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

Background: Approximately 80% of individuals with disability reside in low- and middle-income countries where community-based rehabilitation (CBR) has been used as a strategy to improve disability. However, data relating to disability severity among CBR beneficiaries in low-income countries like Uga...

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Autores principales: Lukia Namaganda Hamid, Olive Kobusingye, Sebastian Olikira Baine, Chrispus Mayora, Jacob A Bentley
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Publicado: Ubiquity Press 2017
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spelling oai:doaj.org-article:cfd621daee3a4fc189194df3b28e08052021-12-02T03:35:38ZDisability Characteristics of Community-Based Rehabilitation Participants in Kayunga District, Uganda2214-999610.1016/j.aogh.2017.10.006https://doaj.org/article/cfd621daee3a4fc189194df3b28e08052017-12-01T00:00:00Zhttps://annalsofglobalhealth.org/articles/160https://doaj.org/toc/2214-9996Background: Approximately 80% of individuals with disability reside in low- and middle-income countries where community-based rehabilitation (CBR) has been used as a strategy to improve disability. However, data relating to disability severity among CBR beneficiaries in low-income countries like Uganda remain scarce, particularly at the community or district level. Objectives: To describe severity of disability and associated factors for persons with <a title="Learn more about Physical Disability" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/physical-disability">physical disabilities</a> receiving CBR services in the Kayunga district of Uganda. Methods: A cross-sectional sample of 293 adults with physical disabilities receiving a CBR service in the Kayunga district was recruited. Disability severity was measured using the 12-item World Health Organization Disability Assessment Schedule 2.0 (WHODAS2.0), and analyzed as a binary outcome (low: 0-9, high: 10-48). Inferential statistics using <a title="Learn more about Odds ratio" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/odds-ratio">odds ratios</a> were used to determine factors associated with impairment severity. Findings: The mean WHODAS 2.0 score of persons with physical disabilities was 12.7 (standard deviation = 8.3). More than half (52.90%) of people with physical disabilities reported a high level of functional impairment. Increased disability severity was significantly associated with limited access to assistive devices (adjusted odds ratio [AOR] = 4.55, 95% confidence interval [CI]: 1.87-14.08, 'P' '<' .001), and increased use of medical health care (AOR = 5.55, 95% CI: 1.84-16.79, 'P' = .002). Conclusion</h3>These findings suggest a high level of moderate to severe functional impairments in persons with physical disabilities receiving CBR in Kayunga district. These data provide support for efforts to enhance CBR's ability to liaise with local health care, education, and community resources to promote access to needed services and ultimately improve the functional status of persons with disabilities in low-resource settings.Lukia Namaganda HamidOlive KobusingyeSebastian Olikira BaineChrispus MayoraJacob A BentleyUbiquity Pressarticleassistive technologiescommunity-based rehabilitationdisabilitylow-and-middle income countriesWHODAS 2.0Infectious and parasitic diseasesRC109-216Public aspects of medicineRA1-1270ENAnnals of Global Health, Vol 83, Iss 3-4, Pp 478-488 (2017)
institution DOAJ
collection DOAJ
language EN
topic assistive technologies
community-based rehabilitation
disability
low-and-middle income countries
WHODAS 2.0
Infectious and parasitic diseases
RC109-216
Public aspects of medicine
RA1-1270
spellingShingle assistive technologies
community-based rehabilitation
disability
low-and-middle income countries
WHODAS 2.0
Infectious and parasitic diseases
RC109-216
Public aspects of medicine
RA1-1270
Lukia Namaganda Hamid
Olive Kobusingye
Sebastian Olikira Baine
Chrispus Mayora
Jacob A Bentley
Disability Characteristics of Community-Based Rehabilitation Participants in Kayunga District, Uganda
description Background: Approximately 80% of individuals with disability reside in low- and middle-income countries where community-based rehabilitation (CBR) has been used as a strategy to improve disability. However, data relating to disability severity among CBR beneficiaries in low-income countries like Uganda remain scarce, particularly at the community or district level. Objectives: To describe severity of disability and associated factors for persons with <a title="Learn more about Physical Disability" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/physical-disability">physical disabilities</a> receiving CBR services in the Kayunga district of Uganda. Methods: A cross-sectional sample of 293 adults with physical disabilities receiving a CBR service in the Kayunga district was recruited. Disability severity was measured using the 12-item World Health Organization Disability Assessment Schedule 2.0 (WHODAS2.0), and analyzed as a binary outcome (low: 0-9, high: 10-48). Inferential statistics using <a title="Learn more about Odds ratio" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/odds-ratio">odds ratios</a> were used to determine factors associated with impairment severity. Findings: The mean WHODAS 2.0 score of persons with physical disabilities was 12.7 (standard deviation = 8.3). More than half (52.90%) of people with physical disabilities reported a high level of functional impairment. Increased disability severity was significantly associated with limited access to assistive devices (adjusted odds ratio [AOR] = 4.55, 95% confidence interval [CI]: 1.87-14.08, 'P' '<' .001), and increased use of medical health care (AOR = 5.55, 95% CI: 1.84-16.79, 'P' = .002). Conclusion</h3>These findings suggest a high level of moderate to severe functional impairments in persons with physical disabilities receiving CBR in Kayunga district. These data provide support for efforts to enhance CBR's ability to liaise with local health care, education, and community resources to promote access to needed services and ultimately improve the functional status of persons with disabilities in low-resource settings.
format article
author Lukia Namaganda Hamid
Olive Kobusingye
Sebastian Olikira Baine
Chrispus Mayora
Jacob A Bentley
author_facet Lukia Namaganda Hamid
Olive Kobusingye
Sebastian Olikira Baine
Chrispus Mayora
Jacob A Bentley
author_sort Lukia Namaganda Hamid
title Disability Characteristics of Community-Based Rehabilitation Participants in Kayunga District, Uganda
title_short Disability Characteristics of Community-Based Rehabilitation Participants in Kayunga District, Uganda
title_full Disability Characteristics of Community-Based Rehabilitation Participants in Kayunga District, Uganda
title_fullStr Disability Characteristics of Community-Based Rehabilitation Participants in Kayunga District, Uganda
title_full_unstemmed Disability Characteristics of Community-Based Rehabilitation Participants in Kayunga District, Uganda
title_sort disability characteristics of community-based rehabilitation participants in kayunga district, uganda
publisher Ubiquity Press
publishDate 2017
url https://doaj.org/article/cfd621daee3a4fc189194df3b28e0805
work_keys_str_mv AT lukianamagandahamid disabilitycharacteristicsofcommunitybasedrehabilitationparticipantsinkayungadistrictuganda
AT olivekobusingye disabilitycharacteristicsofcommunitybasedrehabilitationparticipantsinkayungadistrictuganda
AT sebastianolikirabaine disabilitycharacteristicsofcommunitybasedrehabilitationparticipantsinkayungadistrictuganda
AT chrispusmayora disabilitycharacteristicsofcommunitybasedrehabilitationparticipantsinkayungadistrictuganda
AT jacobabentley disabilitycharacteristicsofcommunitybasedrehabilitationparticipantsinkayungadistrictuganda
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