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    Unmet Needs and Use of Assistive Products in Two Districts of Bangladesh: Findings from a Household Survey

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    Author
    Pryor, W; Liem, N; Islam, QN; Jalal, FA; Marella, M
    Date
    2018-12-01
    Source Title
    International Journal of Environmental Research and Public Health
    Publisher
    MDPI
    University of Melbourne Author/s
    Marella, Manjula; Pryor, Wesley; Nguyen, Liem
    Affiliation
    Melbourne School of Population and Global Health
    Metadata
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    Document Type
    Journal Article
    Citations
    Pryor, W., Liem, N., Islam, Q. N., Jalal, F. A. & Marella, M. (2018). Unmet Needs and Use of Assistive Products in Two Districts of Bangladesh: Findings from a Household Survey. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH, 15 (12), https://doi.org/10.3390/ijerph15122901.
    Access Status
    Open Access
    URI
    http://hdl.handle.net/11343/253666
    DOI
    10.3390/ijerph15122901
    Abstract
    Access to assistive products (AP) is an under-researched public health issue. Using an adaptation of a draft World Health Organization tool-the 'Assistive Technology Assessment-Needs (ATA-N)' for measuring unmet needs and use of AP, we aimed to understand characteristics of AP users, self-reported needs and unmet needs for AP, and current access patterns in Bangladesh. The ATA-N was incorporated in a Rapid Assessment of Disability (RAD), a population-based survey to estimate prevalence and correlates of disability. In each of two unions of Kurigram and Narsingdi districts, 60 clusters of 50 people each aged two years and older were selected using a two-staged cluster random sampling process, of whom, 4250 (59% Female; 41% Male) were adults, including 333 using AP. We estimate 7.1% of the studied population used any AP. AP use is positively associated with age and self-reported functional difficulty. The proportion of people using AP is higher for mobility than for sensory and cognitive difficulties. Of all people with any functional difficulty, 71% self-reported an unmet need for AP. Most products were home or self-made, at low cost, but provided benefits. Needs and unmet needs for AP are high, especially for people with greater functional difficulties. Assessing unmet needs for AP revealed important barriers to scale that can inform policy and practice.

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