Characterizing disability and perception of rehabilitation in the health District of Dschang, Cameroon (original) (raw)
Related papers
2014
This project addressed the lack of disability prevalence data in the North West Region of Cameroon. Methods A multi-stage cluster design was used, and included urban, semi-urban and rural areas. In the first stage, the team screened 3,933 households, representing an estimated screening sample of 18, 878 individuals. In the second stage, structured interviews were conducted. The interviews included the International Classification of Functioning, Disability and Health (ICF) Checklist to confirm disability status and determine the nature of disability. Results A total sample of 1,233 individuals screened positive for having a disability. According to this study's cluster design the prevalence of screening positive for disability in this region was 6.9% (95% CLs 5.7-8.2%) and the population prevalence of disability was 6.2% (95% CLs 5.2-7.2%). Of the individuals who screened positive for disability, 1,106 (89.7%) of them had a participation restriction or activity limitation which was of moderate severity or greater, suggesting that the screening tool was useful for identifying many persons living with moderate or severe disability but not very sensitive at identifying people with minor disabilities. Conclusions Although certain limitations in the study's methods must be taken into account, these results can be used to justify the need for, and inform the design of, programming for individuals with disabilities in this region.
International Journal of Environmental Research and Public Health
Background: Article 25 of the UNCRPD stipulates the right of people with disabilities to the highest attainable standard of health, and the timely uptake of appropriate health and rehabilitation services. This study seeks to explore the factors which influence access to health care among adults with disabilities in Cameroon and India. Methods: A total of 61 semi-structured interviews were conducted with a purposive sample of adults with vision, hearing or musculoskeletal impairments, using data from an earlier cross-sectional disability survey. In addition, 30 key informants were interviewed to provide contextual information about the local services and context. Results: Key themes included individual-level factors, understanding and beliefs about an impairment, and the nature of the impairment and interaction with environmental factors. At the community and household level, key themes were family dynamics and attitudes, economic factors, social inclusion and community participation...
How inclusive is the disability movement? The case of North-West Cameroon
Elbers, W. (ed.), Pushing boundaries in disability advocacy: Breaking down Barriers to inclusion, 2020
for their academic input and expertise. We owe a huge debt to Ton Dietz who, as director of the African Studies Centre at Leiden University, always offered his full support. Breaking down Barriers would not have achieved the success it did without the support of Hadiatou Diallo, Glory Agho and Kamima Nguni. The same holds for the hard work of the Breaking down Barriers project team at the Liliane Foundation:
Archives of Public Health
Background Comprehensive data is key for evidence-informed policy aiming to improve the lives of persons experiencing different levels of disability. The objective of this paper was to identify the environmental barriers — including physical, social, attitudinal, and political barriers — that might become priorities for cross-cutting policies and policies tailored to the needs of persons experiencing severe disability in Cameroon. Methods A secondary analysis of data obtained with the WHO Model Disability Survey was completed in the Bankim Health District (N = 559) using random forest regression to determine and compare the impact of the environmental factors on the experience of disability. Results The physical environment had by far the highest influence on disability, with transportation, toilet of the dwelling, and the dwelling itself being the most important factors. Factors inside one’s own home (toilet of the dwelling, and the dwelling itself) were the most important for pers...
BMC Public Health
Background Worldwide, fifteen percent (15%) of the world’s population or one (1) billion people live with some form of disability. In Uganda, 12.4% of the Uganda’s population lives with some form of disability and Kawempe division accounts for (22.6%) of all persons with disabilities living in Kampala district. Rehabilitation services are provided within Kawempe division at Mulago hospital physiotherapy department and Katalemwa rehabilitation center in Kampala district, Uganda at a free and a subsidized cost to help to improve the function, independence, and quality of life of persons with physical disabilities. However, many people with physical disabilities do not utilize the services and the reasons are not clear. Methods The study design was a descriptive cross-sectional study employing quantitative methods of data collection. A total of 318 participants were included in the study. Simple random sampling was used to select the study participants. Ethical issues were maintained a...
Realising the rights of disabled people in Africa: an introduction to the special issue
Disability and Rehabilitation, 2009
The United Nations Convention on the Rights of Persons with Disabilities (UNCRPD) has now entered into international law. It requires that all governments take cognisance and action to ensure that the human rights of people with disabilities are realised. This will be particularly challenging in some of the poorest countries; a fact recognised by the Convention's requirement that all international aid-giving countries address disability as part of their programmes. This Special Issue of Disability and Rehabilitation arises from the first conference of a new network-the African Network for Evidence to Action on Disability (AfriNEAD)-which was established to address, on a regional basis, the 'know-do' gap, in the field of disability. Papers in this special issue address a broad range of themes including the measurement of disability; the involvement of persons with disability in the design, conduct and analysis of research on disability; the role of Community Based Facilitators; the impact of HIV/AIDS on people with disabilities, and the challenges of mainstream schooling for children with disabilities. Promoting the human rights of persons with disabilities places an obligation on us all to ensure that the value of research goes beyond publication, to influence policy and practice. One important way of promoting efforts to collectively achieve this is through networks of disabled people's organisations, practitioners, policy makers and researchers working together.
Background: Physical rehabilitation interventions address functional deficits caused by impairments that affect someone's performance. Whilst rehabilitation is important, it is assumed that these services are either minimal or nonexistent in low-resource settings. Our data expand on the data from the Situation Assessment of Rehabilitation in the Republic of Rwanda report to describe rehabilitation services and who access them at public and semiprivate facilities (primarily funded by the private sector). Objectives: This article describes the use of the outpatient physical rehabilitation services across nine health facilities, the characteristics of adults attending these health facilities and some of the facilitators and barriers they encounter when attending rehabilitation. Method: Data were collected between September and December 2018 from the heads of departments and adult patients attending outpatient rehabilitation services funded by the government, international nongovernmental organisations or faith-based organisations. Results: Two hundred and thirteen adults were recruited from nine facilities. There is a sixfold difference in the number of rehabilitation personnel between public and semiprivate hospitals in these facilities' catchment areas. However, most participants were recruited at public facilities (186 [87%]), primarily with physical disorders. Patients reported that family support (94%) was the most crucial facilitator for attending rehabilitation, whilst transportation cost (96%) was a significant barrier. Conclusion: Rehabilitation service availability for Rwandan adults with disabilities is limited. Whilst family support helps patients attend rehabilitation, transportation costs remain a significant barrier to people attending rehabilitation. Strategies to address these issues include developing triage protocols, training community health workers and families. Contribution: Data on rehabilitation service provision in Rwanda and most African countries are either non-existent or very limited. These data contain important information regarding the services provided and the people who used them across different health facilities (public versus private) and urban versus rural settings). To improve rehabilitation service provision, we first need to understand the current situation. These data are an important step to better understanding rehabilitation in Rwanda.
Impact of disability on the transitions to adulthood of men and women in Cameroon
Alter, 2020
ALTER-495; No. of Pages 13 2 C. Mouté et al. / ALTER, European Journal of Disability Research xxx (2019) xxx-xxx disability with regard to disability characteristics and gender. These results call for gender-and disability-sensitive transitional programmes to achieve the goal of equal opportunity as envisioned in the sustainable development goals.
Disability Profile and Accessibility Limitations among Persons with Physical Disability in Nigeria
IJDS: Indonesian Journal of Disability Studies, 2021
Purpose: To evaluate disability profile and accessibility limitations among Persons Living with Disabilities (PLWDs) in Nigeria. Methods: 61 PLWDs (44 men, 17 women) consented for this study. World Health Organization Disability Assessment Schedule 2.0, Facilitators and Barriers Survey for People with Mobility Limitations version 2, Barthel Index, and Medical Expenditure Panel Survey Questionnaires were used to obtain data on physical disability profile, level of access barriers, activities of daily living and quality of access to health care respectively. A proforma was used to collect information on socio-demographic characteristics. Data were analyzed using descriptive and inferential statistics. Alpha level set at p< 0.05. Results: Prevalence of mobility, visual and hearing impairments were 60.7%, 21.3% and 6.6% respectively, There was a 11.5% rate of functional limitation while mild difficulty with ‘cognition’ and ‘life activities’ were reported among 96.7% and 65.6% of the ...