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Access to basic needs and health care for Malawian prosthetic and orthotic users with lower limb physical disabilities : a cross-sectional study

Magnusson, Lina LU orcid ; Finye, Clifford and Enstedt, Catrin (2021) In Disability and Rehabilitation 43(26). p.3764-3771
Abstract

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%)... (More)

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.Implications for Rehabilitation In Malawi, the convention on the rights of persons with disabilities is yet to be implemented. Policy makers in Malawi need to take actions to increase access to regular and specialized healthcare services for persons with physical disabilities including financial support to afford medications and transport to reach health services. Policy makers in Malawi need to take actions to increase access to secondary and higher education, and employment for persons with physical disabilities to increase their possibilities to earn an income.

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author
; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Africa, basic needs, disabilities, Malawi, United Nations Convention of People with Disabilities
in
Disability and Rehabilitation
volume
43
issue
26
pages
3764 - 3771
publisher
Taylor & Francis
external identifiers
  • pmid:32356469
  • scopus:85084317434
ISSN
0963-8288
DOI
10.1080/09638288.2020.1752316
language
English
LU publication?
yes
id
1d77d784-5030-40c2-bb6c-fbd6c5460583
date added to LUP
2020-06-15 09:38:59
date last changed
2024-04-17 09:57:22
@article{1d77d784-5030-40c2-bb6c-fbd6c5460583,
  abstract     = {{<p>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.Implications for Rehabilitation In Malawi, the convention on the rights of persons with disabilities is yet to be implemented. Policy makers in Malawi need to take actions to increase access to regular and specialized healthcare services for persons with physical disabilities including financial support to afford medications and transport to reach health services. Policy makers in Malawi need to take actions to increase access to secondary and higher education, and employment for persons with physical disabilities to increase their possibilities to earn an income.</p>}},
  author       = {{Magnusson, Lina and Finye, Clifford and Enstedt, Catrin}},
  issn         = {{0963-8288}},
  keywords     = {{Africa; basic needs; disabilities; Malawi; United Nations Convention of People with Disabilities}},
  language     = {{eng}},
  number       = {{26}},
  pages        = {{3764--3771}},
  publisher    = {{Taylor & Francis}},
  series       = {{Disability and Rehabilitation}},
  title        = {{Access to basic needs and health care for Malawian prosthetic and orthotic users with lower limb physical disabilities : a cross-sectional study}},
  url          = {{http://dx.doi.org/10.1080/09638288.2020.1752316}},
  doi          = {{10.1080/09638288.2020.1752316}},
  volume       = {{43}},
  year         = {{2021}},
}