Article

Making services available to children with disabilities in low- and
middle-income countries does not guarantee their use. This study aims to identify
factors associated with the uptake of referrals in order to investigate barriers
to service use. METHODS: Children with impairments identified in two districts of
Bangladesh were invited to attend screening camps where their condition was
confirmed; they were provided with referrals for rehabilitation and treatment
services. Predictors of referral uptake were identified using logistic
regression. RESULTS: Overall referral uptake was 47%, 32% in Sirajganj and 61% in
Natore. There was no association between age or gender and referral uptake.
Factors predictive of referral uptake were higher income in Sirajganj (OR=2.6
95%CI 1.4-5.0), and the districts combined (OR=1.6 95%CI 1.1-2.1); maternal
literacy in Natore (OR=1.6 95%CI 1.0-2.5); and epilepsy in all three models
(Sirajganj: OR=2.6 95%CI 1.7-4.0; Natore: OR=13.5 95%CI 6.5-28.3; Combined:
OR=4.6 95%CI 3.3-6.5). Physical impairment was associated with increased odds of
uptake in Sirajganj and in the combined model (OR=2.7 95%CI 1.8-4.1; OR=3.34
95%CI 2.2-5.2). CONCLUSIONS: Even when some logistical and financial assistance
is available, children with impairment from low-income families may require
additional support to take up referrals. There may be greater willingness to
accept treatment that is locally provided, such as medication for epilepsy or
therapy at village level.
CI - (c) 2012 Informa UK, Ltd.

Langue : ANGLAIS