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Unreported and unaddressed: Students with disabilities experience of school violence in Zambia 未报告和未解决:赞比亚残疾学生遭遇学校暴力
IF 1.7 Q4 HEALTH CARE SCIENCES & SERVICES Pub Date : 2022-03-30 DOI: 10.4102/ajod.v11i0.849
J. Njelesani, Jessica Si, Drake Swarm
Background Violence against school children is a prevalent global issue. Despite the high prevalence of school violence in Zambia, there is limited research on students with disabilities’ experiences of school violence. Objectives Guided by the socio-ecological model for bullying, the aim of this study was to understand students with disabilities’ experiences of school violence in the Lusaka and Southern provinces of Zambia. Methods A qualitative descriptive study was conducted with 14 purposively sampled boys (n = 6) and girls (n = 8) with disabilities. Data were generated using semi-structured interviews and child-friendly methods. Child-friendly methods were co-constructed with Zambian youth with disabilities in order to ensure cultural appropriateness and included vignettes, cartoon captioning, photograph elicitation, drawings, and sentence starters. Qualitative data were analysed by thematic analysis. Results The themes illuminated that violence against students with disabilities occurs frequently but goes unaddressed. Moreover, students with disabilities were being blamed for causing the violence, and therefore, considered a risk to others. Participants reported that they turn to trusted teachers for support. Conclusion This study illuminates the violence students with disabilities experience within the Zambian education system, with implications for school policies and programmes, peer education, and teacher training to create a safer education environment for students with disabilities.
针对在校儿童的暴力是一个普遍的全球性问题。尽管赞比亚的校园暴力发生率很高,但关于残疾学生遭受校园暴力经历的研究有限。本研究以社会生态欺凌模型为指导,旨在了解赞比亚卢萨卡省和南部省份残疾学生的校园暴力经历。方法对14例残疾男童(n = 6)和女童(n = 8)进行定性描述性研究。数据采用半结构化访谈和儿童友好的方法生成。为了确保文化的适宜性,我们与赞比亚的残疾青年共同构建了儿童友好方法,包括小插图、卡通字幕、图片引出、图画和句子开头。定性数据采用专题分析方法进行分析。结果表明,针对残疾学生的暴力事件时有发生,但未得到有效解决。此外,残疾学生被认为是造成暴力的罪魁祸首,因此被认为是对他人的威胁。参与者报告说,他们会向值得信赖的老师寻求支持。本研究阐明了赞比亚教育系统中残疾学生遭受的暴力,对学校政策和方案、同伴教育和教师培训具有启示意义,旨在为残疾学生创造更安全的教育环境。
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引用次数: 4
Knowledge, perceptions and experiences of risk to sexual violence among adults with intellectual disabilities in Cape Town, South Africa 南非开普敦智障成年人面临性暴力风险的知识、看法和经历
IF 1.7 Q4 HEALTH CARE SCIENCES & SERVICES Pub Date : 2022-03-18 DOI: 10.4102/ajod.v11i0.837
Callista Kahonde, R. Johns
Background People with intellectual disabilities are at high risk to sexual violence, yet minimal research has been conducted in South Africa to understand this phenomenon, especially seeking perspectives of people with intellectual disabilities themselves. Objectives This study aimed to explore and describe the knowledge and awareness of risk to sexual violence among adults with intellectual disabilities and to understand their perceptions and experiences of risk. Method An exploratory qualitative approach was appropriate as there is lack of literature on this subject. Focus group discussions were used as the method of data collection. The method of conducting focus group discussions and data collection instruments were adapted to suit the communication and cognitive abilities of the adults. Twenty-seven adults participated in the study and they were divided into six groups of four to five participants in each group. Results The adults’ responses revealed that they had some knowledge of risks to sexual violence, but they also had knowledge gaps and some erroneous knowledge and perceptions that could put them at high risk. The experiences they shared showed that the risk of sexual violence is high among women with intellectual disabilities. Conclusion Further research is needed to inform a community approach which includes people with intellectual disabilities, their families, services providers and community members as an intervention to empower and protect people with intellectual disabilities from sexual violence. To achieve this, we recommend an ecological framework as a guiding tool in both the research processes and the implementation of the outcomes.
智力残疾者遭受性暴力的风险很高,但在南非,了解这一现象的研究很少,特别是从智力残疾者本身的角度进行研究。目的本研究旨在探讨和描述成人智障人士对性暴力风险的认知和意识,了解他们对性暴力风险的认知和经历。方法由于缺乏相关文献,采用探索性质的方法比较合适。采用焦点小组讨论作为数据收集方法。进行焦点小组讨论的方法和数据收集工具进行调整,以适应成年人的沟通和认知能力。27名成年人参加了这项研究,他们被分为六组,每组四到五人。结果成人对性暴力风险有一定的认识,但存在知识空白,存在一些错误的认识和认知,使其处于高危状态。她们分享的经验表明,智障女性遭受性暴力的风险很高。结论需要进一步的研究来为包括智障人士、他们的家庭、服务提供者和社区成员在内的社区方法提供信息,作为一种干预措施,增强和保护智障人士免受性暴力侵害。为了实现这一目标,我们建议将生态框架作为研究过程和成果实施的指导工具。
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引用次数: 2
Self-identified intervention priorities amongst women with road accident-acquired physical disabilities in South Africa 南非道路事故获得性身体残疾妇女自我确定的干预优先事项
IF 1.7 Q4 HEALTH CARE SCIENCES & SERVICES Pub Date : 2022-02-25 DOI: 10.4102/ajod.v11i0.867
Laura Hartmann, Alison B. Hamilton, Amelia van der Merwe, S. du Toit, Wendy Xakayi, X. Hunt
Background Acquiring a physical disability in adulthood necessitates a range of adjustments, with past research suggesting that some challenges encountered are unique to women. Moreover, several factors may complicate adjustment to an altered embodiment and difficulties in functioning after an accident, including insufficient rehabilitation and support services and problematic societal attitudes towards disability. In addition, women with disabilities are often excluded from health and social policy and programme development, an oversight that can result in support gaps. Objectives This article presents the self-identified priority interventions of women with road accident-acquired physical disabilities in South Africa. Methods We conducted interviews with 18 women with road accident-acquired physical disabilities. The participants were recruited via snowball sampling. Interviews were conducted by experienced interviewers, who were home language speakers of the participants’ preferred language of communication. The interview recordings were transcribed, translated, and coded by trained, independent researchers. Results Study participants identified three key areas of intervention requiring consideration in supportive intervention planning: the acute post-injury environment and healthcare infrastructure, transitional services and social inclusion interventions. These were identified as overlooked areas in which they required support to successfully adapt to limitations in functioning. Conclusion To develop inclusive, accessible, and practical policy and programming for people with disabilities, exercises like those outlined in this research – eliciting intervention ideas from lived experience – should be conducted as they highlight actionable priorities for programming.
成年后患上身体残疾需要一系列的调整,过去的研究表明,女性所遇到的一些挑战是独一无二的。此外,有几个因素可能会使适应改变的身体和事故后的功能困难复杂化,包括康复和支持服务不足以及对残疾的社会态度问题。此外,残疾妇女往往被排除在保健和社会政策及方案制定之外,这种疏忽可能导致支助差距。目的:本文介绍了南非道路交通事故获得性身体残疾妇女自我确定的优先干预措施。方法对18例道路交通事故获得性肢体残疾妇女进行访谈。参与者是通过滚雪球抽样招募的。访谈由经验丰富的采访者进行,他们是参与者首选沟通语言的母语人士。采访录音由训练有素的独立研究人员转录、翻译和编码。研究参与者确定了支持性干预计划中需要考虑的三个关键干预领域:急性损伤后环境和医疗基础设施、过渡服务和社会包容干预。这些被确定为被忽视的领域,它们需要得到支助才能成功地适应运作方面的限制。为了为残疾人制定包容、无障碍和实用的政策和规划,应开展本研究中概述的工作——从生活经验中汲取干预想法——因为它们突出了规划中可操作的优先事项。
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引用次数: 1
Guidelines for leadership development of youth with physical disabilities through leisure education: A Delphi study. 休闲教育对肢体残疾青少年领导力发展的指导:德尔菲研究。
IF 1.7 Q4 HEALTH CARE SCIENCES & SERVICES Pub Date : 2022-01-01 DOI: 10.4102/ajod.v11i0.1073
Makhaya J Malema, Luzaan Africa, Linda Caldwell, Marie Young, Lisa Wegner

Background: Youth with disabilities benefit by developing a skill set to help resolve any issues during their daily activities, including pursuits that lead to productive livelihoods. Acquiring leadership skills through leisure education programmes may be particularly effective for youth with disabilities to gain confidence in their leadership abilities.

Objectives: This study aimed to develop and reach a convergence of opinions on the preferred elements of a leisure education programme to promote leadership development among youth with physical disabilities.

Method: In this study, a three-round Delphi methodology was used. In the first round, 16 experts participated; in the second round, 14 experts participated; in the third round, nine participated. The first round of the Delphi method consisted of a qualitative questionnaire with open-ended questions, which assisted in developing guideline statements. The results from the first round informed the second and third rounds of the study. The guidelines were reviewed for consensus in subsequent rounds using a Likert scale format.

Results: In the final round (third round) of the Delphi method, the expert panel consisting of nine participants agreed that leadership development for youth with physical disabilities could be promoted by leisure, recreation, sports and activities of daily living.

Conclusion: These guidelines are essential in building resilience, empowerment and independence and can be seen as a positive contribution to communities with disabilities and young people with and without disabilities.

Contribution: These guidelines would build capacity and resilience among youth and equip them with the skills and abilities to initiate leisure programmes.

背景:残疾青年可以通过发展一套技能来帮助解决日常活动中的任何问题,包括实现生产性生计。目的:本研究的目的是发展和达成一项意见的集合,以促进身体残疾青年的领导能力发展的休闲教育计划的首选要素。方法:本研究采用三轮德尔菲法。第一轮有16位专家参加;第二轮有14位专家参加;第三轮有9人参加。德尔菲法的第一轮包括一个带有开放式问题的定性问卷,这有助于制定指南声明。第一轮的结果为第二轮和第三轮的研究提供了信息。指南在随后的几轮中使用李克特量表格式进行审查以达成共识。结果:在德尔菲法的最后一轮(第三轮)中,由9人组成的专家小组一致认为,身体残疾青少年的领导力发展可以通过休闲、娱乐、体育和日常生活活动来促进。结论:这些准则对于建立复原力、赋权和独立至关重要,可以被视为对残疾社区和残疾和非残疾青年的积极贡献。贡献:这些准则将在青年中建立能力和复原力,并使他们具备发起休闲方案的技能和能力。
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引用次数: 1
The resilience of learners with specific learning disability in unequally resourced learners with special education needs schools in diverse contexts. 特殊学习障碍学习者在资源不均等的特殊教育背景下的适应能力需要不同背景的学校。
IF 1.7 Q4 HEALTH CARE SCIENCES & SERVICES Pub Date : 2022-01-01 DOI: 10.4102/ajod.v11i0.1044
Daphney Mawila

Background: Despite the inequality of resources in South Africa, learners in less-resourced schools and contexts can be resilient in the face of adversities.

Objectives: This study sought to investigate the impact of unequal resources in diverse contexts and schools on the resilience of learners with specific learning disability (SLD) in learners with special education needs (LSEN) schools in South Africa.

Method: A quantitative explanatory design was adopted and respondents were selected using a purposive sampling technique. A sample of 217 learners with SLDs across four LSEN schools located in diverse contexts in the Gauteng province, was selected. Data were collected using the Child and Youth Resilience Measure (CYRM-28). The SPSS software was used to analyse the data and one-way analysis of variance was used as a statistical technique.

Results: The results showed that resilience scores did not yield a significant statistical difference among learners from unequally resourced schools (p = 0.300 > 0.05) and diverse contexts (p = 0.173 > 0.05). These results suggest that resilience was the same across unequally resourced schools and diverse contexts; thus, all learners are capable of resilience regardless of these contexts.

Conclusion: Resilience of learners with SLD was not necessarily associated with the accessibility of resources in their contexts but with their agency in identifying them and using them meaningfully to combat their learning disabilities.

Contribution: The study contributes to the limited body of knowledge on the resilience of learners with SLD in unequally resourced contexts and LSEN schools.

背景:尽管南非存在资源不平等现象,但在资源匮乏的学校和环境中,学习者在面对逆境时能够保持弹性。目的:本研究旨在调查不同背景和学校资源不平等对南非特殊教育需要(LSEN)学校中特殊学习障碍(SLD)学生心理弹性的影响。方法:采用定量解释设计,采用有目的抽样方法选择调查对象。选取了豪登省不同背景下的四所LSEN学校的217名有特殊学习障碍的学习者作为样本。使用儿童和青少年弹性测量(CYRM-28)收集数据。采用SPSS软件进行数据分析,统计方法采用单因素方差分析。结果:资源不均等学校和不同环境下的学生心理弹性得分差异无统计学意义(p = 0.300 > 0.05)。这些结果表明,在资源不平等的学校和不同的环境中,韧性是相同的;因此,无论这些环境如何,所有学习者都有能力恢复。结论:特殊学习障碍学习者的心理弹性并不一定与其环境中资源的可及性有关,而是与他们识别资源并有意义地利用资源来克服学习障碍的能力有关。贡献:本研究对资源不平等环境和LSEN学校中特殊学习障碍学习者的恢复力的有限知识体系做出了贡献。
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引用次数: 0
Evaluating the awareness and knowledge of dyslexia among primary school teachers in Tshwane District, South Africa. 评估南非Tshwane区小学教师对阅读障碍的认知和知识。
IF 1.7 Q4 HEALTH CARE SCIENCES & SERVICES Pub Date : 2022-01-01 DOI: 10.4102/ajod.v11i0.807
Mary M Makgato, Monicca Leseyane-Kgari, Madoda Cekiso, Itani P Mandende, Rose Masha

Background: Many developed countries have made rapid strides in addressing issues related to dyslexia but in the developing countries like South Africa, it has not received adequate attention.

Objectives: The study therefore sought to evaluate awareness and knowledge of dyslexia among primary school teachers working in the government sector.

Methods: A phenomenological design was used and the study followed a mixed methods approach. The sample included 30 purposively selected primary school teachers. A questionnaire that consisted of true and false questions, closed-ended questions and open-ended questions was used to collect data. SPSS Version 22 and Excel Data Analyser 4 were used to analyse the quantitative data whereas the qualitative data was analysed thematically.

Results: The results indicated that the primary school teachers had a basic awareness and knowledge of dyslexia. Many of them were found to be using limited strategies in order to teach learners with dyslexia in their classrooms.

Conclusion: Based on the findings, recommendations such as early diagnoses through testing, parental involvement, conducive learning environment and teachers' professional development regarding dyslexia were made.

背景:许多发达国家在解决与阅读障碍有关的问题方面取得了迅速的进展,但在南非等发展中国家,它还没有得到足够的重视。目的:本研究旨在评估在政府部门工作的小学教师对阅读障碍的认知和知识。方法:采用现象学设计,采用混合方法。样本包括30名有目的选择的小学教师。采用真假问题、封闭式问题和开放式问题组成的问卷收集数据。采用SPSS Version 22和Excel Data analyzer 4对定量数据进行分析,对定性数据进行专题分析。结果:小学教师对阅读障碍有基本的认识和认识。他们中的许多人被发现在课堂上使用有限的策略来教授有阅读障碍的学习者。结论:在此基础上提出了早期测试诊断、家长参与、良好的学习环境和教师专业发展等建议。
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引用次数: 2
Literature profiling on tourism, impairment and disability issues: A future directional guide. 旅游、损伤和残疾问题的文献综述:未来方向指南。
IF 1.7 Q4 HEALTH CARE SCIENCES & SERVICES Pub Date : 2022-01-01 DOI: 10.4102/ajod.v11i0.862
Tawanda Makuyana, Engelina du Plessis, Oliver Chikuta

Background: South African tourism is evolving towards accommodating disabled people. Within the same standpoint, the country receives ageing tourists as a major international tourism market from the Global North, whose access needs are similar to disabled people. The present article explored 'blind and blank spots' in the extant literature on tourism-impairment disability as a synchronised field within academic research to provide theoretical insights and gaps for the disability-tourism research community to consider the composite concept instead of individualistic concepts.

Objective: The objectives were: (1) to track knowledge development from 1990 to 2018 using a narrative literature review approach and (2) to justify future research areas previously overlooked and understudied within a tourism-impairments-disability perspective in South Africa and beyond.

Method: A narrative literature review search strategy was used. Keywords and synonymous terms were used in electronic searches of Scopus, ScienceDirect, Sabinet Online, Emerald Insights Journals, African Journals and Google Scholar. The literature screening process used predetermined inclusion and exclusion criteria for the data source. Content thematic analysis was adopted for the present study.

Results: The findings reflect a dearth of tourism-impairments-disability research in South Africa. Nonetheless, there is an observable pattern of slow growth in research after the 2000s. The extant literature is skewed towards the tourism supply side and sporadic on tourism demand (tourist experiences), education and skills development.

Conclusions: It is clear that the absence of scientifically developed knowledge on disability-impairments-tourism affects inclusive tourism growth. Therefore, the research community should consider disability-inclusive (accessible) tourism management, human resources and marketing practices and knowledge for teaching material in future research.

Contribution: The article mapped and provided insights that sets a research agenda for tourism research community to see the gaps in literature and/or knowledge for accessible tourism (disability-inclusive) tourism to be a game changer as found by UNWTO (2020) with low-resources setting. Thereby setting a tone towards call for more research that can uncover an economic narrative that shows a relationship between skills development, labour and consumer markets for the participation of diverse disabled persons as such is shown as understudied in Low-to-Middle income earning countries like South Africa.

背景:南非旅游业正朝着照顾残疾人的方向发展。从同样的角度来看,该国接受来自全球北方的老年游客作为一个主要的国际旅游市场,他们的访问需求与残疾人相似。本文将旅游损伤残障作为一个同步的学术研究领域,对现有文献中的“盲点和空白点”进行了探讨,为残障旅游研究界考虑复合概念而不是个体概念提供理论见解和空白。目的:研究的目标是:(1)使用叙述性文献综述方法跟踪1990年至2018年的知识发展情况;(2)从南非及其他地区的旅游损伤和残疾角度出发,为以前被忽视和研究不足的未来研究领域提供依据。方法:采用叙事文献检索策略。关键词和同义词用于Scopus、ScienceDirect、Sabinet Online、Emerald Insights Journals、African Journals和Google Scholar的电子搜索。文献筛选过程采用预先确定的数据源纳入和排除标准。本研究采用内容专题分析。结果:调查结果反映出南非缺乏对旅游损伤和残疾的研究。尽管如此,在21世纪后,研究出现了一种明显的缓慢增长模式。现有的文献偏向于旅游供给方面,而对旅游需求(旅游体验)、教育和技能发展的研究则零星存在。结论:很明显,缺乏科学发展的残障旅游知识影响了包容性旅游的增长。因此,在未来的研究中,研究界应考虑将残障包容(无障碍)旅游管理、人力资源和营销实践和知识作为教材。贡献:本文绘制并提供了见解,为旅游研究界制定了研究议程,以了解世界旅游组织(2020年)在低资源环境下发现的无障碍旅游(包容残疾人)旅游在文献和/或知识方面的差距。因此,为呼吁开展更多的研究奠定了基调,这些研究可以揭示一种经济叙事,表明技能发展、劳动力和各种残疾人参与的消费市场之间的关系,因为在南非等中低收入国家,对这种关系的研究不足。
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引用次数: 0
The consequence of head-loading on the neuro-musculoskeletal health of the ILembe District youth of KwaZulu-Natal. 头部负荷对夸祖鲁-纳塔尔省伊伦贝区青年神经-肌肉-骨骼健康的影响。
IF 1.7 Q4 HEALTH CARE SCIENCES & SERVICES Pub Date : 2022-01-01 DOI: 10.4102/ajod.v11i0.1039
Tebogo G Motaung, Terry J Ellapen, Yvonne Paul

Background: Head-loading, as a mode of transporting food, water and firewood, is a longstanding tradition assigned to female South African youth and has been associated with adverse health consequences.

Objectives: This study determined the impact of head-loading on the neuromusculoskeletal health and proprioception of female South African youth.

Method: This study comprised a counterbalanced, within-subject, single-factor experimental design which compared the changes that occurred when the same independent variable (head-loading) within two homogenous groups was measured in terms of the dependent variables (outcomes: neuromusculoskeletal pain and proprioception) at two time periods, before and after the introduction of the independent variable. A cohort of South African female youth (n = 100), aged 9-17 years, voluntarily partook in the study. The participants were randomly distributed into an experimental (n = 50) and a control (n = 50) group. The experimental group stood in a head-loaded state with their respective habitual head-load mass. Their proprioception measurements were compared during their unloaded versus loaded states, with the proprioceptive measurements including the total proprioception index, the anterior-posterior (front-back) index and the medial-lateral (side-to-side) index. Participants furthermore completed a head-loading health-related questionnaire.

Results: Participants had a mean age of 12.3 ± 2.5 years, body mass of 44.4 ± 13.7 kg, stature of 145 ± 10 cm and a head-load mass of 8.0 ± 2.5 kg. Participants had poorer medial-lateral proprioception during head-loading as compared to their unloaded state (1.4 ± 0.8 as compared to 1.6 ± 0.9) (p < 0.05). Most youth (96%) experienced neuromusculoskeletal pain in their cervical vertebrae (40.9%), shoulders (27.3%), lumbar vertebrae (10.7%), arms (8.3%), legs (8.3%), knees (1.9%), fingers (1.5%), toes (0.5%) and thoracic vertebrae (0.5%) (χ2: p < 0.05).

Conclusion: Head-loading adversely affects the medial-lateral proprioception and neuromusculoskeletal health of participants.

Contribution: The findings of this study confirms that head-loading produces musculoskeletal pain.

背景:头部装载作为运输食物、水和木柴的一种方式,是南非女性青年的一项长期传统,并与不利的健康后果有关。目的:本研究确定头部负荷对南非女性青年神经肌肉骨骼健康和本体感觉的影响。方法:本研究采用了一种平衡的、受试者内的单因素实验设计,比较了在引入自变量之前和之后的两个时间段内,在两个同质组中测量相同自变量(头部负荷)的因变量(结果:神经肌肉骨骼疼痛和本体感觉)时发生的变化。一组年龄在9-17岁的南非女性青年(n = 100)自愿参加了这项研究。参与者被随机分为实验组(n = 50)和对照组(n = 50)。实验组以各自惯常的头负荷质量处于头负荷状态。他们的本体感觉测量在他们的卸载和加载状态进行比较,本体感觉测量包括总本体感觉指数,前后(前后)指数和内侧外侧(侧对侧)指数。参与者还完成了一份头部负荷健康问卷。结果:参与者平均年龄为12.3±2.5岁,体重为44.4±13.7 kg,身高为145±10 cm,头负荷质量为8.0±2.5 kg。受试者在头部负荷时的内外侧本体感觉较差(1.4±0.8比1.6±0.9)(p < 0.05)。大多数年轻人(96%)在颈椎(40.9%)、肩部(27.3%)、腰椎(10.7%)、手臂(8.3%)、腿部(8.3%)、膝盖(1.9%)、手指(1.5%)、脚趾(0.5%)和胸椎(0.5%)出现神经肌肉骨骼疼痛(χ2: p < 0.05)。结论:头部负荷对参与者的内外侧本体感觉和神经肌肉骨骼健康有不利影响。贡献:这项研究的发现证实了头部负荷产生肌肉骨骼疼痛。
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引用次数: 0
The development of a policy brief on physical activity and health in Africa for children and adolescents with disabilities: COVID-19 and beyond. 编写关于非洲残疾儿童和青少年身体活动与健康的政策简报:2019冠状病毒病及其他疾病。
IF 1.7 Q4 HEALTH CARE SCIENCES & SERVICES Pub Date : 2022-01-01 DOI: 10.4102/ajod.v11i0.1100
Rowena Naidoo, Verusia Chetty, Marie E M Young, Phindile E Mahlalela, Philippe J Gradidge, Soraya Maart, Dané Coetzee, Brett Smith, Estelle Lambert
No abstract availbale.
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引用次数: 0
The status and use of prosthetic devices by persons with lower limb amputation in Rwanda. 卢旺达下肢截肢者假肢装置的现状和使用情况。
IF 1.7 Q4 HEALTH CARE SCIENCES & SERVICES Pub Date : 2022-01-01 DOI: 10.4102/ajod.v11i0.1081
Robert Ngarambe, Jean Baptiste Sagahutu, Assuman Nuhu, David K Tumusiime

Background: Amputation is one of the leading causes of disabilities because of reduced mobility. Without assistive devices specifically prostheses, the quality of life of persons with lower limb amputation (PLLA) further deteriorates. Therefore, prostheses are fundamental to improving their quality of life.

Objectives: This study aimed to establish the number of PLLA with or without prosthesis and to determine their socio-economic profile in Rwanda.

Method: A descriptive, cross-sectional study was conducted in all sectors of Rwanda. As a result of coronavirus disease 2019 movement restrictions, data collection was carried out through telephone calls with participants to complete the questionnaires. Descriptive, inferential statistics and chi-square test were performed to analyse data using Statistical Package for Social Science (SPSS) 21.0.

Results: Of the 3026 participants identified countrywide, 68.8% were males and 60.3% of them did not have any prosthesis (p = 0.003). The majority (62.4%) of those who had prosthetic devices needed repair of their prostheses while 14.8% of participants reported that their prosthetic devices were completely broken and/or damaged (p = 0.604). Among the participants, 63.7% had no source of income and 66.7% had dependents (p ≤ 0.001).

Conclusion: The majority of the PLLA in Rwanda did not have prosthetic devices and even those with prostheses did not fully function and thus required repair. Therefore, it adversely affects their livelihood.

Contribution: The government should collaborate with stakeholders working with persons with disabilities and implement mechanisms and/or strategies to make prosthetic devices accessible and affordable.

背景:由于活动能力降低,截肢是导致残疾的主要原因之一。没有辅助装置特别是假肢,下肢截肢患者的生活质量进一步恶化。因此,义肢是提高患者生活质量的基础。目的:本研究旨在确定卢旺达带假体或不带假体的PLLA的数量,并确定其社会经济状况。方法:在卢旺达所有部门进行描述性横断面研究。由于2019冠状病毒病的行动限制,通过电话与参与者进行数据收集,以完成问卷调查。采用社会科学统计软件包(SPSS) 21.0对数据进行描述性统计、推理统计和卡方检验。结果:在全国3026名参与者中,68.8%为男性,60.3%的人没有任何义肢(p = 0.003)。大多数(62.4%)有假体装置的人需要修复他们的假体,而14.8%的参与者报告他们的假体装置完全破裂和/或损坏(p = 0.604)。63.7%的参与者没有收入来源,66.7%的参与者有家属(p≤0.001)。结论:卢旺达大多数PLLA没有假体装置,即使有假体也不能完全发挥作用,因此需要修复。因此,这对他们的生计产生了不利影响。贡献:政府应与与残疾人合作的利益相关者合作,实施机制和/或战略,使假肢装置易于获得和负担得起。
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African Journal of Disability
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