Public toilets and cultural conflict

When you gotta go, you gotta go and it doesn’t matter who you are or how you identify. Historically, the use of public toilets has been studied from four different and separate perspectives. These are gender, public health, ergonomics, and the spaces people like between themselves and others. Public opinion plays a role and this makes the creation of inclusive public toilets a site of cultural conflict.

Standard toilet block in a rural area signed as Ladies and Gents.

Trans* rights are getting more attention these days and public toilets seem to be an area where public opinion plays a big part. But the trans population is not the only group that has trouble with toilet rooms.

Public toilets have been around for more than 2000 years. They are both public and intimate places at the same time. This gives rise to an emotional response to our need to eliminate and dispose of our waste. We care who we share this public yet intimate space with.

Steinfeld, Thibodeaux and Klaiman have taken up the issues with a view to solving issues by design. That is, to make these public amenities more inclusive. In doing so, it might provide some insights into making other public facilities more inclusive. The title of their research paper is, Public Restrooms: A Site of Cultural Conflict.

The research paper outlines a literature review and the qualitative research methods. The aim is to identify strategies for inclusive restroom design that is acceptable to the US population generally.

From the conclusions

The researchers note that in many parts of North America, any attempt to depart from the conventional binary women/men design will be politicised. Hence they can expect little, if any change. The conventional euro-centric gender segregated restroom is a reflection of a culture that supports a rigid idea of gender identity. Unfortunately, it neglects the realities of diverse needs.

Supporters of trans access to restrooms have focused on changing laws. However, laws do not address the whole problem. They can still face violence and abuse. The design of public toilets needs to be addressed too.

On orange door with a sign saying Unisex Toilet and baby change with icons to match.

A simple strategy for improving trans access is re-signing single user restrooms to be “all-gender”. It is an good initial first step because trans and cisgender people with additional needs can use these restrooms.

From the abstract

Public restrooms have become the major locus of conflict over trans rights. But this is only the latest manifestation of cultural conflicts related to restrooms. Historically, the restroom has been studied through four aligned, but separate, lenses: gender studies, public health, ergonomics, and proxemics.

These four lenses are both interdependent and intersectional. A review of literature paints a picture of how this conflict represents the gulf between embedded cultural values and the lived experience of a diverse population. We hypothesize that there is strong consensus on what people desire in toilet rooms, particularly regarding safety, hygiene, and privacy. However, these desires conflict with a cultural legacy based on hetero-normative values.

This hypothesis was tested through a review of research and preliminary findings from a survey that targets the intersections of gender identity, public health, ergonomics, and boundary regulation. This research leads to a holistic picture of the public restroom and situates the contemporary conflict as the result of polarized public opinion.

Demographics and ideology play an important role in forming opinions. While the public restroom is the main focus, this research improves our understanding about the larger issues. How might our built environment adapt in response to a more nuanced view of gender? How might urban spatial practices serve as catalysts for social change.

*Note that the term “trans” is used to encompass a wide range of gender identities including transgender, intersex, gender non-conforming and others.

World Cup: Accessible by Design

Major sporting events offer great opportunities to design and build inclusive infrastructure and services. The FIFA World Cup in Qatar is no exception. The Accessible by Design: Building a legacy of inclusion report sets out Qatar’s challenges and solutions.

The aim is to “ensure stadia and the entire experience, inside and outside the stadium, are fully accessible to all. This includes designing and planning for accessible hotels, transportation, tourist attractions and more”.

The policy recommendations in the report “provide solid and practical guidelines to design and redesign cities that are equally accessible to all”.

Front cover of Accessible by Design report.

Qatar has worked with organisations representing people with disability to meet their pledge to deliver the most accessible World Cup to date. This means both inside and outside the stadia – hotels, transportation, and tourist attractions. The aim is to leave a lasting legacy and a national priority for greater accessibility across Qatar.

Report and recommendations

The report is in four sections with an executive summary with a focus on urban design and the FIFA World Cup event. The first section discusses the prevalence of and disadvantages for people with disability. Five levels of accessible and inclusive urban design are presented based on the UN’s Economic and Social Affairs work.

The second section relates specifically to the World Cup with diagrams and explanations of how Qatar will achieve its aims. The third section is about what to expect at the tournament. With eight stadia all within a relatively close proximity to each other. That means fans can see more than one match in a day.

The fourth section has conclusions and policy recommendations. At the end of the tournament it will be necessary to check the experiences of people with disability. And also, whether the tournament left a lasting legacy of service and behavioural change.

The report closes with six policy recommendations. Similarly to the London Olympic and Paralympic Games, setting up an authority to continue the work is one of them. There is not much new in the report for countries that have policies on access and inclusion. However, it is good to see their aims and objectives set out in the report. While people with disability are being considered, we know that there are some other groups who remain on the outside.

The report is published by WISH and draws on the WISH 2022 Forum on Accessible Design and Health recently held in Doha.

WHO age friendly cities: does it work?

The World Health Organization’s guide to age-friendly cities and active ageing set the trend for policy in 2002. The publication, Global Age-Friendly Cities: A Guide, supports the age-friendly framework. This inspired the development of the Global Network of Age-Friendly Cities and Communities. So how successful has this age-friendly movement been?

Front cover of the WHO guide for age friendly cities.

The longevity revolution is happening now. So it is a good time to review the success or otherwise of the age-friendly movement and the WHO framework for age-friendly cities.

The WHO Guide was initially designed to be a bottom-up participatory process. The flexibility of the process enabled individual cities and communities to work on local issues. However, it hasn’t quite worked that way. As with all participative processes, it comes down to whose voices are being heard at the discussion table. And it depends on whether the city or community is urban or rural and on the resources available.

Edgar Liu has checked out Australian policies across the three tiers of government. He wanted to find out if the WHO guide and framework inspired policy making. And if it did, to what extent. In a nutshell, these policies did not fully reflect socioeconomic and cultural diversity. Also, the policy focus remains on care and support services, which conflicts with the recommendations for connecting with multiple policy areas.

The title of the paper is, The World Health Organization’s impact on age-friendly policymaking: A case study on Australia.

WHO age friendly logo of 8 petals showing the 8 domains of life.
The WHO Age-Friendly Cities Framework

Abstract

This paper reflects on whether and how the World Health Organization (WHO) inspires age-friendly policymaking across different levels of government. This is done via a case study in which we analyse the policies of Australia’s three-tiered federated government system against the WHO’s eight core age-friendly cities domains.

Findings suggest that membership of the Global Network of Age-Friendly Cities and Communities did not appear to overtly inspire the development of age-friendly policies across Australian governments.

Content analysis shows there is an overwhelming policy focus on care and support services, with little attention to cultural diversity. This reflects an outdated portrayal of debilitation in later life and a lack of recognition of how diverse circumstances impact the ageing process and corresponding support needs.

Our findings also reveal the challenges of a three-tiered federated system, where varying financial and authoritative capacities have influenced how different governments acknowledge and respond to population ageing.

Notably, local governments—the main level of implementation targeted by the WHO—are invariably constrained in developing their own age-friendly policies and may opt to adopt those of higher levels of government instead. These challenges will likely impact other resource-limited governments in responding to the needs of their emerging ageing populations.

You can read more in a related post Manchester and Brussels: A place to grow old.

Victorian Government Universal Design Policy

The Victorian Government has updated their universal design policy which applies to the whole of government. Previously it sat within the health and building department. The policy is not just an empty statement – it has actions embedded. These actions begin with the procurement process for built environment projects.

Universal design is a design philosophy that ensures products, buildings, environments, programs and experiences are innately accessible to as many people as possible regardless of age, disability, background or any other differentiating factors”

Victorian Government
Front cover of the Victorian Government Universal Design Policy.  document

The policy is structured around the classic 7 Principles of Universal Design. The aim is for all Government departments and agencies to apply the principles to all stages of the project from the project proposal to the implementation and operation of the project. Specifically:

  • Undertake user engagement and co-design processes
  • Incorporate universal design principles into procurement and function briefs
  • Incorporate universal design principles into design standards

The summary document provides a detailed explanation of how each of the 7 principles might be applied.

The main document has more detail including how to apply universal design across the lifecycle of a project and co-design methods. The 7 Principles of Universal Design are expanded to include both good and poor examples of design outcomes. In short – what to do and what not to do.

Both documents are in Word format for easy access for all. This is also a good example of getting the message across with as few words as possible – another universal design feature.

The Victorian Government has been leading the way on universal design for some time. Other states could benefit from following their lead. See also Victoria’s Health and Building Authority policy as well.

Inclusive Victoria – the Plan

Front cover of the Inclusive Victoria state plan.

The Victorian State Disability Plan has a great introduction that includes language and terminology. It acknowledges there is no one right, or universal way to conceptualise disability. That’s because people perceive disability in culturally specific ways.

Some people are proud to identify themselves as disabled, whereas others don’t want their disability to define them. Similarly, many autistic and neurodivergent people don’t see autism as a disability. They just see autism at a different way of interacting with the world. The State Disability Plan 2022-2026 is titled, Inclusive Victoria

Victoria’s Autism Plan

The Victoria’s Autism Plan builds on their Absolutely everyone: state disability plan. It incorporates commitments to remove specific barriers faced by people in the autistic community. The plan is based on feedback from a parliamentary inquiry into the needs of autistic people and their families. Building helpful attitudes toward autistic people is a key element of Victoria’s Autism Plan.

The document begins with personal stories, which is pleasing to see because they are more revealing than statistics or diagnoses. It sets the tone for the rest of the document and acknowledges additional barriers faced by the autistic community.

Front cover of Victorian Autism plan showing a child in a blue track suit on a swing. A woman stands behind him.

A note on language

The term Autism Spectrum Disorder (ASD) is no longer the preferred term. Language is influential in changing community attitudes so choosing the right terms is important. Individuals and advocacy bodies were asked which term they thought should be used in the plan. There was general agreement that the term “autistic people” should be used. An important point – ask people what terms they prefer.

Key points in the plan

Specific barriers included:

  • lack of community understanding
  • accessing education that meets their needs
  • exclusion from employment opportunities
  • limited access to supports and services
  • additional barriers to inclusion for autistic people with intersecting identities
A boy and a woman lay on the grass together looking up at the sky.

There are four ways to access the plan on the website: Full version in PDF, Easy English Version in PDF, a text version in Word, and an Auslan summary. Or you can download the full PDF version, Victorian Autism Plan.

Design for inclusive attitudes

The biggest stumbling block to inclusion is the prevalent attitudes in society. Many of these rest in stereotypes about people who look or sound different to ourselves. Attitudes are also founded on myths and misinformation. So can we design for inclusive attitudes? According to a conference paper the answer is, yes, we can.

Many coloured heart shapes with black eyes and smiles indicate diversity. Telling stories for inclusion.

There is a gap between the concept of universal design and creating inclusive attitudes in society. Creating inclusive things does not necessarily create inclusive attitudes.

The paper looks as if it was translated from another language making this difficult to understand. However, the underlying premise brings the concept of universal design into the 21st Century. That is, moving from designing inclusive things, to addressing societal attitudes to inclusion.

The paper discusses a theoretical framework in the traditional academic manner. Part of the discussion is about how Inclusive Design, Design-for-All and Universal Design are not specific in how they promote inclusive attitudes. The emphasis is on products and not on intangible contents such as attitudes and behaviours. The authors argue that designers can use existing paradigms, and at the same time challenge them to focus on equity and quality of life.

A framework

A synergy between design culture and the Inclusive Attitude concept is needed. The framework suggests transitions from Design for Inclusion, to Design for Inclusive Attitude. Thereby moving from inclusive approaches to design, to designing for Inclusive Attitude. And further, moving from inclusive things to conceiving things that foster inclusive societal attitudes. The diagram below, which is taken from the article, shows the transitions.

Chart showing the theoretical framework of the transition from universal design to inclusive attitudes.
Design for Inclusive Attitude framework cited in the conference paper.

The authors pose the argument that there is a new generation of citizens and activities that don’t define themselves as designers. Rather, they apply their skills and efforts in the direction of social inclusion. This takes the discussion into the field of co-design although this term is not used.

Graphic with four circles: one each for exclusion, separation, integration and inclusion.

The authors conclude the aim is to create designers with inclusive attitudes, who create inclusive things, and at the same time, create inclusive societal attitudes.

The title of the paper is, Design for Inclusive Attitude: towards a theoretical framework. It is open access. The paper is in the proceedings of the AHFE International Conference, 2022 where you will find like-minded papers.

Editor’s comment: The paper takes a philosophical approach in trying to link inclusive design concepts to inclusive society attitudes. With so many new papers still reaching back to the 1997 principles of universal design, this is a refreshing change.

From the abstract

The Inclusive Attitude is a concept mainly debated in psychology, sociology, anthropology and it has received less attention from a design research perspective.

This paper proposes a theoretical framework for using Design for Inclusion to support Inclusive Attitude among the society. Starting from literature review, the paper compares the Inclusive Attitude concept with orders of design, design contents, design domains, continuum of design approaches, and domains of disciplines of Human Factors and Ergonomics (HFE). As a result, a conceptual framework is identified for studying the Design for Inclusive Attitude.

Social impact framework

The Property Council of Australia has launched their Collective Social Impact Framework. The aim of the Framework is to help companies asses their social sustainability programs. Interestingly, universal design gets a mention, but as always, there is an assumption people know what that is.

The Framework has three pillars with reportable metrics:

  • Healthy Places
  • Inclusive Communities
  • Responsible Growth

The priorities in the Framework are health and wellbeing, active living, and climate resilience. Community connection and advancing universal design are listed under inclusive communities. Equity and inclusive growth and job creation are the priorities under responsible growth. The metrics for each one are listed in the chart below.

A chart showing the three pillars of the social impact framework.

The Framework is aligned to industry standards such as the Sustainable Development Goals and ‘green’ standards. Participating companies can promote their social sustainability initiatives and showcase good practice.

Front cover of the Property Council report. A child is doing cartwheels in a park

The Framework builds on the foundations set by the report A Common Language for Social Sustainability. This is the baseline document which underpins the Framework.

The Property Council encourages members to rate their activities against the framework. Information gathered from participating companies will provide industry insights into the range of activities across the sector.

Housing and health – a much needed partnership

A older man and woman are smiling at each other. The man is handing the woman a yellow tulip.Research collaborations between different disciplines are a good way to build knowledge and share resources. Housing and health is one area where more cross-sector collaboration is needed. But collaboration doesn’t just happen. Stuart Butler and Marcella Maguire say in their article that collaboration needs a supporting infrastructure. 

Butler and Maguire argue that health and housing partnerships remain in their infancy compared with other collaborations. So what is holding up the development of this essential partnership? They say it is the need for connective tissue.

“Connective tissue is a way of describing the infrastructure needed to support intentional alignment, coordination, and integration between sectors or organizations that serve the same or similar populations in a community.

By “infrastructure” we mean both tangible elements, such as information exchange systems, financing, personnel, shared language, and the intangible elements of trust and shared goals. Developing systems and trust that address cross-sector needs does not just happen; it requires a deliberate process that moves beyond the individual goals of any one system towards a community-wide approach.”

Why the partnership is important

Housing can be the platform for the range of services needed to promote good health. It is a foundational social driver of health. Housing and health partnerships are particularly valuable for addressing the needs of marginalised populations. Collaboration supports:

      • Ageing in the home and community
      • Meeting future pandemic situations 
      • Ending homelessness and housing instability
      • Supporting NDIS participants and their families
      • Addressing some of the impacts of climate change

Components of success

The authors say the components of success include clearly defined goals, network development, and working on projects together. And a good point is made about budgets and cost-shifting: 

“Partnerships are often weakened by the “wrong pockets problem. This exists when one sector needs to invest in a way that benefits another sector but offers little or no direct cost savings to the first sector. In a housing-health partnership, for example, a housing authority might be considering improving safety features in all bathrooms for older residents. But the main cost saving would be to the Medicare program, not to the housing budget.”

The title of the article is, Building connective tissue for effective housing-health initiatives.  

See also the WHO Housing and Health Guidelines which includes a chapter on accessible housing. 

The Longevity Revolution and the 100 year life

A man with white hair and beard sits at a desk with a younger man. The longevity revolution has arrived and the 100 year life is here. But what are the challenges and how do we meet them? An article from the World Economic Forum poses this question as part of The Davos Agenda. The first thing is to dismiss discussions about an ageing crisis – there are opportunities to be realised.

According to research, a child born in 2000 can expect to see their 100th birthday. The implications carry across the whole of society, business, and government.

The Stanford Center on Longevity has launched “The New Map of Life” initiative. New models of education, work, policies for healthcare, housing, and the environment are on the agenda. And researchers aim to redefine what it means to be “old”. 

The Stanford report says we are not ready, but we can meet the challenges. Here are their principles:

      • Age diversity is a net positive
      • Invest in future centenarians to deliver big returns
      • Align health spans to life spans
      • Prepare to be amazed by the future of ageing
      • Work more years with more flexibility
      • Learn throughout life
      • Build longevity-ready communities

Longevity is about babies not old people

“The impact on the global workforce is profound but also not yet realized. Before, we would have three or four generations in the workforce. Now, we have five and even six generations in the workforce. While stereotypes of all generations abound, many aren’t true. A growing body of research indicates that multigenerational workforces are more productive, see lower rates of employee turnover, have higher levels of employee satisfaction, and feel better about their employer.” (from the New Map of Life).

The Design Council also addresses the issues from a built environment perspective. See the post The 100 year life

Economics of meaningful accessibility

long view of a Perth city mall with shops and cafes under awnings and trees for shade. Tall buildings are in the background. Economics of meaningful accessibility.How can we measure the economic benefits of designing our built environments to ensure access for everyone? Good question. Tourism has a solid body of knowledge on the economics of inclusion, and housing studies cite savings for health budgets. However, we need a benchmark to show clear and direct economic benefits for stakeholders and society. But it has to be meaningful accessibility, not just minimal compliance to standards. That’s the argument in a paper from Canada.

 An article in the the Journal of Accessibility and Design for All has a good look at the literature on the subject. Research papers agree that there are overall economic benefits in making products and services more accessible. But we still need a way of getting hold of data and finding a good method for measuring. That’s the key argument in the paper.

The title of the paper is, Measuring economic benefits of accessible spaces to achieve ‘meaningful’ access in the built environment: A review of recent literature.

Meaningful accessibility

Meaningful accessibility is about how the built environment enables everyone to participate in social and economic life. As the authors say,meaningful accessibility and universal design go hand in hand—meaningful accessibility is a goal of universal design”. They also note that accessible environments are perceived as an altruistic intention rather than a business choice. That is, the notion of special designs for a small group of people who need them. 

The aim of the paper is to draw attention to the gap in the research in areas such as planning, urban design and architecture. A strong voice from users of places and spaces calling for change remains essential. So too, is a change in discourse about disability being outside the frame of ‘normal’. 

Concluding comments

In the concluding comments the authors say meaningful accessibility is harder to sell than green buildings. And that’s despite reduced material costs and energy savings. From a human rights perspective accessibility shouldn’t be an option – it’s a fundamental requirement. 

Whether a better or more rigorous framework for economic analysis will win the day is still questionable. The political context is far more complex. The evidence in Australia on the economic benefits of accessible housing was not sufficient to sway all jurisdictions. The argument that “it costs too much” is consistent with the narrative of disability being outside the frame of normal. 

Editor’s note: The argument for change is not about economics, it’s about political will. It was only when the Victorian and Queensland governments took the lead on accessible housing that the building code was changed. People say to me that we should be explaining the economic benefits if we want accessibility and inclusion. Sadly, the many economic studies have fallen on stony ground and remain silent and ignored. 

This website has more than 20 articles on the economics of inclusion and universal design. Use the search box with “economic” to find them.

European built environment access standard

CEN CENELEC logo in black and white for the built environment access standard.European Commission has published a built environment standard for accessibility. It describes basic, common minimum functional requirements using universal design principles. The accessibility and usability requirements relate to the design, construction, refurbishment and maintenance of indoor and outdoor environments. 

The standard was based on consensus between relevant stakeholders. The CEN-CENELEC webpage has more detail about the standard and what it contains. The document is titled, EN 17210:2021 Accessibility and usability of the built environment – Functional requirements

There is a related document about public procurement to support accessibility in the built environment. This is also part of their Active and Health Ageing strategy.

The CEN-CENELEC Protocol on accessibility following a Design for All approach in standardization outlines the procedure to help technical bodies decide whether accessibility, with a Design for All approach, should be addressed when developing or revising a standardization deliverable.

The European Committee for Standardization is one of three European Standardization Organizations (together with CENELEC and ETSI). They are officially recognized as being responsible for developing and defining voluntary standards at European level.

The websites are not the easiest to navigate but there is more information if you care to start searching their standards.