Menstrual hygiene management among reproductive-aged women with disabilities in Bangladesh

medRxiv (Cold Spring Harbor Laboratory), Год журнала: 2024, Номер unknown

Опубликована: Май 23, 2024

Abstract Background Women with disabilities in low- and middle-income countries face unique challenges managing menstruation, affecting their health, dignity, quality of life. Objective This study explored menstrual hygiene management (MHM) practices among reproductive-aged women Bangladesh its impact on social participation. Methods We analyzed data from 51,535 the 2019 Multiple Indicator Cluster Survey (MICS). The outcome variables were: (i) material used to manage blood flow while menstruating (appropriate, inappropriate), (ii) availability a private place for washing changing menstruation rags (yes, no), (iii) impacted attendance activities, school, or work during no). Disability status was considered as major explanatory variable categorized no disabilities, moderate severe disabilities. Associations were determined using multilevel multinomial logistic regression model adjusted individual-level factors, household-level community-level factors. Results Among sample, 2.7% reported disability 19.2% vision-related (12.2%) being most prevalent, followed by cognitive (9.5%) walking (8.2%). Overall, 4% inappropriate materials flow, rising 8.0% those 5.8% had 33-47% lower odds appropriate 34-44% having change at home. Additionally, 1.66 times more likely report that activities. Conclusion significant barriers effective MHM. Addressing these issues requires targeted interventions, including disability-inclusive health education, improved access products sanitation facilities, community initiatives reduce stigma.

Язык: Английский

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Preliminary analysis of the disability landscape on Roatán, Honduras

The Columbia University Journal of Global Health, Год журнала: 2024, Номер 14(1)

Опубликована: Июнь 2, 2024

Understanding the needs of persons with disabilities (PWDs) is vital to improving targeted healthcare and resources. The project seeks assess prevalence disabilities, resources used, care treatment for PWDs on Roatán, Honduras. There little no prior research about island few disability studies available in country We surveyed 581 community members Roatán over a period 6 weeks, questions surrounding status themselves their family members, used by PWDs. Interviews were conducted physicians, promotoras (community health promoters), staff at local Rehabilitation Clinic social experiences resource island. Of 613 subjects obtained from our surveys, 258 (42%) had one or more disabilities. most common vision impairment, mobility diabetes. 44.98% reported that PWD did not visit any medical facility receive treatment. found there was lack disability-specific consistent definition among providers. Barriers include discrimination; caretaker burden; medications, assistive devices, specialists; transportation. Our highlights need education within communities, as well increasing amount depth accessible This study request Clinica Esperanza determine how it could better support potential benefit developing day home

Язык: Английский

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RETRACTED: The Awareness Level of Stakeholders to the Community-Based Rehabilitation Programme for Inclusive Development: In the Case of the University of Gondar Community-Based Rehabilitation, Ethiopia

Research Square (Research Square), Год журнала: 2024, Номер unknown

Опубликована: Июль 24, 2024

The authors have requested that this preprint be removed from Research Square.

Язык: Английский

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Experiences of Visually Impaired South African Government Employees with E-Government Services

IFIP advances in information and communication technology, Год журнала: 2024, Номер unknown, С. 48 - 61

Опубликована: Янв. 1, 2024

Язык: Английский

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Community-based Rehabilitation Support Programmes and Social Inclusion of Persons with Disabilities in Tigania East, Kenya

European Journal of Humanities and Social Sciences, Год журнала: 2024, Номер 4(4), С. 10 - 16

Опубликована: Авг. 13, 2024

Community-based rehabilitation programmes (CBR) are considered fundamental in improving the well-being of persons with disabilities by facilitating access to basic services like healthcare, education, housing, and employment fostering their participation community through transfer knowledge skills concerning disability people disabilities, families at large enhance social inclusion. However, despite existence Disability Community programmes, it is not clear how community-based support has fostered inclusion Kenya. Based on data from Tigania East, Meru County, Kenya, this paper explores impact a view influencing policy formulation foster livelihood agenda.

Язык: Английский

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SUCCEED Africa: protocol for a multi-method pilot study of a community-based intervention for people with psychosis in Sierra Leone, Nigeria, Zimbabwe and Malawi

Pilot and Feasibility Studies, Год журнала: 2024, Номер 10(1)

Опубликована: Авг. 27, 2024

Abstract Background Recent reviews have highlighted the need for participatory research to design and evaluate inclusive, community-based interventions that address diverse needs of people with lived experience psychosis, within beyond health sector. The SUCCEED Africa consortium aims co-produce a 6-year programme across four countries in West (Sierra Leone, Nigeria) Southeast (Zimbabwe Malawi). This protocol describes pilot study which SUCCEED’s intervention, tools processes will be tested on small scale each country preparation future evaluation research. Methods intervention comprises peer support, case management livelihood activities psychosis. uses before-and-after investigating change subjective quality life adults diagnosed primary psychotic disorder or another mental symptoms who are offered over 4-month period. Nested this following: baseline assessment feasibility, acceptability face validity selected measurement tool proxy versus self-completion; multi-method process examining key indicators implementation, service client-level outcomes. include cognitive interviews; semi-structed observation routine monitoring delivery; endline interviews focus group discussions; comparison provider competencies at endline. At sites, participants ten recruited from either services community settings using purposive sampling maximise variation; up adult family members (one per participant experience) involved their care; support worker, worker supervisor responsible delivering intervention; data collectors. Recruitment take place July August 2023. Discussion To best our knowledge, first incorporating lay-delivered management, formal livelihoods psychosis sub-Saharan Africa. Findings relevant not only but also others interested promoting rights-based approaches low-resource settings. Trial registration US National Library Medicine (ClinicalTrials.gov), Protocol reference ID 28346. Initially registered retrospectively 20/2023: In review.

Язык: Английский

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Prevalence and determinants of modern contraception use among persons with disabilities in low- and middle-income countries: a systematic review and meta-analysis

medRxiv (Cold Spring Harbor Laboratory), Год журнала: 2024, Номер unknown

Опубликована: Сен. 15, 2024

Background Persons with disabilities should require the same level of access to contraception as general population. However, extent use among this group is underexplored in low- and middle-income countries (LMICs). Objective This study aimed determine prevalence modern persons LMICs identify key determinants. Methods In June 2024, we conducted a systematic search across six databases studies on disability LMICs. The primary outcomes were its determinants disabilities. Summary estimates calculated using fixed or random-effects meta-analysis, depending heterogeneity. Results A total 19 identified, 11 included meta-analysis. pooled was 31.4% (95% CI: 26.5, 36.2), significant heterogeneity respondent characteristics. Five factors significantly associated higher use: age over 25 years, having some education, being wealth quintile, adequate knowledge family planning, formal marital relationship. Conclusion reveals lower Improving addressing social norms, strengthening healthcare systems may contribute increase uptake

Язык: Английский

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Menstrual hygiene management among reproductive‐aged women with disabilities in Bangladesh

Health Science Reports, Год журнала: 2024, Номер 7(10)

Опубликована: Окт. 1, 2024

Abstract Background Women with disabilities in low‐ and middle‐income countries face unique challenges managing menstruation, affecting their health, dignity, quality of life. Aim This study aimed to explore menstrual hygiene management (MHM) practices among reproductive‐aged women Bangladesh its impact on social participation. Methods We analyzed data from 51,535 the 2019 Multiple Indicator Cluster Survey (MICS). The outcome variables were: (i) material used manage blood flow while menstruating (appropriate, inappropriate), (ii) availability a private place for washing changing menstruation rags (yes, no), (iii) attendance activities, school, or work during no). Disability status was considered as major explanatory variable categorized no disabilities, moderate severe disabilities. Associations were determined using multilevel mixed‐effects binary logistic regression model adjusted individual‐level factors, household‐level community‐level factors. Results Among sample, 2.7% reported disability 19.2% vision‐related (12.2%) being most prevalent, followed by cognitive (9.5%) walking (8.2%). Overall, 4% inappropriate materials flow, rising 8.0% those 5.8% had 33%–47% lower odds appropriate 34%–44% having change at home. Additionally, 1.66 times more likely report that impacted activities. Conclusion significant barriers effective MHM. Addressing these issues requires targeted interventions, including disability‐inclusive health education, improved access products sanitation facilities, community initiatives reduce stigma.

Язык: Английский

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Sustainability and Social Farming in the Czech Republic: The Impact of Selected Factors on the Employment of Disadvantaged Persons in Agriculture

Sustainability, Год журнала: 2024, Номер 16(21), С. 9520 - 9520

Опубликована: Ноя. 1, 2024

In the agricultural sector, where factors like type of agriculture, management techniques, and access to funding are critical, disadvantaged people face significant barriers employment. This study investigated effects these factors, especially with regard sustainability social farming, on employment persons in Czech Republic. We sent questionnaires 2036 businesses within Republic, data we received were sorted analyzed. There was a favorable relationship between farm size chances. Disadvantaged more likely be hired by large farms, those larger than 250 hectares. Furthermore, mixed-production farms capable employing persons, unlike conventional which reached their maximum levels at one, three, or six workers. Organic farming had even distribution, while biodynamic showed limited capacity employ persons. Farms involved fundraising fewer but employed (number employees peaked two, four, six), that did not engage individuals (peaked one three employees). The motivations for primarily concerns, as well labor shortages economic innovative factors. These findings show importance enterprises using improve well-being

Язык: Английский

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Evaluation of peer‐mediated systems navigation for ageing families of individuals with developmental disabilities

Journal of Intellectual Disability Research, Год журнала: 2023, Номер 67(5), С. 462 - 474

Опубликована: Март 3, 2023

Abstract Background As individuals with intellectual and developmental disabilities (I/DD) age, services often diminish, many family caregivers experiencing challenges finding navigating services. The purpose of this study was to examine the benefits a state‐wide support project for ageing (50+) adults I/DD in accessing using Method A one‐group pre‐test–post‐test design used determine if participation MI‐OCEAN intervention grounded Family Quality Life (FQOL) theory reduced caregivers' ( n = 82) perceptions barriers accessing, needing formal Results After participating study, there reduction reported There also greater use need 10 23 listed Conclusions Findings indicate that peer‐mediated FQOL can be beneficial empowering by reducing perceived increasing their advocacy

Язык: Английский

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