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Purpose: This project addressed the lack of disability prevalence data in the North West Region of Cameroon. Methods: A multi-stage cluster design was used, and included urban, semi-urban and rural areas. In the first stage, the team screened 3,933 households, representing an estimated screening sample of 18, 878 individuals. In the second stage, structured interviews were conducted. The interviews included the International Classification of Functioning, Disability and Health (ICF) Checklist to confirm disability status and determine the nature of disability. Results: A total sample of 1,233 individuals screened positive for having a disability. According to this study’s cluster design the prevalence of screening positive for disability in this region was 6.9% (95% CLs 5.7-8.2%) and the population prevalence of disability was 6.2% (95% CLs 5.2-7.2%). Of the individuals who screened positive for disability, 1,106 (89.7%) of them had a participation restriction or activity limitation which was of moderate severity or greater, suggesting that the screening tool was useful for identifying many persons living with moderate or severe disability but not very sensitive at identifying people with minor disabilities. Conclusions: Although certain limitations in the study’s methods must be taken into account, these results can be used to justify the need for, and inform the design of, programming for individuals with disabilities in this region.
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References
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References
Allotey, P., Reidpath, D., Kouame, A., & Cummins, R. (2003). The DALY, context and the determinants of the severity of disease: An exploratory comparison of paraplegia in Australia and Cameroon. Social Science and Medicine, 57, 949-958. doi: 10.1016/S0277-9536(02)00463-X
Centres for Disease Control and Prevention. Epi Info. Available from http://wwwn.cdc.gov/epiinfo/index.htm
CNIS Cameroon’s National Institute for Statistics and ORC Macro. (2004). Enquête démographique et de santé du Cameroun 2004 (Cameroon’s demographic and health survey 2004). Calverton, Maryland, USA: CNIS and ORC Macro.
CNIS Cameroon’s National Institute for Statistics. (2010). La population du Cameroun en 2010 (The Population of Cameroon in 2010). Retrieved 2012 April 6 from: http://www.statistics-cameroon.org/news.php?id=18
CNIS Cameroon’s National Institute for Statistics and ICF International (2012). Enquête Démographique et de Santé et à Indicateurs Multiples du Cameroun 2011 (Cameroon’s Demographic and Health and Multiple Indicator Survey 2011). Calverton, Maryland, USA : CNIS and ICF International.
Eide, A. H., Jelsma, J., Loeb, M., Maart, S. and Toni, M. K. (2008)'Exploring ICF components in a survey among Xhosa speakers in Eastern & Western Cape, South Africa',Disability & Rehabilitation,30:11,819 —829. doi: 10.1080/09638280701390998
Eide, A.H., & Kamaleri, Y. (2009). Living condition among people with disabilities in Mozambique: A national representative study. Oslo: SINTEF Health Research; January 2009. Report No.: SINTEF A9348. Retrieved March 27, 2012 from: http://www.safod.org/Resource Centre/ddrtc_living conditions.html
Eide, A. H., Nhiwathiwa, S., Muderezi, J., & Loeb, M.E. (2003). Living Conditions among people with activity limitations in Zimbabwe: A representative regional study. Oslo: SINTEF Unimed Health & Rehabilitation; November 2003. Report No.: STF78 A034512. Retrieved 2012 March 27 from: http://www.safod.org/Resource Centre/ddrtc_living conditions.html
Eide, A.H., Van Rooy, G. & Loeb, M.E. (2003). Living Conditions among people with disabilities in Namibia. A national representative study. Oslo: SINTEF Unimed Health & Rehabilitation. Report No.: STF78 A034503. Retrieved 2012 March 27 from: http://www.safod.org/Resource Centre/ddrtc_living conditions.html
Fitaw, Y., & Boersma, J.M.F. (2006). Prevalence and impact of disability in north-western Ethiopia. Disability and Rehabilitation, 28(15):949–953.
Frerichs, R.R. (2008). Software training manual (Windows) (Internet). UCLA. Available from: http://www.ph.ucla.edu/epi/rapidsurveys/RScourse/RSstmanual.html
Loeb, M., & Eide, A.H. (2004). Living Conditions among people with activity limitations in Malawi: A national representative study. Oslo: SINTEF Health Research. Report No.: STF78 A044511.
Loeb, M.E., Eide, A.H., & Mont, D. (2008). Approaching the measurement of disability prevalence: The case of Zambia. ALTER, Revue européenne de recherche sur le handicap. 2:32–43.
National Bureau of Statistics. Tanzania 2008 Disability Report. Dar es Salaam, Tanzania: 2008.
Tchamgoue, H. and Nantchouang, A. (2012). Chapter 16: Handicap. In INS Institut National de la Statistique et ICF. International. Enquête Démographique et de Santé et à Indicateurs Multiples du Cameroun 2011. Calverton, Maryland, USA : INS et ICF International.
Uganda Bureau of Statistics. Uganda national household survey 2009/10. Kampala, Uganda: 2010.
Washington Group on Disability Statistics. (2009). Atlanta: Centers for disease control and prevention. - Retrieved 2012 March 27 from: http://www.cdc.gov/nchs/washington_group.htm
WHO World Health Organization. (2003). The ICF Checklist. Retrieved 2012 February 21 from: http://www.who.int/classifications/icf/training/icfchecklist.pdf
WHO World Health Organization. (2011). World Report on Disability. Available from http://www.who.int/disabilities/world_report/2011/en/index.html