It does, however, highlight the need to ensure health and rehabilitation services are available in rural areas, and have the capacity and systems in place to respond to the needs of older people who are more likely to have disability. persons. All authors contributed to the writing of the manuscript’s final version. People with and without disability were recruited as data collectors and were trained for a week on disability inclusion, study design, recruitment of participants, administration of the RAD questionnaire, ethics in research, collecting survey data, data storage, and referral mechanisms for participants. volume 14, Article number: 26 (2016) The prevalence of disability was associated with age and no schooling, but not associated with poverty. Nations U. Disabil Rehabil. Field supervisors and data collectors were recruited based on their skills and previous experience. This is perhaps the reason why the institutional and legal environment has been made favorable to this particular group, especially in the area of employment. Similar to many lower- and middle-income countries, the population is young with a median age of 23.4 years, and highly urbanized with 45.3% of people now living in urban areas [7]. This study did not include children because the focus of W-DARE is adults and particularly women. Field-testing of the rapid assessment of disability questionnaire. Ethics approvals were obtained from the University of Melbourne Human Research Ethics Committee, Australia (ethics ID 1339640) and the De La Salle University Ethics Committee, Philippines. stream A disability is a condition that causes a person to be considered disabled. Both univariate and multivariate (binary logistic regression) analyses were undertaken to assess the associations between sociodemographic characteristics and prevalence of disability. Nossal Institute for Global Health, The University of Melbourne, Level 4, Alan Gilbert Building, 161 Barry Street, Carlton, VIC, 3010, Melbourne, Australia, Social Development Research Centre, De La Salle University, Manila, Philippines, Graeme Ferdinand Armecin, Jerome Zayas & Ma Jesusa Marco, Centre for Health Equity, Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, Australia, You can also search for this author in The difference in the disability prevalence between the two sites was therefore not unexpected. The well-being section includes items such as good health, making friends, being safe in daily life, and taking care of one’s self, where the frequency of experiencing the situation was reported on a 4-point Likert scale ranging from ‘never’ to ‘all of the time.’ The last section on access to the community is comprised of domains related to health, education, work, social, legal, religious, rehabilitation, and other services. The household questionnaire assesses household demographics and socioeconomic status based on household characteristics such as source of water, having electricity, sanitation facility, roof, wall and floor materials, plus asset indicators including durable goods (e.g., television, radio, bicycle and motorcycle), and ownership of the house and land. Socioeconomic status was not related to disability in both locations. 11 0 obj People with disabilities had significantly lower well-being scores and reduced access to health services, work, rehabilitation, education, government social welfare, and disaster management than people without disability. Given the current global agenda for disability inclusion, it is crucial to increase the understanding of the situation of people with disabilities in the Philippines. Springer Nature. Danquah L, Polack S, Brus A, Mactaggart I, Houdon CP, Senia P, et al. Mitra S, Posarac A, Vick B. BMC Public Health. World Health Organization. People with disabilities generally had lower access to all domains in the community compared to people without disability. Age and sex adjusted prevalence of functional limitation was 6.8 (95 % CI: 5.9, 7.9) and 13.6 % (95 % CI: 11.4, 16.2) in Quezon City and Ligao City respectively. The survey was validated in Bangladesh and Fiji [15]. 10 0 obj View Disability Studies Research Papers on Academia.edu for free. Psychometrika. As he grew older, he was carried on a cart, and a makeshift sledge. Population Health Metrics 2010. This included a cross-sectional household survey using the Rapid Assessment of Disability (RAD), in two districts of the Philippines. Some men declined to participate when they became aware that the survey related to disability, as issues related to household health, including disability, were perceived to be the responsibility of women. The Philippines was ranked 117 out of 187 countries in the 2013 Human Development Index [8]. 2 0 obj In Quezon City, a total of 2,610 people were enumerated, of whom 2,139 (82.0 %) participated in the survey and 471 (18.0 %) were either unavailable or declined to participate in the study. 1978;43:561–73. Given that the majority of households in District 2 of Quezon City and Ligao City also live in impoverished conditions, we hypothesize this is why our survey also found no difference in disability prevalence for people from poorer and richer quintiles. The major barriers reported under each domain were similar among people with and without disabilities (Table 5). This study has also generated considerable context-specific data, which the W-DARE project have used to inform the design of interventions to increase access to specific domains of community life for people with disabilities in Quezon City and Ligao City. 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