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Access to health care, reproductive health and disability: A large scale survey in Sierra Leone

GROCE, Nora
TRANI, Jean-Francois
BROWN, Joyce Brown
KETT, Maria
BAH, Osman
MORLAI, Teddy
BAILEY, Nicki
2011

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This is the first study to compare health status and access to health care services between disabled and non-disabled men and women in urban and peri-urban areas of Sierra Leone. It pays particular attention to access to reproductive health care services and maternal health care for disabled women. A cross-sectional study was conducted in 2009 in 5 districts of Sierra Leone, randomly selecting 17 clusters for a total sample of 425 households. All adults who were identified as being disabled, as well as a control group of randomly selected non-disabled adults, were interviewed about health and reproductive health. As expected, we showed that people with severe disabilities had less access to public health care services than non-disabled people after adjustment for other socioeconomic characteristics (bivariate modelling). However, there were no significant differences in reporting use of contraception between disabled and non-disabled people; contrary to expectations, women with disabilities were as likely to report access to maternal health care services as did non-disabled women. Rather than disability, it is socioeconomic inequality that governs access to such services. We also found that disabled women were as likely as non-disabled women to report having children and to desiring another child: they are not only sexually active, but also need access to reproductive health services.

The capability approach and disability

MITRA, Sophie
2006

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"The purpose of this article is to assess how an approach developed in economics to analyze issues related to the standard of living, the so-called capability approach, may help us understand disability at the conceptual level"
Journal of Disability Policy Studies, Vol 16, No 4

In reflection : making sense of achievements and failures of a CBR initiative

PANDE, Namita
DALAL, Ajit K
July 2004

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"This paper presents lessons that were learnt while carrying out a CBR project for rehabilitation of physically disabled members of a village community. The outcomes of this project are narrated in a reflective manner without categorising them as either achievements or failures. The purpose of this paper, therefore, is to share our understanding of the performance of a CBR programme"
Asia Pacific Disability Rehabilitation Journal, Vol 20, No 1

Influence of cultural factors on disability and rehabilitation in developing countries [Editorial]

ASIA PACIFIC DISABILITY REHABILITATION JOURNAL
1999

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Western stereotypes of 'community' are used in the planning of many CBR programmes in developing countries. These programmes expose themselves to a higher risk of failure because they tend to conflict with the cultural factors of the host country. This editorial illustrates the significance of cultural influences on disability and rehabilitation in the context of CBR

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