Cross-sectional Survey to Assess Prevalence of Disability and Access to Services in Albay Province, The Philippines

Mark W. Hodge, Amable Bolinas, Erlynn Jaucian, Rebecca Boneo, A. Schapira, Mary Mediatrix V. Villanueva
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引用次数: 2

Abstract

Aim: A cluster randomized cross-sectional survey to assess the prevalence of disability and access to support services was conducted in Albay Province, the Philippines in April 2016. Method: The population-based survey methodologies developed by the Washington Group of the United Nations Statistical Commission and UNICEF were utilized.  A sample of 70 barangays (the 3 rd level administrative division in the Philippines) was selected as clusters, with probability proportional to size, and 30 households were selected randomly in each barangay to be surveyed. Results:  The estimated prevalence of disability using the standard criteria of the Washington Group and UNICEF among children (2-17 years old) was 2.0% and for adults (≥18 years old) it was 6.5%.  The estimated prevalence of disability was higher in rural than in urban areas.  Deficiencies in the performance of existing services were identified; access by children with disabilities to support services was lowest in rural highland and rural plain barangays. Conclusions : There was a large unmet demand for support services addressing the needs of persons with disabilities in Albay Province, especially in rural highland areas.  Persons with disabilities were disadvantaged in access to education and employment; many had not been educated in their basic rights. Implications: To identify, educate and fully support persons with disabilities, community-based rehabilitation (CBR), health and other rehabilitation services must communicate effectively with each other, their current work should be mapped and analysed, their comparative strengths identified, and their future work coordinated.  It is a priority to educate persons with disabilities and their families about their rights, and facilitate their access to support services; this requires increased investment in communication targeting persons with disabilities and the communities, especially rural.  Providers caring for persons with disabilities need to work in partnership to identify unreached persons with disabilities.  Prevalence surveys, with stronger focus on the profiles and performance of CBR and related services, would add to the evidence-base to improve the quality and coverage of services for persons with disabilities.
评估菲律宾阿尔拜省残疾患病率和服务可及性的横断面调查
目的:2016年4月,在菲律宾阿尔拜省进行了一项聚类随机横断面调查,以评估残疾患病率和获得支持服务的情况。方法:采用联合国统计委员会华盛顿小组和儿童基金会制定的人口调查方法。以70个村(菲律宾第三级行政区划)为样本,按概率与规模成正比,随机抽取每个村30户进行调查。结果:使用华盛顿小组和联合国儿童基金会的标准标准估计儿童(2-17岁)的残疾患病率为2.0%,成人(≥18岁)的残疾患病率为6.5%。估计农村地区的残疾发生率高于城市地区。查明了现有服务执行方面的不足;在农村高地和农村平原村,残疾儿童获得支助服务的机会最低。结论:在阿尔拜省,特别是在农村高地地区,残疾人对支持服务的需求有很大的未满足。残疾人在接受教育和就业方面处于不利地位;许多人没有受过基本权利方面的教育。影响:为了确定、教育和充分支持残疾人,社区康复、保健和其他康复服务必须相互有效沟通,应绘制和分析它们目前的工作,确定它们的相对优势,并协调它们未来的工作。优先教育残疾人及其家人了解他们的权利,并为他们获得支助服务提供便利;这就需要增加对针对残疾人和社区,特别是农村社区的通信的投资。照顾残疾人的提供者需要合作,以确定未接触到的残疾人。流行率调查将更加注重社区康复和相关服务的概况和绩效,这将增加证据基础,以提高残疾人服务的质量和覆盖面。
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