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TRANSPORT It is the aim ofcommunity rehabilitation that community based rehabilitation services are in the communities where people live and therefore should be accessible to all health care users. This is made possible through provision of enough transport or short distances to travel to health centres. AVAILABILITY OF TRANSPORT The fmdings ofthis study show that some amputees had transport and while others did not have transport: • Ten amputees (10) 40% reported that they had no transport because the roads were far from their residential areas and, they had to hire cars to take them, using small hand made roads. • Another ten amputees (10) 40% responded that they used taxis which are cramped for space and therefore difficult to fit them in with their rehabilitation aids, but that they preferred them in comparison with other means of transport, like buses and trains. These means of transport are not user friendly, drivers do not have the patience to wait for them to get a seat before they move, at times buses are full and they do not get a seat and also have small passages that do allow free mobility with their rehabilitation aids. • Three (3) 12% used buses because they were the only means oftransport available. • Two (2) 8% amputees used the train, which was the most convenient and affordable means of transport for them These amputees reported that they also experienced problems because there were many steps to and from the station. These were amputees with lower limb amputation using crutches. DISTANCE TRAYELLEDBY AMPUTEES The study results show that the amputees traveled long distances to the health care centres. • Ten (10) 40% amputees traveled between S kmand 10km • Eight(8) 32% amputees traveled more than ISkm • Four (4) 16% traveled less than Skm which was the only acceptable distance from a rehabilitative care pointofview. 96
• Three (3) 12% amputees traveled between 101..-m and IS kill. This study clearly shows-that the amputees really needed assistance with transport AVAILABILILTY OF COMMUNITY SERVICES Community services form part ofrehabilitation as they keep the amputees occupied until they become full participating members in all the activities present in the community service, like the society for the disabled. The fmdings ofthe study reveal that • Only (12) 48% ofamputees had home help groups in their communities. • Only (l) 4% amputee had a society for the disabled in the community where he lived. 6.5.2.3 VOCATIOXAL REHABILITATION It was essential for this study to evaluate the preparation and employment status ofamputees as this affects their rehabilitation. The amputees who were working before amputation required work assessment, to see if they were fit for their old employment or needed retraining for placement Those amputees who were not working before amputation also needed to be reskilled for placement in the open labour market or a sheltered employment workshop. PREPARATION FOR Ll\IPLOYMENT The fmdings ofthe study made it evident that only halfofthe respondents were prepared for employment WORKASSESSMENT • Fourteen (14) 56% amputees received a full work assessment before discharge from the hospital They were the amputees who had a good chance for employment, ifthey were considered. 97
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TABLE OF CONTENTS PAGE The Titlefor
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DEDICATION This dissertation is wri
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The University of Zululand for prov
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5.1 - 5.2 5.3 5.4 5.5 5.6 5.7 5.8 5
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CHAPTER3 THEORETICAL FRAMEWORK PAGE
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5.9 SECTIONH: EMPLOYMENT AFTERAMPUT
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6.5.4 6.5.4.1 6.5.42 6.5.4.3 6.5.4.
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• 1.1 INTRODUCTION CHAPTER 1 Reha
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1.6.4 Do amputees experience physic
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1.10 CONCLUSION In this chapter an
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2.2.1 GENERAL PHYSICAL REHABILITATI
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2.2.5 ACCESS TO HOME AND COMMUNITY
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2.3 PSYCHOLOGICAL REHABILITATION Ku
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Itis the duty ofthe social worker a
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2.5.3 STAFF A(((rUDES An examinatio
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the only solution in the study that
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small and large groups. and social
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esponsibilities in positions they o
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what muses do with and for individu
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3.4.8 TIME Time refers to the seque
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3.5.3 MODIFIED CONCEPTUAL FRAMEWORK
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image. In this way psychological ad
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4.1 INTRODUcrrON In this chapter th
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as it is a useful self-report instr
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4.6 VALIDITY Al'o'DRELIABILITY The
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caused by accidents. As far as reha
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more ofthese respondents were from
Page 64 and 65: The members ofthe rehabilitation te
Page 66 and 67: ehabilitation team, to meet other b
Page 68 and 69: Pffi'SICAL CARE This item was inclu
Page 70 and 71: used correctly. Hodkinson, Smith an
Page 72 and 73: time to be visited by old coping am
Page 74 and 75: TABLE 5.14 F1NA.l\(CIAL msroav Fina
Page 76 and 77: 5.5.8 ITEM' 19 RESPONDENTS WHO MANA
Page 78: they were fit for their old work or
Page 81: not be effectivelyproductive atwork
Page 84 and 85: other disabled families there is a
Page 86: 5.7· SECTIONF:COMMU1'olTfYRElNfEGR
Page 89 and 90: accessibility of the home, easy mov
Page 92 and 93: muddy and slippery when it is raini
Page 94: to their preVIOUS jobs or to be tra
Page 97 and 98: are community group projects, there
Page 99 and 100: 5.11 SECTION J: REHABILITATION AIDS
Page 101 and 102: 5.11.3 ITEM 45 AVAILABLE COMMUNITY
Page 103 and 104: Table 528 reveals that amputees exp
Page 106 and 107: Chapter three described the theoret
Page 108 and 109: 6.5.2 OBJECTIVE TWO To evaluate phy
Page 110 and 111: • Another (4) 16% were seen by th
Page 112 and 113: -DISABILITY GRANT The disability gr
Page 116 and 117: • Eleven (11) 44% amputees report
Page 118 and 119: 6.5.3.1 PHYSICAL PROBLEMS SEPTIC ST
Page 120 and 121: DISCHARGE PREPARATION The fmdings r
Page 122 and 123: 6.5.4.3 DISCHARGE PREPARATION Th'VO
Page 124 and 125: also be made accessible for the amp
Page 126 and 127: IS. Mbeki, T.M 1997. White Paper On
Page 128 and 129: BIBLIOGRAPHY 1. Brink, H. 1996. Fun
Page 130 and 131: ANNAXUREI LEITER REOUESTING PERMISS
Page 132: ANNAXURE2 PERMISSION LEITER FROM DE
Page 135 and 136: The ChiefMatron King Edward VIIIHos
Page 138: '- ANNAXURE 5 -.:') OUESTIONNAIRE F
Page 142 and 143: Psychologist o Vocational rehabilit
Page 144 and 145: 14. WHO TAUGHT YOU THESE ABOVE ACTI
Page 146 and 147: 17.5 Ifthis financial assistance en
Page 148 and 149: Other o Ifother, please specify: _
Page 150 and 151: 31. HOME VISIT BY TIIE REHABILITATI
Page 152 and 153: 34.3 Ifno, who does the evaluation
Page 155 and 156: 41.2 Does department of transport p
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