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Management of Undergraduate Community-Based Rehabilitation Programmes in the Philippines: A Cross-Sectional Survey

TRINIDAD, Pocholo B
SHIBU, Litty M
CABALLERO, Napoleon R
RAJAB, Ebrahim
2020

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Purpose: The survey aimed to identify common strengths and weaknesses regarding the characteristics, management and implementation of Community-Based Rehabilitation (CBR) training in the undergraduate curriculum of Schools of Physical Therapy in the Philippines, and make recommendations for improvement.

 

Method: A survey was conducted with the academic heads of CBR departments in 10 Physical Therapy schools. The institutions were selected through cluster sampling according to regional location. Nine of these were private institutions. Data was collected through a 24-item self-assessment survey distributed to the heads of the participating colleges /departments.

 

Results: A number of strengths and weaknesses were identified. The strengths were:  all schools had a 1 to 2-month clinical CBR course integrated into their undergraduate curriculum; CBR courses were supported by a course syllabus, learning outcomes, student assessment and clinical training manual; 80% of institutions had implementing policies and guidelines governing management of the CBR programme(s); at least one physiotherapist was involved in the management of the CBR programme(s); and, CBR activities were delivered in coordination with key stakeholders management, with emphasis on delivery of physical therapy services, disability prevention, health education, participation of persons with disabilities and community awareness. The weaknesses were: no head/programme coordinator for 30% of CBR programmes; 40% did not have clinical coordinators as designated management positions in the CBR programme; only 50% of academic staff received formal CBR training, of which 80% was provided through CBR summits and professional interaction with other physical therapists; and, only 50% of schools adopted a multidisciplinary approach to service delivery which was focused on the Health domain of the CBR Matrix.

 

Conclusion:  The CBR component of the undergraduate physical therapy curriculum in the Philippines can be improved. A shift in the teaching to transdisciplinary care and inter-professional learning is recommended. Regular review of the CBR indicators should be done by the schools, including the key stakeholders.  Challenges for CBR implementation were recruitment of community volunteers as CBR workers, availability of indigenous resources and finances to support CBR activities, and family participation in the rehabilitation of a relative with a disability. Each school should determine whether current human resources and training are adequate. Schools must be encouraged to jointly identify common problems in CBR education and share solutions. 

Employment profile of women with disabilities in San Remigio and Mandaue City, Cebu, Philippines

MINA, Christian
December 2017

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This study, an off-shoot of the third joint project of the Philippine Institute for Development Studies and Institute of Developing Economies, looked at the employment profile of adult women with disability in San Remigio and Mandaue City in Cebu, Philippines. Using the primary data collected through survey (involving PWD enumerators) and key informant interviews with various stakeholders, the study found that both the rate and the quality of employment of PWD women in the study sites were generally low

 

DISCUSSION PAPER SERIES NO. 2017-57 DP 2017-57

Cross-sectional Survey to Assess Prevalence of Disability and Access to Services in Albay Province, The Philippines

HODGE, Marcus
BOLINAS, Amable
JAUCIAN, Erlynn
BONEO, Rebecca
SCHAPIRA, Allan
VILLANUEVA, Mary Mediatrix V
2017

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Aim:  A cluster randomized cross-sectional survey to assess the prevalence of disability and access to support services was conducted in Albay Province, the Philippines in April 2016.

 

Method:  The population-based survey methodologies developed by the Washington Group of the United Nations Statistical Commission and UNICEF were utilized.  A sample of 70 barangays (the 3rd level administrative division in the Philippines) was selected as clusters, with probability proportional to size, and 30 households were selected randomly in each barangay to be surveyed.

 

Results:  The estimated prevalence of disability using the standard criteria of the Washington Group and UNICEF among children (2-17 years old) was 2.0% and for adults (≥18 years old) it was 6.5%.  The estimated prevalence of disability was higher in rural than in urban areas.  Deficiencies in the performance of existing services were identified; access by children with disabilities to support services was lowest in rural highland and rural plain barangays.

 

Conclusions: There was a large unmet demand for support services addressing the needs of persons with disabilities in Albay Province, especially in rural highland areas.  Persons with disabilities were disadvantaged in access to education and employment; many had not been educated in their basic rights.

 

Implications:  To identify, educate and fully support persons with disabilities, community-based rehabilitation (CBR), health and other rehabilitation services must communicate effectively with each other, their current work should be mapped and analysed, their comparative strengths identified, and their future work coordinated.  It is a priority to educate persons with disabilities and their families about their rights, and facilitate their access to support services; this requires increased investment in communication targeting persons with disabilities and the communities, especially rural.  Providers caring for persons with disabilities need to work in partnership to identify unreached persons with disabilities.  Prevalence surveys, with stronger focus on the profiles and performance of CBR and related services, would add to the evidence-base to improve the quality and coverage of services for persons with disabilities.

Wheelchair services and use outcomes: A cross-sectional survey in Kenya and the Philippines

BAZANT, Eva S.
HURWITZ, Elizabeth J. Himelfarb
ONGUTI, Brenda N.
WILLIAMS, Emma K.
NOON, Jamie H.
XAVIER, Cheryl A.
GARCIA, Ferdiliza D.S.
GICHANGI, Anthony
GABBOW, Mohammed
MUSAKHI, Peter
KIRBY, R. Lee
2017

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Background: The World Health Organisation recommends that services accompany wheelchair distribution. This study examined the relationship of wheelchair service provision in Kenya and the Philippines and wheelchair-use–related outcomes.


Method: We surveyed 852 adult basic manual wheelchair users. Participants who had received services and those who had not were sought in equal numbers from wheelchair-distribution entities. Outcomes assessed were daily wheelchair use, falls, unassisted outdoor use and performance of activities of daily living (ADL). Descriptive, bivariate and multivariable regression model results are presented.


Results: Conditions that led to the need for a basic wheelchair were mainly spinal cord injury, polio/post-polio, and congenital conditions. Most Kenyans reported high daily wheelchair use (60%) and ADL performance (80%), while these practices were less frequent in the Philippine sample (42% and 74%, respectively). Having the wheelchair fit assessed while the user propelled the wheelchair was associated with greater odds of high ADL performance in Kenya (odds ratio [OR] 2.8, 95% confidence interval [CI] 1.6, 5.1) and the Philippines (OR 2.8, 95% CI 1.8, 4.5). Wheelchair-related training was associated with high ADL performance in Kenya (OR 3.2, 95% CI 1.3, 8.4). In the Philippines, training was associated with greater odds of high versus no daily wheelchair use but also odds of serious versus no falls (OR 2.5, 95% CI 1.4, 4.5).


Conclusion: Select services that were associated with some better wheelchair use outcomes and should be emphasised in service delivery. Service providers should be aware that increased mobility may lead to serious falls.
 

CVD project evaluation : baseline diabetes study, Davao, Philippines 2010

PILLERON, Sophie
June 2011

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This study gathered baseline data for the CVD Project evaluation. "This study also concerned gathering information on the nature of diabetes and common practices in diabetes management and care, to improve project implementation strategy and data on promoting health care services in the community...This study was the first part of a quasi-experimental before-after here-there study conducted in 10 intervention barangays and 5 control barangays of Davao City. The study population consisted of people with diabetes aged 20 years and above who had visited the Barangay Health Centre and had proof of a doctor’s diagnosis for diabetes mellitus or proof of a relative-to-diabetes medicine prescription...Despite its limitations, this study provides a first insight on the people living with diabetes in Davao City. With 72% of diabetics having uncontrolled glycaemia, this study shows the relevance of the CVD project. As a baseline, this study provides comparison elements for the 2013 survey in order to test effectiveness of the CVD project with the percentage of diabetics with HbA1c<6.5% as effectiveness criterion"
DS/RD 01

Employment choices of persons with disability (PWDs) in Metro Manila

MINA, Christian
November 2010

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How people with disabilities (PWDs) in the Philippines make a living and determine the factors, mainly their individual and household characteristics, which influenced them to select a particular labor market status and/or a source of personal income was examined. The different types of work these PWDs engage in and their association with levels of education was analysed. Based on the insights drawn from econometric analyses, it presents some recommendations that can be of help to the government in crafting better policy strategies in the provision of livelihood to, as well as empowerment of, PWDs

Preliminary results of the survey on persons with disabilities conducted in selected Metro Manila cities

YAP, Joseph
ALBERT, Jose, Ramon
REYES, Celia
TABUGA, Aubrey
January 2009

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To better understand the economic condition of persons with disabilities (PWDs), it is crucial that information about their economic activities and daily life is obtained. This information can serve as basis for the formulation of policies and intervention strategies for the government, other stakeholders, and the international community. In 2008, the Philippine Institute for Development Studies collaborated with the Institute of Developing Economies (IDE) in Japan, to undertake a survey on PWDs in Metro Manila. The survey covered four Metro Manila cities, namely: Makati, Pasay, Valenzuela, and Quezon City. It was conducted in partnership with the Social Welfare Office of each of the cities and various PWD organizations. This report presents the results of this survey.

 

DP 2009-25

Comparing disability questions for censuses and surveys in Asia and the Pacific

SMIT, Jan
LIU, Wei
February 2007

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“"This paper compares the construct and predictive validity of a set of disability questions tested on a sample of respondents in five Asia-Pacific countries. It finds that the construct validity of the Washington Group questions for the seeing, hearing, mobility and self care domains is good when WHO questions for the corresponding domains are used as a benchmark; this does not, however, apply to the questions for the cognition and communication domains. The Washington Group questions perform similar to corresponding WHO questions in terms of predictive validity. For the four models examined - explaining difficulty with household responsibilities, work and school, and joining community activities, as well as employment status - the different question sets perform similar in terms of significance and magnitude of the odds ratios"

Disability at a glance : a profile of 28 countries and areas in Asia and the Pacific

UNITED NATIONAL ECONOMIC AND SOCIAL COMMISSION FOR ASIA AND THE PACIFIC (ESCAP)
2006

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This publication provides "...disability-related data and policy-related information so that readers are able to see in detail how a particular country or area defines disability and collects related statistics, and implements the Biwako Millennium Framework, in particular, with regard to the establishment of a relevant institutional framework and policies." It is intended "...that this publication will serve as a basis for continuing dialogue amongst the stakeholders on reviewing current status of Government commitments on disability and serve as an impetus for further actions"

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