Disability in an urban black community in Zimbabwe

Jelsma, Jennifer; Mielke, Jens; Powell, Greg; Weerdt, Willy De; Cock, Paul De

doi:10.1080/09638280210129766

Cited by 27 publications

(19 citation statements)

References 19 publications

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“…As is often reported in community surveys [19,20], there was a preponderance of female respondents. The sample was similar to the population in that it was relatively young; in the 2001 census more than half the population were aged 29 years or younger [21].…”

Section: Discussionmentioning

confidence: 75%

Health-related quality of life (HRQoL) domains most valued by urban isiXhosa-speaking people

2007

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Despite being asked specifically to answer the questions in relation to their health status, the participants apparently did not differentiate between general quality of life (QoL) and specific HRQoL. It appears that members of an under-resourced community regard socioeconomic and service delivery aspects of their lives as integral to their perceived state of health. It may be that it is not possible to separate factors relating to general quality of life from those specifically related to HRQoL in an under-resourced population and such populations might not be suitable for inclusion in certain clinical trials where improvement in HRQoL is the required outcome. Alternatively, if a HRQoL instrument is to be used to monitor the impact of medical intervention, the inclusion of environmental factors should be considered.

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Section: Discussionmentioning

confidence: 75%

Health-related quality of life (HRQoL) domains most valued by urban isiXhosa-speaking people

2007

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“…As in other community-based surveys (Jelsma et al, 2002), there was a preponderance of women respondents in the reference sample. This was also true of the participants and could be because approximately 14% of those on the HAART were referred from participants in the local prevention of maternal-to-child-transmission programme, which would also contribute to this bias.…”

Section: Discussionmentioning

confidence: 82%

An investigation into the health-related quality of life of individuals living with HIV who are receiving HAART

et al. 2005

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The health authorities have recently accepted the routine provision of highly active antiretroviral therapy to persons living with AIDS in South Africa. There is a need to investigate the impact of HAART on the health-related quality of life of people living with HIV/AIDS (PLWHA) in a resourcepoor environment, as this will have an influence on compliance and treatment outcome. The aim of this study was to explore whether HAART is efficacious in improving the self-reported health-related quality of life (HRQoL) in a group of PWLA in WHO Stages 3 and 4 living in a resource-poor community. A quasi-experimental, prospective repeated measures design was used to monitor the HRQoL over time in participants recruited to an existing HAART programme. The HRQoL of 117 participants was determined through the use of the Xhosa version of the EQ-5D and measurements were taken at baseline, one, six and 12 months. At the time of the 12-month questionnaire, 95 participants had been on HAART for 12 months. Not all participants attended all follow-up visits, but only two participants had withdrawn from the HAART programme, after two or three months. At baseline, the rank order of problems reported in all domains of the EQ-5D was significantly greater than at 12 months. The mean score on the global rating of health status increased significantly (p B/0.001) from a mean of 61.7 (SD 0/22.7) at baseline to 76.1 at 12 months (SD 0/18.5) It is concluded that, even in a resource-poor environment, HRQoL can be greatly improved by HAART, and that the possible side effects of the drugs seem to have a negligible impact on the wellbeing of the subjects. This bodes well for the anticipated roll-out of HAART within the public health sector in South Africa.

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“…In a previous report, written 15 years after the genocide in Rwanda, 50% of participants in a study met the criteria for psychiatric disorder [15]. Reporting on a survey in peri-urban Zimbabwe, Jelsma [26] diagnosed one third of the people enumerated in a house-to-house survey with depression. The conditions that give rise to this growing burden of ill-health attributed to mental health disorders falls beyond the scope of this paper, but is discussed liberally in the literature.…”

Section: Discussionmentioning

confidence: 99%

The emerging pattern of disability in Rwanda

M'kumbuzi

Sagahutu

Kagwiza

et al. 2013

Disability and Rehabilitation

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• It is important to design specific surveys to measure disability using contemporary methods to gauge the situation accurately and qualitatively.• Currently, the ICF provides the best framework to describe the epidemiology of disability meaningfully; it enables comparisons within and between countries and regions of the world; and enables the active participation of a wide range of rehabilitation stakeholders including PWDs and lay community members.• The vast majority of disabilities in Rwanda are limitations in visual, mobility and mental health functions.The emerging pattern of disability in Rwanda AbstractPurpose: The purpose of this paper is to describe the emerging pattern of disability (activity limitation) in terms of its prevalence, age and gender distribution in Rwanda. Method: A door-to-door survey was conducted in all households in villages from two districts selected through a multi-stage sampling procedure. Identified persons were screened for activity limitations using age-appropriate instruments developed from domains in the ICF. Proportions were computed and disaggregated by age group, gender, district and activity limitation. A multidisciplinary rehabilitation team including community members participated in the development of instruments, community mobilisation, data collection and collation. Results: Prevalence rates of 8.6% (Bugesera) and 14.7% (Musanze) were obtained. The prevalence of disability was higher in adults than in children in both districts (10.4% versus 6.6% in Bugesera and 19.6% versus 7.7% in Musanze). Visual limitations occurred the most frequently in both adults and children in both districts. Mobility and mental health limitations also notably contributed to the overall disability burden. Conclusion: The prevalence of disability obtained was higher than all previously reported data for Rwanda. Despite the limitations, the findings provide useful information for planning rehabilitation services and to direct future enquiry into the epidemiology of disability in Rwanda.

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Disability in an urban black community in Zimbabwe

Cited by 27 publications

References 19 publications

Health-related quality of life (HRQoL) domains most valued by urban isiXhosa-speaking people

Health-related quality of life (HRQoL) domains most valued by urban isiXhosa-speaking people

An investigation into the health-related quality of life of individuals living with HIV who are receiving HAART

The emerging pattern of disability in Rwanda

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