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非洲智力残疾的现状:儿童和成人的流行病学及政策服务

Perspectives of intellectual disability in Africa: epidemiology and policy services for children and adults.

作者信息

Njenga Frank

机构信息

Upper Hill Medical Centre, Nairobi, Kenya.

出版信息

Curr Opin Psychiatry. 2009 Sep;22(5):457-61. doi: 10.1097/YCO.0b013e32832e63a1.

Abstract

PURPOSE OF REVIEW

To establish the nature of publications emanating from or relating to intellectual disability in Africa in the previous 12-18 months, and to critically analyse the nature and content of any new knowledge arising from them.

RECENT FINDINGS

Three papers satisfied the criteria set, one from Nigeria on epilepsy and intellectual disability, the other two were from South Africa. Kromberg's paper puts intellectual disability in context for South Africa, emphasizing the role potentially played by traditional healers. Pillay's paper tackles emerging issues in the psycholegal arena in South Africa, many of which are relevant to the rest of the continent.

SUMMARY

Of the many challenges facing persons with intellectual disability in Africa, high prevalence, discrimination, and access to justice and education are key considerations, in all countries, and without exception are coupled with poor resource allocation. The challenges posed by HIV, wars and internal displacement are significant and demand examination by researchers. Opportunities for beneficial research exist between Africa and the centres of academic excellence around the rest of the world. Those centres with the skill and will to collaborate with Africa will be handsomely rewarded by the wide scope of challenges in intellectual disability that are available for scientific enquiry. Opportunities for skills transfer are many and available.

摘要

综述目的

梳理过去12至18个月间源自非洲或与非洲智力残疾相关的出版物的性质,并批判性分析其中产生的任何新知识的性质和内容。

最新发现

有三篇论文符合设定的标准,一篇来自尼日利亚,探讨癫痫与智力残疾,另外两篇来自南非。克龙伯格的论文将南非的智力残疾情况置于背景中,强调了传统治疗师可能发挥的作用。皮莱的论文探讨了南非心理法律领域出现的问题,其中许多问题与非洲大陆其他地区相关。

总结

在非洲,智力残疾者面临诸多挑战,在所有国家,高患病率、歧视以及获得司法救助和教育的机会都是关键考量因素,而且无一例外都伴随着资源分配不足的问题。艾滋病毒、战争和国内流离失所带来的挑战十分严峻,需要研究人员进行审视。非洲与世界其他地区的学术卓越中心之间存在有益研究的机会。那些有能力且愿意与非洲合作的中心,将因智力残疾领域可供科学探究的广泛挑战而获得丰厚回报。技能转移的机会众多且切实可行。

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