in an exchange program that is not specifically focused on the topic of disability, such as one focused on Japanese culture, public health, or the performing arts.

Tip Sheets
An African woman with a disability and her personal assistant walking.

Using Personal Assistance Services Abroad

Whether at home or abroad, personal assistance services (PAS) provide a way for some people with disabilities to fully participate in all areas of community living. Sometimes called a personal care attendant (PCA), a personal assistant (PA) assists a person with a disability to do the things she would do for herself if she did not have a disability or had other ways to accomplish the task without human assistance. This could involve:

Tip Sheets
Crowds visit a Japanese temple

3 Ways to Get Health Coverage While Overseas

Know what options exist or how to plan for health coverage while on an exchange program if you have pre-existing conditions or need ongoing medications and treatment while abroad.

Tip Sheets
Woman getting henna painted on the palm of her hand

Why Pre-Existing Conditions Matter in Insurance

Plans offered to international exchange participants for less than a year of coverage are not fully licensed products so changes to U.S. health laws through the Patient Protection and Affordable Care Act (ACA) do not apply. These plans can increase costs, have pre-existing condition exclusions, or deny enrollment to an individual based on health status.

Tip Sheets
White labador guide dog walks beside its owner

Traveling Internationally with a Guide Dog or Service Animal

You are taking the leap to go abroad and naturally you want to bring along your service animal or guide dog on this adventure. However, you may wonder what arrangements will be needed. Or, if bringing your animal companion is a good idea or not. Feral dogs in the destination country and other considerations on how to keep your guide dog or service animal healthy overseas can help when deciding.

Personal Stories
Green welcome mat in front of a door reads "Welcome"

Rolling Out the Welcome Mat to International Visitors

I first got involved as a homestay host in my city of Akron, Ohio when a fellow member of the National Association of the Physically Handicapped (NAPH) contacted my housemate and asked if we would be interested in hosting someone through Global Ties Akron.

In the past, I have hosted international guests for dinner. Although those occasions were only a couple of hours, our time together was very worthwhile. It was very interesting to talk to doctors from Vietnam and a delegation from Kyrgyzstan, who told us about the services for people with disabilities in their countries.

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