Ray Minal, Wallace Lorena, Mbuagbaw Lawrence, Cockburn Lynn
University of Toronto, Department of Occupational Science & Occupational Therapy, Toronto, Canada.
McMaster University, Department of Health Research Methods Evidence and Impact, Hamilton, ON, Canada.
Pan Afr Med J. 2017 Jun 1;27:73. doi: 10.11604/pamj.2017.27.73.12167. eCollection 2017.
People living with disabilities in Cameroon face many barriers to daily functioning and social participation. However, there is limited research on disabilities and their impact. We sought to examine the research related to disability from Cameroon.
We conducted a systematic review, bibliometric analysis, and narrative synthesis of research related to disability, functioning, and social participation from Cameroon published during 2005-2014. The articles were screened in duplicate to identify articles addressing impacts of disability on functioning. Disability was contextualized using the International Classification of Functioning, Disability and Health (ICF) framework. Data were analyzed narratively per identified themes using an inductive data-driven approach.
A total of 46 studies were included following full-text review of which 36 addressed non-communicable diseases and conditions, 7 addressed infectious diseases and 3 addressed neglected tropical diseases. Among ICF Activity and Participation Restrictions, work and employment was the highest reported category (19 studies), followed by intimate relationships (14 studies), and looking after one's health (8 studies). Among ICF Environmental Factors, societal attitudes were the highest reported category (21 studies), followed by health services, systems and policies (14 studies) and support and relationships (11 studies). Among other common themes, knowledge and awareness was the highest reported category (22 studies), closely followed by traditional beliefs (20 studies) and financial barriers (9 studies).
There is a small body of primary research from Cameroon on disability. The main themes related to disability are stigma, limited knowledge and awareness, poor quality of care and hindered employment opportunities. Further efforts are required to investigate the complexities of living with a disability in Cameroon and strategies to enhance adequate participation in activities of daily life.
喀麦隆的残疾人在日常生活和社会参与方面面临诸多障碍。然而，关于残疾及其影响的研究有限。我们试图审视喀麦隆与残疾相关的研究。
我们对2005年至2014年期间发表的喀麦隆与残疾、功能和社会参与相关的研究进行了系统综述、文献计量分析和叙述性综合分析。文章经过双人筛选，以确定论述残疾对功能影响的文章。使用《国际功能、残疾和健康分类》（ICF）框架对残疾进行情境化分析。采用归纳数据驱动方法，按确定的主题对数据进行叙述性分析。
经过全文审查，共纳入46项研究，其中36项涉及非传染性疾病和病症，7项涉及传染病，3项涉及被忽视的热带病。在ICF活动和参与限制方面，工作和就业是报告最多的类别（19项研究），其次是亲密关系（14项研究）和自我保健（8项研究）。在ICF环境因素方面，社会态度是报告最多的类别（21项研究），其次是卫生服务、系统和政策（14项研究）以及支持和关系（11项研究）。在其他常见主题中，知识和意识是报告最多的类别（22项研究），紧随其后的是传统观念（20项研究）和经济障碍（9项研究）。
喀麦隆关于残疾的基础研究数量较少。与残疾相关的主要主题是污名化、知识和意识有限以及护理质量差和就业机会受阻。需要进一步努力研究喀麦隆残疾人生活的复杂性以及提高充分参与日常生活活动的策略。
