Kingau Naomi W, Louw Quinette A, Charumbira Maria Y
Department of Orthopedics and Rehabilitation, Moi University, Eldoret, Kenya.
Department of Physiotherapy, Faculty of Community and Health Sciences (CHS), Stellenbosch University, Cape Town, South Africa.
Afr J Disabil. 2025 Apr 24;14:1456. doi: 10.4102/ajod.v14i0.1456. eCollection 2025.
Kenya faces significant challenges in addressing the impact of various health conditions. Understanding the functioning problems associated with these conditions is crucial for informing targeted interventions and improving overall healthcare outcomes.
This study aimed to determine the prevalence and types of functioning problems associated with health conditions contributing most to Years Lived with Disability in the adult Kenyan population and to identify the International Classification of Functioning, Disability, and Health (ICF) domains and categories most affected.
A scoping review was conducted. Searches were performed across multiple databases using relevant keywords and inclusion criteria. Studies published between January 2006 and December 2023 were eligible. Data were extracted from 39 eligible studies using a web-based software application ().
Major depressive disorder, human immunodeficiency virus, low back pain and fractures were identified as the leading conditions contributing to functioning problems in Kenya. The most prevalent problems included walking difficulties, paraesthesia, various forms of pain and depression. The most affected ICF domains were mobility (d4), sensory function and pain (b2) and mental (b1).
The comprehensive description of functioning problems associated with priority health conditions in Kenya can be used to develop targeted interventions to improve health outcomes across affected domains.
This research enhances comprehension of disability burden guiding intervention development and policy formulation for improved rehabilitation and offers a platform for further evidence-based strategies to tackle the country's complex health challenges.
肯尼亚在应对各种健康状况的影响方面面临重大挑战。了解与这些状况相关的功能问题对于制定有针对性的干预措施和改善整体医疗保健结果至关重要。
本研究旨在确定成年肯尼亚人口中导致残疾生存年数最多的健康状况所关联的功能问题的患病率和类型,并确定受影响最严重的国际功能、残疾和健康分类(ICF)领域及类别。
进行了一项范围综述。使用相关关键词和纳入标准在多个数据库中进行检索。2006年1月至2023年12月发表的研究符合条件。使用基于网络的软件应用程序从39项符合条件的研究中提取数据。
重度抑郁症、人类免疫缺陷病毒、腰痛和骨折被确定为肯尼亚导致功能问题的主要状况。最普遍的问题包括行走困难、感觉异常、各种形式的疼痛和抑郁。受影响最严重的ICF领域是活动能力(d4)、感觉功能和疼痛(b2)以及心理(b1)。
对肯尼亚优先健康状况相关功能问题的全面描述可用于制定有针对性的干预措施,以改善各受影响领域的健康结果。
本研究增强了对残疾负担的理解,为改善康复的干预措施制定和政策制定提供指导,并为应对该国复杂健康挑战的进一步循证策略提供了一个平台。