Vol. XVI Issue 2 April - June 2012 2012 Documentation ... - Nipccd

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HANDICAPPED 7. Padmamohan, J. et al. (2009). Utilization of rehabilitation services by rural households with disabled preschool children. Indian Pediatrics, January, 46 (Sup) : 79-82. Background: Impairments in young children needs to be viewed in the initial phase of the disability process, which if not addressed properly leads to added secondary disabilities and handicaps as the child grows. In India about 1.9 per cent of the total population and 5.3 per cent and three per cent of 0-14 year age group are suffering from physical and mental disabilities respectively. Rehabilitation services in the content of childhood disability encompass a wide range of interventions ranging from medical service to educational service depending on the type and extent of the disability. Institutions providing these services are situated in the urban areas, while a significant proportion of disabled children are in rural areas. Objectives: To find the extent of utilization of services and identification of factors which determine the use of such services in rural families with disabled pre school children. Methods: The Child Development Centre (CDC) conducted survey in the Pattanakkad KDS block in Kerala. About 12520 children in the 0- 5 years age group and those with delay, deformities and disabilities were identified. From these, 105 children with disabilities were identified as per persons with disability (PWD). Of 105 children with disability identified at the time of survey, 98 children could finally be included in this study Findings: Among the sample of 98 children about 63.3 per cent children had locomotor disability including 25.5 per cent with multiple disabilities; 19.3 per cent had speech and hearing disability; 15.3 per cent had mental retardation and 2.3 per cent had visual disability. The median age of diagnosis of speech and hearing disabilities was 30 months, while locomotor and mental disabilities were identified at the median age of 8½ and six months. Children on follow-up treatment and those not in need of treatment were considered as utilizers for the study (n= 47; 48%). Rest of the children (n= 51; 52%), who discontinued treatment or those who had not gone for treatment at all were considered as non-utilizers; the proportion of non-utilization varied with the type of disability , with the highest proportion of non utilization in speech and hearing disability (84.2%; 95% (1: 62.8-95.8), followed by locomotor disability (53.2%; 95% (1: 40.8-65.4), and lowest in mental retardation (13.3%; 95% (1: 2.3-37.5). The 10 __________________________________________________________________________________ DCWC Research Bulletin Vol. XVI April - June 2012
proportion of non-utilization was high in district and medical college level compared to 20 per cent at the taluk level. The proportion of utilization in private hospitals was 50 per cent and increased further when the services were sought by private consultation; 28.6 per cent children were on follow up; one fifth of the children discontinued treatment due to different reasons; 27.5 per cent of parent had not gone for any type of treatment; on multivariate logistic regression analysis, low socio-economic status, poor perceptions about the disease and disability, low educational level of parents and poor acceptability of services were identified to determine lower utilization of services. Conclusion: The findings of the study indicates the need for establishing easily accessible community based services incorporating existing social welfare and health service ; infrastructure for children with disability; creating community awareness regarding childhood disability and need for proper utilization of rehabilitation services necessary for increasing the utilization of services available. Planning at the local level should consider the difference in quality and quantity of care required for different types of disability. Key Words : 1.HANDICAPPED 2.REHABILITATION DISABLED 3.DISABLED 4.PRESCHOOL CHILDREN 5.DISABILITY 6.REHABILITATION 7.RURAL HOUSEHOLD 8.UTILIZATION 9.REHABILITATION SERVICES. 11 __________________________________________________________________________________ DCWC Research Bulletin Vol. XVI April - June 2012
Page 1 and 2: Vol. XVI Issue 2 April - June 2012
Page 3 and 4: S. No. Contents A. Research Abstrac
Page 5 and 6: S. No. 24. Survey of Children on Ra
Page 7 and 8: A. Research Abstracts on Child Deve
Page 9 and 10: 2. CRY, New Delhi. (2012). A Report
Page 11 and 12: East and West Delhi, a considerable
Page 13 and 14: Conclusion: The study had some limi
Page 15: 6. Nair, MKC et al. (2009). Effect
Page 19 and 20: differential change for both groups
Page 21 and 22: cent boys and 22 per cent of girls;
Page 23 and 24: intervention and control arm was (
Page 25 and 26: the anganwadi workers, four childre
Page 27 and 28: OBC) students on account of their s
Page 29 and 30: Conclusion: The adverse outcomes of
Page 31 and 32: Conclusion: Tackling malnutrition i
Page 33 and 34: B. Research Abstracts on Child Prot
Page 35 and 36: CHILD LABOUR 17. Chang, Seo Hee, Gr
Page 37 and 38: 18. Pasricha, Ravinder Kaur. (2007)
Page 39 and 40: 19. Venkateswarlu, Davuluri. (2010)
Page 41 and 42: 20. Venkateswarlu, Davuluri. (2010)
Page 43 and 44: awareness had been created; Interve
Page 45 and 46: for them gelling in the plat form;
Page 47 and 48: About seven per cent indulged in al
Page 49 and 50: espondents had attended school at s
Page 51 and 52: 25. Das, Manoshi Mitra and Mishra,
Page 53 and 54: C. Research Abstracts on Women and
Page 55 and 56: 27. Majo, John. (2007). Knowledge,
Page 57 and 58: 28. March of Youth for Health, Educ
Page 59 and 60: PPH, similarly 1.4 per cent of them
Page 61 and 62: pre-term; in 88 per cent the delive
Page 63 and 64: functioning sub-optimally; alternat
Page 65 and 66: day and 75 per cent had pulses or l
Page 67 and 68:
SOCIAL WELFARE 33. Prabhakar, Bhart
Page 69 and 70:
34. Swain, Pushpanjali and Pillai,
Page 71 and 72:
WOMEN WELFARE 35. Anjum, Bimal and
Page 73 and 74:
36. Astige, Shanta. (2011). A Socio
Page 75 and 76:
environment that 35 per cent feel t
Page 77 and 78:
39. National Commission for Women,
Page 79 and 80:
proportion of women from North East
Page 81 and 82:
participation and influence in vill
Page 83 and 84:
married respondents. People of the
Page 85 and 86:
42. Umashankar, Deepti. (2006). Wom
Page 87:
Acknowledgement Guidance and Suppor
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