Les incapacités fonctionnelles des personnes âgées vivant à domicile à Bobo-Dioulasso, Burkina Faso

Abstract

In sub-Saharan Africa, very little research has been conducted on moderate to severe disabilities affecting mobility, communication and mental function in elderly people living at home. The studies that have been conducted have not always described the broader social context, a key factor for understanding and interpreting results. This study was conducted in Burkina Faso and was designed to fill the gaps in our understanding of disability in these areas. A cross-sectional descriptive study was conducted in Bobo-Dioulasso among the elderly population (aged 60 and above). Functional status was assessed using the Functional Autonomy Measurement System (SMAF). Data analysis was performed using Stata software. Interviews were conducted with a systematic random sample of 351 elderly adults. Moderate to severe functional disability or the need for supervision or assistance were related to mobility in 10 % of cases, to mental function in 28 % of cases and to communication in 37 % of cases. The need for assistance varied according to the different activities or items in each domain. The rates of disability in this study were higher than those found in previous studies, which have often assessed severe disabilities. All individuals affected by disability stated that they had a stable support network to manage their disability. Families were found to be the primary source of support. The results can be explained by the social context. A good visibility of moderate to severe disabilities should contribute to the development of effective policies to provide care and support to the elderly.

Psychosocial determinants of functional independence among older adults: A systematic review and meta-analysis

“… 32 , 36 Moreover, the query yielded five related non-English articles, which indicated a significant relationship between psychosocial determinants and functional independence. 69 - 73 Furthermore, most studies were conducted in America, Brazil, Japan, Turkey, China, and Spain, respectively. Most studies were performed after 2000, except for three studies that were conducted in 1995, 1996, and 1999.…”

Trajet de soins des personnes âgées à Bobo-Dioulasso, au Burkina Faso: une enquête transversale

“…Les personnes âgées sont de plus en plus reconnues dans les pays en développement comme une population prioritaire [ 1 – 3 ] Elles constituent en effet une population vulnérable [ 4 ]. Elles ont encore des besoins nutritionnels, matériels et financiers non couverts [ 5 ].…”

“…Trois types de recours de soins ont été identifiés dans la littérature africaine pour les personnes âgées: les soins formels, informels et mixtes. Selon Peter C en 2008 puis Berthé A en 2012, les PA reçoivent des soins informels de la part d'elles mêmes, des membres de la famille ou d'amis à domicile [ 4 , 7 ]. Cependant une prévision d'un recul de l'offre de soins informels est annoncée [ 7 ].…”

The key actors maintaining elders in functional autonomy in Bobo-Dioulasso (Burkina Faso)

“…A major aspect that will need to be addressed is the management of functional disability. In order to develop appropriate strategies, it is imperative to identify people suffering from functional disability [4], to assess the nature and extent of these disabilities [5] and to characterize the existing social support systems that help people to cope with them.…”

“…This latter aimed to exploring how the Burkinabe society, and more specifically how the family support system is organized to maintain older people with functional disability at home. Results were reported elsewhere [4,5,15]. …”