Social participation of individuals with spinal injury using wheelchairs in rural Tanzania after peer training and entrepreneurial skills training.

IF 1.3 Q4 HEALTH CARE SCIENCES & SERVICES
Annabelle de Serres-Lafontaine, Delphine Labbé, Charles S Batcho, Lucy Norris, Krista L Best
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引用次数: 1

Abstract

Background: Individuals with spinal cord injury (SCI) in less-resourced settings reported barriers to community integration, including inaccessible rehabilitation services, restricted environments and limited social integration. Peer training and entrepreneurial skills training are provided by Motivation, a nonprofit organisation, and Moshi Cooperative University to enhance occupational engagement of individuals with SCI in less-resourced settings.

Objective: This study aimed to explore the impact of peer training and entrepreneurial skills training on the social participation of individuals with SCI living in Tanzania.

Method: Using a qualitative photovoice approach, 10 participants captured meaningful photos and provided captions according to five standardised questions (PHOTO technique) to convey their messages. Participants selected up to 34 photos that best illustrated their experiences in the community. A mixed inductive-deductive thematic analysis was guided by the International Classification of Functioning, Disability and Health.

Results: Two interrelated themes emerged: (1) 'influencing factors', which revealed how participants' inclusion in the community was influenced by their activities and personal and environmental factors and (2) 'empowerment', which highlighted participants' desire to advocate and promote awareness of needs and hopes.

Conclusion: Participants emphasised the importance of accessibility and equal opportunities. Whilst some were able to overcome obstacles, others experienced continued inaccessibility that inhibited meaningful occupations. Daily participation challenges of individuals with SCI in rural Tanzania were highlighted. Although the Motivation programmes were perceived to have powerful impacts on social participation, continued efforts and advocacy are needed to overcome accessibility issues and to meet the physical, psychological and social needs of Tanzanians living with SCI.

Contribution: This article highlights the importance of accessibility and equal opportunities for individuals with disability living in rural Tanzania. Peer-training and entrepreneurial programs offer community-based rehabilitation services that were perceived by people with disabilities to have a powerful impact on social participation and vocation. However, continued efforts and advocacy are needed to meet the needs of Tanzanians living with spinal cord injury.

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坦桑尼亚农村使用轮椅的脊髓损伤患者在同伴培训和创业技能培训后的社会参与。
背景:在资源匮乏的环境中,脊髓损伤(SCI)患者报告了社区融入障碍,包括难以获得康复服务、环境受限和社会融入有限。非营利组织Motivation和Moshi合作大学提供同伴培训和创业技能培训,以提高资源匮乏环境下脊髓损伤患者的职业参与度。目的:本研究旨在探讨同伴培训和创业技能培训对坦桑尼亚SCI患者社会参与的影响。方法:采用定性的照片语音方法,10名参与者根据5个标准化问题(照片技术)拍摄有意义的照片并提供说明文字,以传达他们的信息。参与者选择了最多34张最能说明他们在社区经历的照片。在《国际功能、残疾和健康分类》的指导下,进行了混合归纳-演绎专题分析。结果:出现了两个相互关联的主题:(1)"影响因素",显示参与者的活动、个人及环境因素如何影响他们融入社会;(2)“赋权”,突出了参与者倡导和促进对需求和希望的认识的愿望。结论:与会者强调可及性和平等机会的重要性。虽然有些人能够克服障碍,但其他人经历了持续的难以接近,这阻碍了有意义的职业。强调了坦桑尼亚农村脊髓损伤患者的日常参与挑战。虽然人们认为动机方案对社会参与有强大的影响,但仍需要继续努力和宣传,以克服无障碍问题,满足坦桑尼亚脊髓损伤患者的生理、心理和社会需要。贡献:这篇文章强调了生活在坦桑尼亚农村的残疾人无障碍和平等机会的重要性。同伴培训和创业项目提供以社区为基础的康复服务,被残疾人认为对社会参与和职业有强大的影响。然而,需要继续努力和宣传,以满足坦桑尼亚脊髓损伤患者的需要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
African Journal of Disability
African Journal of Disability HEALTH CARE SCIENCES & SERVICES-
CiteScore
2.10
自引率
5.90%
发文量
50
审稿时长
20 weeks
期刊介绍: The African Journal of Disability, the official journal of CRS, AfriNEAD and CEDRES, introduce and discuss issues and experiences relating to and supporting the act of better understanding the interfaces between disability, poverty and practices of exclusion and marginalisation. Its articles yield new insight into established human development practices, evaluate new educational techniques and disability research, examine current cultural and social discrimination, and bring serious critical analysis to bear on problems shared across the African continent. Emphasis is on all aspects of disability particularity in the developing African context. This includes, amongst others: -disability studies as an emerging field of public health enquiry -rehabilitation, including vocational and community-based rehabilitation -community development and medical issues related to disability and poverty -disability-related stigma and discrimination -inclusive education -legal, policy, human rights and advocacy issues related to disability -the role of arts and media in relation to disability -disability as part of global Sustainable Development Goals transformation agendas -disability and postcolonial issues -globalisation and cultural change in relation to disability -environmental and climate-related issues linked to disability -disability, diversity and intersections of identity -disability and the promotion of human development.
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