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  Subjects -> DISABILITY (Total: 103 journals)
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Disability, CBR & Inclusive Development
Number of Followers: 17  

  This is an Open Access Journal Open Access journal
ISSN (Print) 2211-5242
Published by VU e-Publishing Homepage  [1 journal]
  • Integrating Traditional Bone-Setting and Orthopaedic Medicine Practices in
           the Management of Fractures in Nigeria: Community-Based Rehabilitation
           Model in Perspective

    • Abstract: Despite the documented advancements in orthodox medicine, traditional bonesetters (TBS) continue to be well patronised for the management of musculoskeletal injuries in low- and middle-income countries such as Nigeria. However, the practice of traditional bone-setting is often marred by the lack of trust and belief among orthodox healthcare practitioners on the one hand, and the serious post-fracture complications associated with this practice, on the other. The identified downsides have resulted in the stakeholders’ call for the integration of TBS into the national orthodox healthcare services in Nigeria. Despite efforts toward the integration, implementation and realisation remain unfulfilled. One identified potential missing link is the lack of a community-oriented pathway such as the community-based rehabilitation (CBR) model in the previous efforts. This brief review aims to elucidate the concept of CBR in relation to the proposed integration process. It highlights the need for integration, the notions of the CBR model as well as the conceptual framework for CBR. CBR has been showcased as a globally accepted model which encompasses pragmatic strategies or policies for community managers and stakeholders in a wide range of areas for people in need of essential services. It can be a suitable model for integrative management of fracture cases. Published on 2022-08-05 09:42:32
  • A Rapid Review of the Roles of Community Rehabilitation Workers in
           Community-based Mental Health Services in Low- and Middle-Income Countries

    • Abstract: Purpose: The term Community Rehabilitation Worker (CRW) encompasses a group of mid-level health workers introduced within healthcare systems to increase accessibility to health- care services for individuals within the community sphere. This study aimed to summarise the current knowledge on the role of community rehabilitation workers in community-based mental health services in low- and middle- income countries.Method: Between the 10th and 17th of July, 2020, searches were conducted on the following databases: Cochrane, EbscoHost, Primo, and Pubmed. The search strategy identified 521 individual records, 4 of which were included in this review: 2 qualitative descriptive studies, 1 quantitative descriptive study and 1 conceptual study.Results: Across the 4 studies, eight roles of community rehabilitation workers were identified in relation to mental health services: home visits, client illness management, referral, documentation and administration, client and family education, community education, intersectoral collaboration and mediation. There was no data found on the role of community rehabilitation workers in mental health services in low- and middle- income countries specifically, indicating a gap in research. Conclusion: There is a need to improve knowledge and understanding of the roles and responsibilities of community rehabilitation workers where mental health service provision is concerned. The data summarised in this review could be utilised to educate health professionals regarding the role of community rehabilitation workers. Published on 2022-08-05 09:39:12
  • Content and Effectiveness of Community-Based Rehabilitation on Quality of
           Life in People Post Stroke: a Systematic Review with Meta-Analysis

    • Abstract: Purpose: The study aimed to review the content and evaluate the effects of CBR on quality of life (QoL), balance, and walking capacity for people post stroke, compared to other rehabilitation protocols or no care.Methods: A systematic search and meta-analysis of clinical trials of CBR interventions for stroke survivors was conducted. Five online electronic databases (MEDLINE/PubMed, Web of sciences, Scopus, Hinari, and Pedro) were searched for articles published in English and French languages, from inception up to December 2021. Sixteen studies were included that reported on QoL outcomes from CBR interventions involving 1755 adults post stroke.Results: The different CBR interventions that were selected were grouped into three clusters: a) exercise programmes, b) task-oriented training, and c) educational and taking-charge programmes. CBR interventions were more effective than other rehabilitation protocols (SMD=0.16[0.02, 0.30], P=0.03, I2 =40%) on QoL for people with chronic stroke. The effects of interventions on walking capacity and balance demonstrated non-significant difference (SMD=0.31[-0.02, 0.64], P=0.06, I2 =88%, and SMD= 0.20[-0.12, 0.53], P=0.22, I2 =68%, respectively).Conclusion: Current data indicates that CBR can be used in many forms or in combinations to benefit people with chronic stroke. Also, CBR is as effective as other rehabilitative protocols on walking capacity and balance, while being more effective than institution-based rehabilitation or no care, in improving quality of life which is a well-recognised goal in the rehabilitation of people with chronic stroke. Published on 2022-08-05 09:37:45
  • The Experiences of Public Transport Drivers with People with Disability in
           the City of Tshwane, South Africa

    • Abstract: Purpose: Public transport drivers are an intermediary between transport infrastructure and passengers with disability. The purpose of this study was to understand the perspectives of public transport drivers on their encounters with passengers with disability, and the impact this has on public transport inaccessibility.Method: A qualitative research approach was applied. A semi-structured interview guide was utilised to collect data from public transport drivers. Thematic analysis was used to analyse data and an inductive approach was followed to allow data to determine themes.Results: The study found that public transport drivers operate under challenging conditions. The drivers' main issues and challenges are lack of training and knowledge on disability, negative attitudes displayed by passengers, and having to satisfy conflicting demands from both employers and passengers with disability. The conflicting demands are intensified by the lack of universally designed vehicles and infrastructure.Conclusion: The actions of transport providers contribute to transport inaccessibility. Transport issues and drivers’ concerns established in this study could help to enhance driver training, improve transport services and enrich inputs into public transport policies. Published on 2022-08-05 09:35:16
  • Developing an Assessment Tool for Post-Surgical Paediatric Rehabilitative
           Care in Tanzania: an Interprofessional Approach

    • Abstract: Purpose: Located in Arusha, Tanzania, The Plaster House provides rehabilitative services to children receiving surgical care for treatable disabilities. This article describes a set of outcome measurements developed in a collaborative relationship between an evaluation team from The Plaster House staff and St. Catherine University faculty, focused on effectively and efficiently collecting post-operative evaluation and outcome data from a rehabilitative care facility for children with treatable disabilities.Method: From seven care pathways utilised for surgically treatable disabilities (cleft lip and  palate, spina bifida, skeletal fluorosis, osteomyelitis, burns, clubfoot and hydrocephalus), an interactive process led to the development of a medical assessment tool for monitoring and evaluation with limited electronic health record and staffing capacity.Results: The medical assessment tool serves multiple purposes for the rehabilitation programme, including monitoring participants’ progress, evaluating the effectiveness of current practices, and sharing data with stakeholders. The tool includes collection of demographic and background information, one to three diagnosis-specific indicators to measure progress, and three questions related to typical development (activities of daily living, play, and social interaction).Conclusion and Implications: Due to the delayed ability to conduct a site visit, the evaluation team relied heavily on effective communication to sufficiently relay challenges and successes in developing and implementing the tool. The proposed medical assessment tool developed by an interprofessional team has the potential to feasibly capture post-operative outcome measurements during rehabilitative care. Published on 2022-08-05 09:33:25
  • “HIV is a Story, not Life”: Resilience among South Asian Women
           living with HIV in Canada

    • Abstract: Purpose: This study aimed to understand how immigrant South Asian women living with HIV in Canada develop resilience and to identify their self-management strategies. These strategies could be used by marginalised women and can be supported by health providers.  Method: The study participants were eight South Asian women with HIV, living in Ontario, Canada. The women belonged to an urban HIV community organisation. Qualitative methods were used to investigate their experiences. In-depth face-to-face interviews were conducted, utilising a photo/object elicitation technique, to identify the strategies used to develop resilience.Results: The women were primarily in mid-adulthood (age range 39-60 years) and had lived for many years with HIV (range 8-25 years).  Thematic analysis of the interview transcripts revealed three themes characterising strategies for resilience: identifying the need for self-care, maintaining social connectivity, and remaining optimistic. Conclusion and Implications: With these strategies, the women had cultivated strength and perseverance in adjusting to adversity. Viewing the resilience of South Asian immigrant women living with HIV through a cultural lens could help to understand and facilitate the development of culturally acceptable self-management strategies. Published on 2022-08-05 09:31:33
  • Lived Experiences of Women with Disabilities in Accessing Sexual and
           Reproductive Health Services in Lira District, Northern Uganda

    • Abstract: Purpose: The study aimed at exploring the lived experiences of women with disabilities in accessing sexual and reproductive health services in Lira district, Northern Uganda.Method: This study utilised a phenomenological study design. Ten women, aged 15 - 49 years, were purposively selected from Lira District Union of Persons with Disabilities. They were accessing sexual and reproductive health services across the district. Data was collected using an in-depth interview guide, and thereafter thematic analysis was done.Results: More than half (60%) of the participants were 40-50 years old and had more than 2 children. Half of them (50%) were married; the majority (70%) resided in the rural area and had a physical disability. They related their positive and negative experiences. On the positive side, they indicated the existence of supportive stakeholders, availability of services, and being served with no discrimination in some health facilities. Negatively, they experienced difficulty in navigating the physical environment in health facilities, lack of transport, negative healthcare provider attitudes, long waiting time, side effects of family planning methods, lack of privacy and unhygienic sanitary environments in health facilities.Conclusion and Recommendations: Women with disability in Lira district had both positive and negative experiences in accessing sexual and reproductive health services. Recommendations of this study include counselling women with disabilities about side effects of hormonal family planning methods, incorporating disability studies in curricula for health workers, on-the-job training for health workers on care for persons with disabilities, and enforcing policies that favour access to sexual and reproductive health services for women with disability. The government should empower the local leadership to supervise every new health facility that is being constructed, and ensure that accessibility standards for women with disabilities are met. Published on 2022-08-05 09:27:49
  • A Letter from DCIDJ's Editor-in-Chief

    • Abstract: N/A Published on 2022-08-05 09:25:51
  • Power at your Fingertips to Empower Others!

    • Abstract: N/A Published on 2022-08-05 09:23:21
  • Lessons from a Women-led Livelihood Pilot in a Neglected Tropical Diseases
           endemic area in Southern India

    • Abstract: Purpose: This study was conducted in a Neglected Tropical Diseases (NTD) endemic location in South India. It aimed to determine whether income-generating opportunities for members of low-income households would help in reducing their vulnerability to NTDs.Method: Eleven women participated in the ‘Jagruti’ livelihood project. A baseline survey captured their demographic details, economic situation, and perspectives of the future. An end-of-project survey recorded the impact. The marketing strategy used Behaviour Change Communication through product and menstrual hygiene awareness among Self-Help Group (SHG) women, one-on-one peer education for women at home, and counselling for adolescent schoolgirls.Results: All participating women had changed their own and their daughters’ menstrual hygiene behaviour. They felt that their entrepreneurial and communication skills had improved. The maximum and minimum individual earnings from sanitary napkin sales had been USD 54 and USD 8 per month respectively. This additional income had met pressing household needs, toilet repairs, and medical treatment of family members with COVID-19. In May 2021 the COVID-19 second wave and lockdown, as well as the state government initiative to sell sanitary napkins at subsidised rates to rural women, and free of cost to adolescent school-going girls, led to the termination of the livelihood project earlier than scheduled.Conclusion and Implications: Sustainable livelihoods for women from low-income households can bring in additional income to be utilised for medical treatment, improving household sanitation and nutrition, etc. This may would reduce household members’ risk of contracting or transmitting NTDs. The government initiative will be routed through selected SHGs with proven efficiency. Four of the trained women entrepreneurs are confident that their SHGs will be selected and look forward to using the knowledge and experience they have gained from the livelihood project. Investment in empowering and developing the business skills of enterprising women is a worthy cause. Published on 2022-05-15 06:34:50
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