Cross-Cultural Understanding of Health Assessments for People with Intellectual Disability: An Australian resource in the Philippines
DOI:
https://doi.org/10.5195/hcs.2015.203Parole chiave:
assessment, cross-cultural, Australia, Philippines, intellectual disabilityAbstract
The Convention on the Rights of Persons with Disabilities has resulted in the involvement of high income countries in international development assistance to people with disabilities in low and middle income countries. Healthcare tools designed in high income countries and delivered in low and middle income countries may not be appropriate to the context of the lives of people with disabilities. We undertook a short qualitative study of participants’ views of an Australian-designed comprehensive health assessment tool, with participation from a WHO-Collaborating non-government organisation in regional Philippines. We also examined the participants’ perceptions of the barriers to healthcare for Filipinos with intellectual disabilities. Responses to the comprehensive health assessment tool were positive although participants agreed that both linguistic and cultural translation would enhance wider use of the tool. The barriers identified included poverty, family isolation, stigma and communication issues as preventing appropriate healthcare delivery to Filipinos with intellectual disability. Consideration must be given to the complexities of transference of healthcare resources to a low and middle income country context, as well as the systemic and cultural barriers to appropriate healthcare provision to people with disabilities.
Riferimenti bibliografici
Asia Development Bank. (2010). Philippines Factsheet. In Asia Development Bank (Ed.).
AusAID. (2011). Disability in Australia's aid program. from www.ausaid.gov.au/keyaid/disability.cfm
Bassett, M. T. (2011). Advocacy: A leadership role for public health. American Journal of Public Health, 101(2), 202.
Cooper, S.-A., Melville, C., & Morrison, J. (2004). People with intellectual disabilities. British Medical Journal, 329(7463), 414-415.
Durkin, M. (2002). The epidemiology of developmental disabilities in low-income countries. Mental Retardation and Developmental Disabilities Research Reviews, 8, 206-211.
Finkenflugel, H., Wolffers, I., & Huijsman, R. (2005). The evidence base for community-based rehabilitation: A literature review. International Journal of Rehabilitation Research, 28(3), 187-201.
Fujiura, G. T., Park, H. J., & Rutkowski-Kmitta, V. (2005). Disability statistics in the developing world: A reflection on the meanings in our numbers. Journal of Applied Research in Intellectual Disabilities, 18(4), 295-304.
Helander, E., Mendis, P., & Nelson, G. (1980). Training the disabled in the community (Vol. 2). Geneva.
Helander, E., Mendis, P., Nelson, G., & Goerdt, A. (1989). Training in the community for people with disabilities. Geneva.
Japan International Cooperation Agency. (2002). Country Profile on Disability: The Republic of the Philippines. In Japan International Cooperation Agency Planning and Evaluation Department (Ed.).
Lagerkvist, B. (1992). Community-based rehabilitation outcome for the disabled in the Philippines and Zimbabwe. Disability and Rehabilitation, 14(1), 44-50.
Lennox, N., Bain, C., Rey-Conde, T., Purdie, D., Bush, R., & Pandeya, N. (2007). Effects of a comprehensive health assessment programme for Australian adults with intellectual disability: A cluster randomized trial. International Journal of Epidemiology, 36, 139-146.
Lennox, N., Bain, C., Rey-Conde, T., Taylor, M., Boyle, F. M., Purdie, D. M., & Ware, R. S. (2010). Cluster randomized-controlled trial of interventions to improve health for adults with intellectual disability who live in private dwellings Journal of Applied Research in Intellectual Disabilities, 23(4), 303-311.
Lennox, N. G., Ware, R. S., Bain, C., Taylor Gomez, M., & Cooper, S. A. (2011). Effects of health screening for adults with intellectual disability: A pooled analysis. British Journal of General Practice, 61(584), 193-196.
Lord, J., Posarac, A., Nicoli, M., Peffley, K., McClain-Nhlapo, C., & Keogh, M. (2010). Disability and International Cooperation and Development: A Review of Policies and Practices, SP Discussion Paper. In The World Bank (Ed.), Special Protection and Labor, (Vol. 1003). Geneva.
Mercer, S. W., & MacDonald, R. (2007). Disability and human rights. The Lancet, 374, 1795-1796.
Officer, A., & Groce, N. E. (2009). Key concepts in disability. The Lancet, 374, 1795-1796.
Salvador-Carulla, L., & Saxena, S. (2009). Intellectual disability: between disability and clinical nosology. The Lancet, 374(9704), 1798-1799.
Sibbald, B., Shen, J., & McBride, A. (2004). Changing the skill-mix of the health care workforce. Journal of health services research and policy, 9 Suppl 1, 28-38.
Stein, M. A., Stein, P. J. S., Weiss, D., & Lang, R. (2009). Health care and the UN Disability Rights Convention. The Lancet, 374(9704), 1796-1798.
Convention on the Rights of Persons with Disabilities, Item 67 (b) - Human rights questions: human rights questions, including alternative approaches for improving the effective enjoyment of human rights and fundamental freedoms C.F.R. (2008).
Rights and Dignity of Persons with Disabilities: Convention and Optional Protocol Signatures and Ratifications.
Valdez, L. S., & Mitchell, R. A. (1999). Community-based rehabilitation: a development programme in Negros Occidental. Disability and Rehabilitation, 21(10-11), 495-500.
van Schrojenstein Lantman De Valk, H., M.J. (2005). Health in People with Intellectual Disabilities: Current Knowledge and Gaps in Knowledge. Applied Research in Intellectual Disabilities, 18, 325-333.
World Health Organisation. (2007). Atlas: Global resources for persons with intellectual disabilities. from www.who.int/mental_health/evidence/atlas_id_2007.pdf
World Health Organisation. (2011). World Report on Disability. In WHO in collaboration with the World Bank (Ed.). Geneva, Switzerland.
##submission.downloads##
Pubblicato
Fascicolo
Sezione
Licenza
Authors who publish with this journal agree to the following terms:
- The Author retains copyright in the Work, where the term “Work” shall include all digital objects that may result in subsequent electronic publication or distribution.
- Upon acceptance of the Work, the author shall grant to the Publisher the right of first publication of the Work.
- The Author shall grant to the Publisher and its agents the nonexclusive perpetual right and license to publish, archive, and make accessible the Work in whole or in part in all forms of media now or hereafter known under a Creative Commons Attribution 4.0 International License or its equivalent, which, for the avoidance of doubt, allows others to copy, distribute, and transmit the Work under the following conditions:
- Attribution—other users must attribute the Work in the manner specified by the author as indicated on the journal Web site;
- The Author is able to enter into separate, additional contractual arrangements for the nonexclusive distribution of the journal's published version of the Work (e.g., post it to an institutional repository or publish it in a book), as long as there is provided in the document an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post online a prepublication manuscript (but not the Publisher’s final formatted PDF version of the Work) in institutional repositories or on their Websites prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work. Any such posting made before acceptance and publication of the Work shall be updated upon publication to include a reference to the Publisher-assigned DOI (Digital Object Identifier) and a link to the online abstract for the final published Work in the Journal.
- Upon Publisher’s request, the Author agrees to furnish promptly to Publisher, at the Author’s own expense, written evidence of the permissions, licenses, and consents for use of third-party material included within the Work, except as determined by Publisher to be covered by the principles of Fair Use.
- The Author represents and warrants that:
- the Work is the Author’s original work;
- the Author has not transferred, and will not transfer, exclusive rights in the Work to any third party;
- the Work is not pending review or under consideration by another publisher;
- the Work has not previously been published;
- the Work contains no misrepresentation or infringement of the Work or property of other authors or third parties; and
- the Work contains no libel, invasion of privacy, or other unlawful matter.
- The Author agrees to indemnify and hold Publisher harmless from Author’s breach of the representations and warranties contained in Paragraph 6 above, as well as any claim or proceeding relating to Publisher’s use and publication of any content contained in the Work, including third-party content.
Revised 7/16/2018. Revision Description: Removed outdated link.