Access to basic needs and health care for Malawian prosthetic and orthotic users with lower limb physical disabilities: a cross-sectional study
Access to basic needs and health care for Malawian prosthetic and orthotic users with lower limb physical disabilities: a cross-sectional study
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DOI：
10.1080/09638288.2020.1752316
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发表时间：
2020-04-26
影响因子：
2.2
通讯作者：
Enstedt, Catrin
中科院分区：
文献类型：
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作者：
Magnusson, Lina;Finye, Clifford;Enstedt, Catrin
目的：调查马拉维下肢残疾人获得基本人权的情况，如健康、健康、教育、工作、结婚和建立家庭所需的生活水平，以及假肢和矫形器使用者的投票情况。材料和方法：采用横断面设计和问卷调查，收集83名参与者的数据。结果如下：大多数参与者报告他们的整体身心健康状况良好（分别为60 [72%]和50 [60%]），并表示他们可以获得医疗保健（69 [83%]）。50名（60%）参与者获得了食物，72名（87%）获得了基本用水，55名（66%）居住在足以维持健康的住房中。大多数参与者都在学校学习（74人[89%]），但只有27人（33%）参与者在工作。43人（52%）已婚，53人（64%）有孩子。76名（92%）参与者可以投票，如果他们愿意。结论：农村化以及高昂的交通和医疗费用增加了下肢肢体残疾者获得几项基本人权的障碍。针对这些障碍采取干预措施，增加获得中学教育、就业和收入的机会，可以改善马拉维和类似情况下身体残疾人的健康公平。
Purpose: To investigate access to basic human rights such as health, a standard of living adequate for health, education, work, marrying and establishing a family, and voting for prosthetic and orthotic users with lower limb disabilities in Malawi. Materials and methods: A cross-sectional design and a questionnaire were used to collect data from 83 participants. Results: Most participants reported their overall physical and mental health as good (60 [72%] and 50 [60%], respectively) and said they could access medical care (69 [83%]). Fifty (60%) participants had access to food, 72 (87%) had access to basic water, and 55 (66%) lived in housing adequate for their health. Most participants had studied in school (74 [89%]) but only 27 (33%) of the participants were working. Forty-three (52%) were married and 53 (64%) had children. Seventy-six (92%) participants could vote if they wished. Conclusions: Rurality and high costs of transport and medication increase the barriers to accessing several basic human rights for people with lower limb physical disabilities. Interventions to target these barriers and increase access to secondary school, employment, and income could improve health equity for people with physical disabilities in Malawi and similar contexts.