Box 1: Types of training • Face-to-face – usually workshops over several days. • E-learning (self-directed) – short courses of between 30 minutes and three hours. • E-learning as part of a wider curriculum – again, short courses under a curriculum umbrella containing a series of shorter elements. • In-house – not publicly available, with the aim of being more embedded at all levels within an organisation and with greater awareness of intersectionality rather than a single-issue disability focus (such as CAFOD’s SADI approach (see p. 43 in this issue). Challenges 1. Lack of sufficiently disaggregated data. 2. Coherence and communication. 3. Staff turnover and lack of institutional memory. 4. Not enough training materials or guidance in local languages. 5. Role of local and national government agencies. 6. Role of caregivers. 7. Political will. 8. Gaps in provision. 9. Mental health and psychosocial needs are very poorly addressed across the board. 10. Lack of resources.