Awareness and utilization of rehabilitation services among physically disabled people of rural population of a district of Uttar Pradesh, India

Abstract

Background: People with disabilities are more vulnerable than general population to a range of problem including fatigue, depression, and social isolation and have more limited access to health care. It is among the poorest communities that poverty breeds disablement and disablement breeds poverty, a vicious cycle that the poor can least affords. Most of the disabilities can be prevented if proper preventive and rehabilitative measures of impairments are undertaken. Aims & Objectives: To study awareness and utilization of rehabilitation services among disabled. Materials and Methods: Multistage sampling technique was used in this study. For determining target sample size, population proportionate sampling was used. All the family members who are regular resident of the village were considered for the study. Disability criteria of National Sample Survey (NSS) 2002, was used. Data was analyzed for rates and proportions. Results: Prevalence of physical disabilities was 19.46 per 1000. 64.71% disabled were unaware about the availability of the rehabilitation services and unawareness was main reason for not availing rehabilitation services. Amongst physically disabled, 65.85% discontinued the treatment and 19.51% had not taken treatment at all. Conclusion: There is lack of awareness and utilization regarding the available rehabilitation services in the country. Physical disability was found to be higher among illiterates and community having low and medium standard of living.

Factors Influencing Utilization of Physiotherapy Service among Children with Cerebral Palsy in Jalandhar District of Punjab

“…[20][21][22][23] Financial constraint and difficulty in transportation as the barriers for rehabilitation of neurological disability has been reported from other part of India as well. [24,25] Finding of this study confirms this for the children with cerebral in Jalandhar district.…”

“…Padhyegurjar and Padhyegurjar [26] reported that in urban slum of Mumbai 87.1% attribute the lack of knowledge of rehabilitative services as the reason for not taking treatment. Study of Srivastava et al [25] conducted in Mau district of Uttar Pradesh reported unawareness as the main reason for not availing rehabilitation services.…”

Utilization of institutional rehabilitation service in pediatric patients with disability in Southwest Rajasthan

“…[ 1 ] However, recent WHO survey estimated that 76%–85% of disabled people in developing countries receive no care and only 2% of them can access rehabilitation. [ 4 ] Hence, research regarding utilization of pediatric rehabilitation service has emerged in recent years. [ 1 ] Previous studies on disability prevalence in India have reported poor utilization of rehabilitation services.…”

“…in Mau district of Uttar Pradesh, 82.93% had not availed rehabilitation services. [ 4 ] Padhyegurjar and Padhyegurjar reported poor utility of rehabilitative services among locomotor disabled individuals of urban slums in Mumbai (35.6%). Of these, 50.7% were treated by General practitioners and only few approached specialty rehabilitative services.…”

Factors Influencing Institutional-Based Pediatric Rehabilitation Services among Caregivers of Children with Developmental Delay in Southwestern Rajasthan

“…[ 3 4 5 ] In spite of essential role of rehabilitation, only 2% of these people have accessibility to rehabilitation services in developing countries. [ 6 ] Hence, a systematic research regarding rehabilitation service utilization and barriers and facilitators for its usage is needed.…”