Lindsay Lee1, Ferdinand Mou2, Alphonse Um Boock2, Carolina Fellinghauer3, Mirjam Kohls1,4,5, Alarcos Cieza1, Carla Sabariego6,7,8. 1. Sensory Functions, Disability and Rehabilitation (SDR), World Health Organization, Geneva, Switzerland. 2. FAIRMED country office, Yaounde, Cameroon. 3. Sensory Functions, Disability and Rehabilitation (SDR), World Health Organization, Geneva, Switzerland. fellinghauerc@who.int. 4. Institute for Medical Information Processing, Biometry and Epidemiology, LMU Munich, Munich, Germany. 5. Pettenkofer School of Public Health, Munich, Germany. 6. Department of Health Sciences and Medicine, University of Lucerne, Lucerne, Switzerland. 7. Swiss Paraplegic Research, Nottwil, Switzerland. 8. Center for Rehabilitation in Global Health Systems, WHO Collaborating Center, University of Lucerne, Lucerne, Switzerland.
Abstract
BACKGROUND: Comprehensive data is key for evidence-informed policy aiming to improve the lives of persons experiencing different levels of disability. The objective of this paper was to identify the environmental barriers - including physical, social, attitudinal, and political barriers - that might become priorities for cross-cutting policies and policies tailored to the needs of persons experiencing severe disability in Cameroon. METHODS: A secondary analysis of data obtained with the WHO Model Disability Survey was completed in the Bankim Health District (N = 559) using random forest regression to determine and compare the impact of the environmental factors on the experience of disability. RESULTS: The physical environment had by far the highest influence on disability, with transportation, toilet of the dwelling, and the dwelling itself being the most important factors. Factors inside one's own home (toilet of the dwelling, and the dwelling itself) were the most important for persons with moderate and severe disability, followed by attitudes of others and issues with accessing health care. CONCLUSION: Our study provides country policy makers with evidence for setting priorities and for the development of evidence-informed policies for the Bankim Health District in Cameroon.
BACKGROUND: Comprehensive data is key for evidence-informed policy aiming to improve the lives of persons experiencing different levels of disability. The objective of this paper was to identify the environmental barriers - including physical, social, attitudinal, and political barriers - that might become priorities for cross-cutting policies and policies tailored to the needs of persons experiencing severe disability in Cameroon. METHODS: A secondary analysis of data obtained with the WHO Model Disability Survey was completed in the Bankim Health District (N = 559) using random forest regression to determine and compare the impact of the environmental factors on the experience of disability. RESULTS: The physical environment had by far the highest influence on disability, with transportation, toilet of the dwelling, and the dwelling itself being the most important factors. Factors inside one's own home (toilet of the dwelling, and the dwelling itself) were the most important for persons with moderate and severe disability, followed by attitudes of others and issues with accessing health care. CONCLUSION: Our study provides country policy makers with evidence for setting priorities and for the development of evidence-informed policies for the Bankim Health District in Cameroon.
Entities:
Keywords:
Cameroon; Disability; Functioning; Health policies; Public health; Random Forest; Statistical analysis
Authors: Kaloyan Kamenov; María Cabello; Carolina Saskia Ballert; Alarcos Cieza; Somnath Chatterji; Diego Rojas; Gloria Cerón; Jerome Bickenbach; José Luis Ayuso-Mateos; Carla Sabariego Journal: Int J Public Health Date: 2017-11-25 Impact factor: 3.380