IJCRR - Vol 07 Issue 23, December, 2015
DISABILITY THEMED COMMUNITY DIAGNOSIS OF RURAL POPULATION IN DHULIKHEL: A DIFFERENT STANDPOINT
Author: Sumana Baidya, Bimika Khadgi, Ranjeeta S. Acharya
Background: Disability is the inability to perform an activity in the way or within the range considered normal for a human being. Disability occurs not only from musculoskeletal disorder but also from other causes such as dyspnea and urinary incontinence. This study was done to find out the prevalence of disability in three VDCs (Nayagaun, Kuttal and Nayabasti) of Dhulikhel, Kavre. Materials and Methods: Standardized Nordic questionnaire and Nottingham questionnaire with MRC grading of dyspnea were adopted after translation and pre-testing for disability due to musculoskeletal disorder and dyspnea respectively. Similarly, pretestedstructured questionnaire was adapted from Norwegian Urinary Incontinence Questionnaire to identify disability due to urinary incontinence based on. Disability ID card holders were identified through door to door survey method. Descriptive analysis was performed. Micro health program was conducted for physiotherapy interventions in the identified population. Sustainability and awareness program was organized to disseminate knowledge about need of physiotherapy in these conditions. Results: Among 1265 people surveyed in these VDCs, the total number of people identified with disabilities was 218. Among them, 15.9% (n=110) from Kuttal (N=690), 22.4% (n=70) from Nayabasti (N=313) and 14.5% (n=38) from Nayagaun (N=262) were identified with various disabilities. Among the identified cases in all three VDCs, only 5.9 % (n=13) had government disability ID card, with physical (3), hearing (2), speech (1), vision (2) and multiple disabilities (5). Apart from these people with disability card, there were disabilities caused due to dyspnea (16.5%, n=36), urinary incontinence (18.8%, n=41) and musculoskeletal problems (58.7%, n=128). The micro health program helped in improving the awareness among people about the disability and treatment through low-cost physiotherapy techniques. Conclusions: The most common disabilities among population are due to musculoskeletal followed by dyspnea and urinary incontinence. The use of cost – effective aids and physiotherapy treatments was found beneficial as it increased awareness and proved an effective tool for education about prevention of diseases. The result of our study is useful to generate information on silent disability due to urinary incontinence and dyspnea. Our findings can be helpful for effective development of physiotherapy awareness programs to increase service utilization and thereby might contribute to both prevention and management of disability in community.
Keywords: Disability, Physiotherapy, Community diagnosis, Nepal
Sumana Baidya, Bimika Khadgi, Ranjeeta S. Acharya. DISABILITY THEMED COMMUNITY DIAGNOSIS OF RURAL POPULATION IN DHULIKHEL: A DIFFERENT STANDPOINT International Journal of Current Research and Review. Vol 07 Issue 23, December, 14-20
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