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Table of Contents   
LETTER TO THE EDITOR  
Year : 2016  |  Volume : 9  |  Issue : 3  |  Page : 211-212
A comprehensive approach to minimize the aftereffects of disability on health standards in low resource settings


Department of Community Medicine, Shri Sathya Sai Medical College and Research Institute, Chennai, Tamil Nadu, India

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Date of Web Publication3-May-2016
 

How to cite this article:
Shrivastava SR, Shrivastava PS, Ramasamy J. A comprehensive approach to minimize the aftereffects of disability on health standards in low resource settings. Ann Trop Med Public Health 2016;9:211-2

How to cite this URL:
Shrivastava SR, Shrivastava PS, Ramasamy J. A comprehensive approach to minimize the aftereffects of disability on health standards in low resource settings. Ann Trop Med Public Health [serial online] 2016 [cited 2019 Dec 16];9:211-2. Available from: http://www.atmph.org/text.asp?2016/9/3/211/179129
Dear Sir,

Disabled people represents a high-risk and a vulnerable group worldwide, as the neighboring community plays a major role in making them realize their disability.[1],[2] The current global estimates suggest that more than 1 billion people worldwide suffer from some kind of disability, and almost 110-190 million adults have to live with a major limitation in carrying out their daily work.[3] Further, these figures are expected to increase in future due to the increase in life expectancy and large number of people suffering from lifestyle disorders.[1],[3]

In addition, the disabled persons have a very high unmet need, predominantly because of the least attention given to them while formulation or even implementation of health policies.[1] In-fact, definitive evidences have been observed which reflect the deprivations in welfare services desired for the betterment of their living standards.[1],[-3] In addition, a wide range of conditions (like bed sores, secondary infections, etc.), co-morbid illnesses such as diabetes, ageing diseases, high risk behaviors, and increased rates of premature deaths have been frequently reported among the disabled people.[3] As most of these conditions are predictable, they can be prevented, if targeted interventions are planned and implemented for the welfare of these vulnerable groups of people.[1],[3],[4]

Furthermore, the magnitude of the above mentioned problems or even the consequences of the complications can increase to a great extent, especially in low resource settings.[2] This is due to a constellation of factors, including lack of institutes, geographical disparity of the centers, shortage of trained personnel, affordability, conveyance issues, absence of a comprehensive package of services from the institutes for all kinds of disabilities, physical barriers or offering services in a non user-friendly manner, and negative attitude of the health personnel towards the disabled people.[1],[2],[5]

It is high time that quality assured health care & welfare services are offered to the disabled people to enable them to live their life as that of a normal person.[1],[2],[3] This can only be achieved, if the existing shortcomings in the health care delivery system are addressed on an urgent basis.[1],[2],[3] Further, as the needs of any disabled individual vary from one person to another, the need of the hour is to ensure effective collaboration among all the involved sectors.[1],[5]

This essentially requires identification of the deficits in the existing strategies and what best can be done within the available resources to improve its overall quality.[3] Further, interventions to create awareness about the range of services offered by the government for the welfare of disabled people, extending sustained financial support, neutralizing the physical barriers which limits the accessibility, periodic orientation of the health workers regarding the variable kind of needs of the disabled people, sessions to encourage disabled persons for self-care, facilitation of community-based rehabilitation in heterogeneous settings, and promotion of research to better understand the needs as well devise innovative solutions to respond to the needs in a cost-effective manner.[1],[-6]

In conclusion, as the needs of disabled people are quite diverse, and becomes even more difficult to be addressed in low resource settings, there is a significant need to involve all the stakeholders, so that improvement in the quality of life of disabled persons can be ensured and their basic rights are safeguarded in the coming years.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.

 
   References Top

1.
World Health Organization. Maternal mortality-Fact sheet No 348; 2015. Available from: http://www.who.int/mediacentre/factsheets/fs348/en/. [Last accessed on 2015 Dec 05].  Back to cited text no. 1
    
2.
UNFPA. 507 maternal deaths take place every day in emergencies, flagship report says; 2015. Available from: http://www.unfpa.org/news/507-maternal-deaths-take-place-every-day-emergencies-flagship-report-says. [Last accessed on 2015 Dec 05].  Back to cited text no. 2
    
3.
Pillay N. Maternal mortality and morbidity: A human rights imperative. Lancet 2013;381:1159-60.  Back to cited text no. 3
    
4.
Pyone T, Dickinson F, Kerr R, Boschi-Pinto C, Mathai M, van den Broek N. Data collection tools for maternal and child health in humanitarian emergencies: A systematic review. Bull World Health Organ 2015;93:648-58A-M.  Back to cited text no. 4
    
5.
Nickerson JW, Hatcher-Roberts J, Adams O, Attaran A, Tugwell P. Assessments of health services availability in humanitarian emergencies: A review of assessments in Haiti and Sudan using a health systems approach. Confl Health 2015;9:20.  Back to cited text no. 5
    
6.
Pottie K. Health equity in humanitarian emergencies: A role for evidence aid. J Evid Based Med 2015;8:36-8.  Back to cited text no. 6
    

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Correspondence Address:
Saurabh R Shrivastava
3rd Floor, Department of Community Medicine, Shri Sathya Sai Medical College and Research Institute, Ammapettai Village, Thiruporur - Guduvanchery Main Road, Sembakkam Post, Kanchipuram - 603 108, Tamil Nadu
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/1755-6783.179129

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