The main objective of this study was to determine the prevalence and factors associated with utilization of rehabilitation services among children with disabilities in the Amolatar District in Northern Uganda.
This was a community based cross-sectional descriptive study involving qualitative and quantitative method. The study employed structured questionnaire and KII to collect the data. Data will be analysed using SPSS version 23 and thematic content analysis for quantitative and qualitative data, respectively.
About 110 to 190 million adults encounter substantial difficulties in their daily lives. In order to reduce the number of people with disabilities (PWDs), the WHO Member States in 2014 endorsed global disability action plan 2014–2021 with the aim to remove barriers and improve access to health services; strengthen and extend rehabilitation and community-based rehabilitation.
Table of Contents
CHAPTER ONE: INTRODUCTION
1.1 Background
1.2 Statement of the problem
1.3 Study Objectives
1.3.1 General Objective
1.3.2 Specific objectives of the study
1.4 Research question
1.5 Scope of the study
1.6 Justification
1.7 Significance of the study
1.8 Conceptual framework
1.8.1 Narrative
CHAPTER 2: LITERATURE REVIEW
2.0 Introduction
2.1 Factors Influencing utilization of rehabilitation services
2.1.1 Adherence
2.1.2 Travelling Distance to the Clinic
2.1.3 Communication between Caregiver and Clinician
2.1.4. Parent’s Attitude
2.1.5. Social/ Economic Support
2.1.6 Waiting Time
2.1.7 Parent/Caregiver’s Knowledge of the condition
2.2 Conclusion and gaps
CHAPTER THREE: METHODOLOGY
3.1 Study design
3.2 Study site & setting
3.3 Study populations
3.4 Sampling techniques
3.5 Sample size determination
3.6 Study procedure
3.7 Eligibility criteria (inclusion & exclusion)
3.7.1 Inclusion criteria
3.7.2 Exclusion criteria
3.8 Data management:
3.8.1 Data collection method and instrument
3.8.2 Data entry & cleaning
3.8.3 Data analysis
3.8.4 Measurement of variables (quantitative studies)
3.9 Quality control (validity & reliability)
3.10 Ethical considerations
3.10.1 Approval
3.10.2 Consent
3.10.3 Privacy protection and Confidentiality
3.10.4 Safety
3.11 Study limitations
CHAPTER FOUR: DATA ANALYSIS AND PRESENTATION
4.0 Introduction
4.1 Demographic Characteristics of the Participants
4.2 Level of utilization of rehabilitation services
4.3 Parental factors associated with utilization of rehabilitation services
4.4 Facility Related Factors
CHAPTER 5: DISCUSION
5.0 Introduction
5.1 Level of utilization of rehabilitation services
5.2 Social- demographic factors and utilization of rehabilitation service
5.3 Parental factors associated with utilization of rehabilitation services
5.4 Facility related factors associated with utilization of rehabilitation services
CHAPTER 6: CONCLUSION CHALLENGES AND RECOMMENDATIONS
6.1 Introduction
6.2 Conclusion
6.2.1 Level of utilization of rehabilitation services
6.2.2 Social- demographic factors and utilization of rehabilitation service
6.2.3 Parental factors associated with utilization of rehabilitation services
6.2.4 Facility related factors associated with utilization of rehabilitation services
6.3 Recommendations
6.4 Recommendation on further study
Study Objectives and Scope
The primary aim of this research is to evaluate the prevalence of rehabilitation service utilization among children with disabilities in the Amolatar District and to identify the specific factors—including parental attitudes, socio-demographic influences, and facility-related barriers—that contribute to the current underutilization of these essential health services.
- Prevalence of rehabilitation service access among disabled children in Amolatar.
- Impact of parental awareness and socio-cultural factors on service uptake.
- Facility-related challenges, including waiting times, accessibility, and service costs.
- Evaluation of the relationship between health service quality and patient adherence.
- Development of evidence-based strategies for policy makers to enhance rehabilitation program coverage.
Excerpt from the Book
2.1.2 Travelling Distance to the Clinic
The distance needed to travel to the health facility and the geographical accessibility can be a barrier to participation and the continuation of the services by patients/caregivers. Ease of travel can be a barrier if the patient finds it difficult to get means of getting to the facilities. Poor access to the facility increases economic expenses that affect compliance with the required prescribed services (Beardley, Wish, Fitzelle, O’craby and Arria, 2003).
Geographical location of the health facilities is a determinant of the access and use of the rehabilitative services by patient /caregiver of children with disability. For parent/caregivers who are employed, it is difficult to get time off to get the patient to facility due to frequency of visits. Studies indicate that the location of the health facility can determine the access and utilization of medical services. In a study in Ghana, (Tolhurst and Nyonator, 2006)found that distance travelled to health facilities, long waiting times and negative attitude of health care providers were major barriers to the access of health care services.
Summary of Chapters
CHAPTER ONE: INTRODUCTION: This chapter establishes the burden of disability globally and in Africa, highlighting the specific gap in data concerning rehabilitation service utilization for children with disabilities in the Amolatar District.
CHAPTER 2: LITERATURE REVIEW: This section examines existing research on the determinants of rehabilitation adherence, including factors like distance, communication, parental attitude, and economic support.
CHAPTER THREE: METHODOLOGY: This chapter details the community-based, cross-sectional descriptive study design used to collect quantitative and qualitative data from the target population in Amolatar.
CHAPTER FOUR: DATA ANALYSIS AND PRESENTATION: This chapter presents the statistical results from the 140 surveyed participants regarding demographics, utilization rates, and the specific factors influencing service access.
CHAPTER 5: DISCUSION: This chapter interprets the findings in the context of international health literature and discusses the significant relationships found between disability types, causes, and service utilization.
CHAPTER 6: CONCLUSION CHALLENGES AND RECOMMENDATIONS: This final chapter synthesizes the findings and provides actionable policy recommendations for government and community stakeholders to improve rehabilitation accessibility.
Keywords
Children with disabilities, Rehabilitation services, Amolatar District, Service utilization, Parental factors, Healthcare access, Disability, Public health, Community-based rehabilitation, Socio-economic support, Infrastructure development, Health policy, Uganda, Adherence.
Frequently Asked Questions
What is the core focus of this research?
The study investigates the factors influencing the low utilization of rehabilitation services among children with disabilities in the Amolatar District of Uganda.
What are the primary themes analyzed in this work?
The core themes include socio-demographic characteristics, parental knowledge and attitudes, facility accessibility, and communication between caregivers and clinicians.
What is the main objective of the study?
The primary objective is to determine the current prevalence of rehabilitation service use and to identify the barriers and drivers that affect this utilization in the specified region.
What research methodology was employed?
The study utilized a community-based cross-sectional descriptive design, employing structured questionnaires and Key Informant Interviews (KII) for data gathering.
What does the main body of the work cover?
The main body covers a comprehensive literature review, the methodological framework, detailed data presentation, and a discussion of the study's findings compared to international indicators.
Which keywords best characterize the study?
Key terms include children with disabilities, rehabilitation utilization, Amolatar District, public health, and socio-economic determinants.
How is the prevalence of service utilization described in Amolatar?
The study identifies the level of utilization as significantly low, with only 37.1% of children with disabilities accessing any form of rehabilitative care.
What is a notable finding regarding infection and service use?
The research found that children whose disability was caused by an infection showed higher rates of rehabilitation service utilization, likely due to more frequent prior interactions with the healthcare system.
What is the recommended role for the government according to the author?
The author recommends that the government increases funding, strengthens PWD structures, subsidizes assistive devices, and enforces policies to reduce stigma and accessibility barriers.
Does the proximity of healthcare facilities influence utilization?
The study emphasizes that geographical accessibility and transport costs are critical facility-related barriers that correlate with the ability to adhere to prescribed rehabilitation regimens.
- Quote paper
- Richard Obwol (Author), 2023, Utilization of rehabilitation services among children with disabilities in Amolatar District, Northern Uganda. Level and factors, Munich, GRIN Verlag, https://www.grin.com/document/1319276
