Hartmann Laura, Hamilton Alison, van der Merwe Amelia, du Toit Stefani, Xakayi Wendy, Hunt Xanthe
Institute for Life Course Health Research, Department of Global Health, Faculty of Medicine and Health Sciences, Stellenbosch University, Bellville, South Africa.
Department of Psychiatry and Biobehavioral Sciences, Faculty of Health Sciences, University of California Los Angeles, Los Angeles, CA, United States of America.
Afr J Disabil. 2022 Feb 25;11:867. doi: 10.4102/ajod.v11i0.867. eCollection 2022.
Acquiring a physical disability in adulthood necessitates a range of adjustments, with past research suggesting that some challenges encountered are unique to women. Moreover, several factors may complicate adjustment to an altered embodiment and difficulties in functioning after an accident, including insufficient rehabilitation and support services and problematic societal attitudes towards disability. In addition, women with disabilities are often excluded from health and social policy and programme development, an oversight that can result in support gaps.
This article presents the self-identified priority interventions of women with road accident-acquired physical disabilities in South Africa.
We conducted interviews with 18 women with road accident-acquired physical disabilities. The participants were recruited via snowball sampling. Interviews were conducted by experienced interviewers, who were home language speakers of the participants' preferred language of communication. The interview recordings were transcribed, translated, and coded by trained, independent researchers.
Study participants identified three key areas of intervention requiring consideration in supportive intervention planning: the acute post-injury environment and healthcare infrastructure, transitional services and social inclusion interventions. These were identified as overlooked areas in which they required support to successfully adapt to limitations in functioning.
To develop inclusive, accessible, and practical policy and programming for people with disabilities, exercises like those outlined in this research - eliciting intervention ideas from lived experience - should be conducted as they highlight actionable priorities for programming.
成年后身体致残需要一系列调整，过去的研究表明，女性面临的一些挑战是独特的。此外，有几个因素可能会使事故后适应身体变化和功能困难变得复杂，包括康复和支持服务不足以及社会对残疾的态度问题。此外，残疾女性往往被排除在健康和社会政策及项目制定之外，这种忽视可能导致支持缺口。
本文介绍了南非因道路交通事故导致身体残疾的女性自行确定的优先干预措施。
我们对18名因道路交通事故导致身体残疾的女性进行了访谈。参与者通过滚雪球抽样招募。访谈由经验丰富的访谈员进行，他们是参与者首选交流语言的母语使用者。访谈录音由训练有素的独立研究人员进行转录、翻译和编码。
研究参与者确定了支持性干预计划中需要考虑的三个关键干预领域：受伤后的急性期环境和医疗基础设施、过渡服务以及社会包容干预措施。这些被确定为她们需要支持以成功适应功能限制的被忽视领域。
为了为残疾人制定包容性、可及性和实用性的政策及项目，应开展如本研究中所述的活动——从生活经历中引出干预想法，因为它们突出了项目实施的可操作优先事项。
