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
Formato:	article
Lenguaje:	EN
Publicado:	Ubiquity Press 2017
Materias:	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
Acceso en línea:	https://doaj.org/article/cfd621daee3a4fc189194df3b28e0805
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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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Disability Characteristics of Community-Based Rehabilitation Participants in Kayunga District, Uganda

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