IntroductionSpinal cord injury, is certainly a debilitating and devastating condition in terms of its effect on a person`s physical, mental, familial as well as social life [1]. Due to its profound impact on a person`s overall quality of life and increasingly high incidence, injury to spinal cord due to any pathology is now considered as a morbid condition as well as a threat to both personal and national economy [2,3]. Spinal cord injury itself is a crippling condition, at the same time may lead to a variety of complications which can affect the life of the patient as it increases the treatment cost significantly and accelerate the disease process which link to early mortality [1,3,4]. The incidence of Spinal cord injury is increasing throughout the world with an annual incidence rate of 15 to 40 per million with a male predominance, more prevalence in low socio-economic society and the causes ranges from traumatic in most of the case like motor vehicle accident to gunshot injury and physical violence, however non traumatic causes like Tuberculosis (TB) of the spine is also responsible for this [3][4][5][6]. A great variety of complications usually follow injury to spinal cord such as pressure sore, urinary complications, most of which are preventable nonetheless these associated complications are the most common cause of re-hospitalization following spinal cord injury and eventually lead to a great deal of disability, morbidity, degree of dependence and mortality [1][2][3][4].Spinal cord injury is a severe condition of the musculoskeletal system, more often leading to permanent disability and on the top of that brings about drastic changes the functioning ability of the patient and eventually encompassing each and every aspect of life [5][6][7][8]. Complications may associate virtually all systems of the body namely cardio-respiratory system, genitourinary system, local disorders like pressure sore or full blown biochemical disorders. Such domino effect following the injury to spinal cord significantly decreases the quality of life of the individual and happens on the early or acute stage when initial rehabilitation process are being initiated [6]. Spinal cord injury whether traumatic or form other cause and AbstractBackground: Spinal cord injury and its health related complications pose a major impact on the overall morbidity and mortality as well as cause economic constrains. It was aimed at looking into the demographic distribution, diagnosis, as well as complications in patients with spinal cord injury.
Purpose: Recent evidence suggests that, globally, women with disability suffer multiple forms of discrimination and exclusion from mainstream society when compared with their female peers and men without disability. In Bangladesh, which is a grossly overpopulated low-income country in South Asia, women with disability have poor health outcomes within a gender-biased cultural context. This study aimed to define the current barriers and facilitators to socioeconomic inclusion for women with physical disability living in the community in Bangladesh and to highlight the impact of these barriers on health. Methods: Semi-structured in-depth interviews were conducted with 15 women who had either a spinal cord injury or amputation, and who had been discharged for at least 3 months after inpatient admission. Mixed purposeful sampling (a mixture of typical case sampling and criterion sampling) was used to recruit the study participants. A thematic analysis was conducted to extract themes from the data. The social determinants of health framework and the International Classification of Functioning (ICF) model were then used to contextualise the data.Results: Five major themes were identified including: exclusion from formal education, exclusion from the work force, exclusion from public facilities, exclusion from marriage and increased risk of violence and exclusion from community activities and social groups. Facilitators to inclusion include: provision of accessible buildings and transport, community- based advocacy services and vocational training services.Conclusions: The combination of physical disability and female gender presents multiple complex barriers to inclusion in the socioeconomic and cultural life of Bangladesh. Practical interventions through both up-scaling and expansion of disability-specific programming and sustained policy implementation are required to facilitate individual empowerment and better health outcomes for women with disability.
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