PIHRS-IH Model 2020-Final Revised

The Research also implicated that people with disabilities on average spends about
BDT 26932.5 annually on health care. Medicine was put as the number one costly factor of
all components related to the health care service followed by assertive equipment.
Many of the people with disabilities who were surveyed, around 60.3% of them did not obtain any
kind of financial assistance from any source; neither from the State nor from any non-government
sources.
For those who provided assistance, the primary source of support was the disability stipend from the
Department of Social Services, which is the only source of funding from the Government.
Nevertheless, the sum of the stipend was very minimal, leaving them behind with a major crises of
Affordability & Finance
Challenges & Gaps were also indicated in this study, it’s been found that even as policy and
social perceptions are beginning to shift, the requisite disability health care procedures and effective
infrastructure in hospitals and public facilities remain largely unacknowledged. Social security does not
yet cover a sufficient percentage of people with disabilities, and processes for obtaining these programs
are still non-disability-friendly. In addition, primary health care for people with disabilities is often not
provided or funded in the Community Health Service Centers, as a result of which most of them will not
receive or acknowledge or diagnose their much-needed services.
Due to following barriers:
• Unestablished Referral System
• lack of proper information about disability
• less knowledge about government’s existing provision & facilities regarding disability creates accessing barrier,
• Inadequate counselling support causing confusion for the family members which led them to run from one source
to another (adding to costs and confusions),
• For Primary health services, the persons with disabilities are not included in the community healthcare centers,
causing them to travel long distances from rural communities to national level hospitals.
• The inadequacy in mainstreaming the health systems to provide services like- early detection, requires
assessment & curative/corrective intervention which are essential to develop a community level medical, social,
and economic rehabilitation and integration plan. These key missing factors, limits the effective roll-out of
Community Based Rehabilitation in (CBR) programs.
• Mobility and developmental devices are of vital significance to people with some certain disabilities like the
hearing and/or speech impaired but need-based devices are not accessible at district level. For most cases,
therefore, they have to rely on NGOs to provide assertive devices, although many of these assertive devices have
not been adapted to suit their needs.
• There is a shortage of adequate human resource capacity in mainstream health facilities. Ability deficits have been
shown to occur at the level of the technological and attitudinal skills to be required in relation to disability.
Numerous studies have documented substantial quality gaps in teaching strategies, learning practices and
facilities for training health workers / educational institutions, especially in the field of disability.
• Misconception regarding disability was also established as a significant attitudinal obstacle. Many myths have
been found to be linked to disability in wide circulation. The lack of awareness within the society is also found to
be as an obstacle and a barrier.
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