Edorium Journal of

Disability and Rehabilitation

 
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Original Article
 
Characterizing disability and perception of rehabilitation in the health District of Dschang, Cameroon
Calogero Foti1, Yannick N. Azeufack1,2, Martin S. Sobze2,3, Caterina Albensi1, Raoul W. Guetiya4,5, Rachel Mindjomo2, Michelle Sipewo2, Isabelle Djouana2, Axel Mba2, Elisabeth Metomo2, Ivan Nkone2, Mireille Ndongo2, Manjieli Awawou2, Charleine Tuiedjo2, James F. Onohiol2,3, Bruna Djeunang Dongho2,3, Patrick P. Nkamedjie2, Vittorio Colizzi4,6
1Department of Clinical Sciences and Translational Medicine, Tor Vergata University, Rome, Italy.
2Department of Biomedical Sciences, Faculty of Sciences, University of Dschang, Cameroon.
3PIPAD Onlus, Dschang, Cameroon.
4Department of Biology, Faculty of Sciences, Tor Vergata University, Rome, Italy.
5Department of Biochemistry, Faculty of Sciences, University of Dschang, Cameroon.
6UNESCO Board of Multidisciplinary Biotechnology, Rome, Italy.

Article ID: 100013D05CF2016
doi:10.5348/D05-2016-13-OA-9

Address correspondence to:
Calogero Foti
MD, FEBPRM, Department of Clinical Sciences and Translational Medicine
Tor Vergata University, Rome; Italy
Via Montpellier, 1, Rome
Italy; 00133

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How to cite this article
Foti C, Azeufack YN, Sobze MS, Albensi C, Guetiya RW, Mindjomo R, Sipewo M, Djouana I, Mba A, Metomo E, Nkone I, Ndongo M, Awawou M, Tuiedjo C, Onohiol JF, Dongho BD, Nkamedjie PP, Colizzi V. Characterizing disability and perception of rehabilitation in the health District of Dschang, Cameroon. Edorium J Disabil Rehabil 2016;2:70–77.


Abstract
Aims: Disability and Rehabilitation Medicine are lagging behind in resource-limited settings (RLS). Baseline data from these settings should set goals for implementation. Following legislation (N°83/013/1983) on the protection of persons with disabilities in Cameroon, we sought to assess the types and potential determinants of physical disability, in order to set-up pitfalls towards better protection and promotion of human rights among disable Cameroonians.
Methods: A cross-sectional study was conducted in June 2013 among physical disable individuals living in the Health District of Dschang, a locality of the western region of Cameroon with people from diverse origins. A standard questionnaire identifying disabilities and related socio-economic and health determinants was administered to each identified disabled.
Results: Out of 159 physically disabled (55.9% female and mean age 36 years [sd±17.26], 33.8% with primary educational-level), orthopedic (mainly due to fracture [45.8%] and infectious diseases [29.1%]) and neurological disabilities (mainly hemiplegia [33.3%], hemiparesis [23.8%], and monoplegia [23.8%]) were leading types of disabilities. Main causes of disability were traffic accidents (17.8%) and inappropriate medical interventions (14.5%). Disability onset decreased significantly with age (from 41.4% for 0–10 years to 0.6% for 70–80 years old, p=0.00508), and 50% experienced social discrimination/stigmatization. The disabled had low-income (XAF 50,000–200,000) to pay for rehabilitative care (XAF 10,000–100,000), and up to 83% appealed for an improved quality of rehabilitation medicine.
Conclusion: Wider range of disabilities calls for safer transportation, medical interventions and disease prevention, implementing standard approaches towards rehabilitation and social reintegration of the disabled living in typical RLS.

Keywords: Physical disability, Rehabilitation, Cameroon, Community healthcare, developing countries


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Author Contributions:
Calogero Foti – Substantial contributions to conception and design, Interpretation of data, Drafting the article, Critical revision of the article, Final approval of the version to be published
Yannick N. Azeufack – Analysis and interpretation of data, Drafting the article, Final approval of the version to be published
Martin S. Sobze – Substantial contributions to conception and design, Revising it critically for important intellectual content, Final approval of the version to be published
Caterina Albensi – Substantial contributions to conception and design, Analysis and interpretation of data, Drafting the article, Final approval of the version to be published
Raoul W. Guetiya – Acquisition of data, Analysis of data, Revising it critically for important intellectual content, Final approval of the version to be published
Rachel Mindjomo – Acquisition of data, Critical revision of the article, Final approval of the version to be published
Michelle Sipewo – Acquisition of data, Revising it critically for important intellectual content, Final approval of the version to be published
Isabelle Djouana – Acquisition of data, Revising it critically for important intellectual content, Final approval of the version to be published
Axel Mba – Acquisition of data, Revising it critically for important intellectual content, Final approval of the version to be published
Elisabeth Metomo – Acquisition of data, Revising it critically for important intellectual content, Final approval of the version to be published
Ivan Nkone – Acquisition of data, Revising it critically for important intellectual content, Final approval of the version to be published
Mireille Ndongo – Acquisition of data, Revising it critically for important intellectual content, Final approval of the version to be published
Manjieli Awawou – Acquisition of data, Revising it critically for important intellectual content, Final approval of the version to be published
Charleine Tuiedjo – Acquisition of data, Revising it critically for important intellectual content, Final approval of the version to be published
James F. Onohiol – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
James F. Onohiol – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Bruna Djeunang Dongho – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Patrick P. Nkamedjie – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Vittorio Colizzi – Substantial contributions to conception and design, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of submission
The corresponding author is the guarantor of submission.
Source of support
None
Conflict of interest
Authors declare no conflict of interest.
Copyright
© 2016 Calogero Foti et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.



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