Disability Characteristics of Community-Based Rehabilitation Participants in Kayunga District, Uganda

Hamid, Lukia Namaganda; Kobusingye, Olive; Baine, Sebastian Olikira; Mayora, Chrispus; Bentley, Jacob A.

doi:10.1016/j.aogh.2017.10.006

Cited by 13 publications

(17 citation statements)

References 12 publications

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“…Of those who have access to devices, the relatively high proportion of people who were satisfied (75.1%) implies low-cost products might be suitable for many. However, consistent with recent findings from Kenya [21], people with more difficulties have a greater need. In our study, less service and product availability for more complex products—and affordability—combined to restrict access to AP for people with higher needs compared with others.…”

Section: Discussionsupporting

confidence: 92%

Unmet Needs and Use of Assistive Products in Two Districts of Bangladesh: Findings from a Household Survey

Pryor

Nguyen

Islam³

et al. 2018

IJERPH

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Access to assistive products (AP) is an under-researched public health issue. Using an adaptation of a draft World Health Organization tool—the ‘Assistive Technology Assessment—Needs (ATA-N)’ for measuring unmet needs and use of AP, we aimed to understand characteristics of AP users, self-reported needs and unmet needs for AP, and current access patterns in Bangladesh. The ATA-N was incorporated in a Rapid Assessment of Disability (RAD), a population-based survey to estimate prevalence and correlates of disability. In each of two unions of Kurigram and Narsingdi districts, 60 clusters of 50 people each aged two years and older were selected using a two-staged cluster random sampling process, of whom, 4250 (59% Female; 41% Male) were adults, including 333 using AP. We estimate 7.1% of the studied population used any AP. AP use is positively associated with age and self-reported functional difficulty. The proportion of people using AP is higher for mobility than for sensory and cognitive difficulties. Of all people with any functional difficulty, 71% self-reported an unmet need for AP. Most products were home or self-made, at low cost, but provided benefits. Needs and unmet needs for AP are high, especially for people with greater functional difficulties. Assessing unmet needs for AP revealed important barriers to scale that can inform policy and practice.

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Section: Discussionsupporting

confidence: 92%

Unmet Needs and Use of Assistive Products in Two Districts of Bangladesh: Findings from a Household Survey

Pryor

Nguyen

Islam³

et al. 2018

IJERPH

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“…Lacking appropriate functional and mobility device leaves the disabled person in a state of dependence in various aspects. Dependence that results from lack of assistive devices adds to the perceived severity of disability [66]. This disability culminates poverty to the person and affects the whole family particularly the dependents.…”

Section: Consequences Of Trauma To Rural and Semi-urban Regions Of Thmentioning

confidence: 99%

Physical Trauma and Its Consequences in Rural and Semi-Urban Regions of Low and Middle Income Countries

Moshi¹

2018

Current Issues in Global Health

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Trauma is a common occurrence in the rural and semi-urban regions of the low-and middleincome countries (LMICs) due to existence of risky infrastructure, socioeconomic, and cultural environments. Causes of trauma in these regions range from the commonest road traffic accidents, falls, burns, and assaults to the scarcely reported range of farmyard accidents. A majority of persons who survive trauma in these areas are evacuated from the incident scene and transported to the health facilities by laypersons by using any available vehicles. This state of handling potentially exposes trauma survivors to secondary injuries, worsening the disability and heightening risk to prehospital death. The cost managing persons with trauma is overwhelmingly high for rural areas of LMICs. Most governments of LMICs are not prepared to cater for individual traumatic incidents; so, if a permanent disability is a final outcome, the injured person and the immediate family have to bear the whole rehabilitation cost. In most cases, these rehabilitation costs are either unaffordable or unavailable to the family leading to provision of inappropriate assistive functional and mobility devices. Broader consequences include the inability to engage in income generating activities, while continuously draining the family economy, hence a poverty-disability vicious cycle.

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“…Rehabilitation projects implemented in the international cooperation field also follow the twin-track approach when planning and delivering their services. The working system varies in each country and each region according to the needs and particularities of the persons and the context [9,10]. This is why the active participation of persons with disabilities, their caregivers and their representative organisations are essential for the appropriate implementation of rehabilitation services [5,11].…”

Section: Introductionmentioning

confidence: 99%

“…In cooperation projects carried out in less developed and developing countries, where the socio-economic reality is very disadvantaged, a large number of children with disabilities have cerebral palsy in all its forms [1,9,15]. Many of the beneficiaries of these projects access the rehabilitation services offered when the deformities and the orthopaedic disorders associated to the condition are already established.…”

Section: Introductionmentioning

confidence: 99%

“…Many of the beneficiaries of these projects access the rehabilitation services offered when the deformities and the orthopaedic disorders associated to the condition are already established. Therefore, the prevention and early treatment of these disorders is of vital importance as it will influence the quality of life of these children and their families [9,16].…”

Section: Introductionmentioning

confidence: 99%

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Orthopaedic Disorders in Cerebral Palsy in International Cooperation Projects: A Descriptive Cross-Sectional Study

Garrido-Ardila

Caro-Puértolas

Jiménez-Palomares

et al. 2021

IJERPH

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Background: In international cooperation projects that are carried out in less developed and developing countries, a large number of children with disabilities present cerebral palsy (CP). Orthopaedic disorders are frequent complications associated with this disorder. Their prevention and early intervention are essential to achieve an appropriate therapeutic approach for children with PC and to improve their quality of life. Objective: To describe the treatment approach that is currently used in international cooperation projects for the rehabilitation management of the orthopaedic disorders in children with cerebral palsy. Methods: This is an observational, descriptive, cross-sectional study, carried out by means of an online questionnaire to professionals in the field of Physiotherapy and Rehabilitation working in international cooperation projects. The inclusion criteria were professionals working in the rehabilitation field in development aid, humanitarian action or emergency projects that provided rehabilitation services, working with children with cerebral palsy from 0 to 18 years old. Results: Ninety-eight questionnaires were analysed. The average age of the participants was 33.2 years, they were mainly working in development cooperation projects (83.33%) that were implemented in rehabilitation centres and through community-based rehabilitation services (60%). The projects were located in countries all over the world but mainly on the Asian continent (71.4%). Physiotherapists and orthopaedic technicians (72.22%) were the main professionals working in these projects, followed by occupational therapists and social workers (55.56%). The results indicated that the orthopaedic disorders were very frequent in the sample (66.67%), with hip subluxation (50%), scoliosis (77.78%), kyphosis (61.1%), clubfoot (88.7%) and varus foot (61.11%) standing out. The most commonly used treatment approaches were positioning (88.89%) and the Bobath concept (83.33%). The technical aids that were used by the professionals were ankle foot orthosis (AFO) (94.44%), bracing (66.67%), standing frames (83.33%), moulded seats (100%), corner seats (93.75%) and adapted seats (92.85%). Conclusions: In international cooperation projects, the rehabilitation treatment of children with cerebral palsy is based on a holistic approach. This is reflected in the interventions that are carried out to treat their orthopaedic disorders and in locally produced devices, awareness raising and community education. However, the professionals surveyed considered that the aids or orthoses used are insufficient in the treatment and prevention of orthopaedic disorders in cerebral palsy.

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Disability Characteristics of Community-Based Rehabilitation Participants in Kayunga District, Uganda

Cited by 13 publications

References 12 publications

Unmet Needs and Use of Assistive Products in Two Districts of Bangladesh: Findings from a Household Survey

Unmet Needs and Use of Assistive Products in Two Districts of Bangladesh: Findings from a Household Survey

Physical Trauma and Its Consequences in Rural and Semi-Urban Regions of Low and Middle Income Countries

Orthopaedic Disorders in Cerebral Palsy in International Cooperation Projects: A Descriptive Cross-Sectional Study

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