Hosain G M, Chatterjee N
School of Public Health, University of Texas, Houston Health Science Center 77225, USA.
Disabil Rehabil. 1998 Sep;20(9):337-45. doi: 10.3109/09638289809166091.
The purpose of the present study was to examine the utilization of health services by disabled persons in rural Bangladesh and to identify associated factors to inform the development of appropriate health services. Household surveys were conducted in two villages of Bangladesh by a trained primary-care specialist who lived in the study area for 4 months. About 81% of the sample had utilized some form of health care with more than half consulting unqualified practitioners of modern medicine. Disabled persons whose families perceived they were disabled were 14 times more likely than others to seek treatment. Being male and in the economically productive age group, having an acquired disability and having some form of belief about disability causation were associated with utilization. The conclusions of the study are that social and cultural barriers prevent certain groups, notably women and demographically dependent age groups, from accessing health care. Those who are economically beneficial to the family usually utilize health services. A combination of educational and economic initiatives such as a disability benefits allowance would strongly promote the health of disabled persons and create a general awareness of disability in Bangladesh. A long-term programme which includes disability training for health-care workers and use of financial institutions and existing local government infrastructure for intensive rehabilitation will improve quality of life for disabled persons and is proposed for urgent implementation.
本研究的目的是调查孟加拉国农村残疾人的卫生服务利用情况，并确定相关因素，以为制定适当的卫生服务提供依据。一名在研究地区居住了4个月的经过培训的初级保健专家在孟加拉国的两个村庄进行了家庭调查。约81%的样本使用过某种形式的医疗保健，其中一半以上咨询过不合格的现代医学从业者。家庭认为其有残疾的残疾人寻求治疗的可能性是其他人的14倍。男性、处于经济生产年龄组、有后天残疾以及对残疾成因有某种形式的认知与卫生服务利用有关。该研究的结论是，社会和文化障碍阻碍了某些群体，特别是妇女和人口统计学上的依赖年龄组获得医疗保健。那些对家庭经济有益的人通常会利用卫生服务。诸如残疾津贴等教育和经济举措相结合，将有力地促进残疾人的健康，并在孟加拉国提高对残疾的普遍认识。一项长期计划，包括对医护人员进行残疾培训，并利用金融机构和现有的地方政府基础设施进行强化康复，将改善残疾人的生活质量，建议立即实施。
