Improving Accessibility to Medical Services for Persons with Disabilities in Thailand

Nomjit Nualnetr, Anpatcha Sakhornkhan

Abstract


Purpose: This action research aimed at developing an action plan to improve the accessibility to home health care and assistive devices for persons with disabilities in a rural community, and to evaluate changes in the numbers of such persons who received appropriate home health care and assistive devices after a three-month implementation of the action plan.

Method: The study was conducted at a sub-district of Maha Sarakham Province, Thailand. The main beneficiaries were 99 persons with disabilities (mean age55.4±18.7 years). Group meetings were organised for persons with disabilities, caregivers, and various community members. An action plan for improving the accessibility of persons with disabilities to home health care and assistive devices was collaboratively formulated and implemented for three months.

Results: The main strategy for improving accessibility was to increase the competency of village health volunteers in providing home health care and assistive devices to persons with disabilities. After the three-month action plan implementation, the number of persons with disabilities who received appropriate home health care, i.e. at least once a month, significantly increased from 33.3% to 72.2% (Chi-square test, P<0.01, 95% CI 18.5 to 59.3). The number of persons who received assistive devices suited to their disabilities also significantly increased from 33.3% to 58.3% (Chi-square test, P=0.03, 95% CI3.5 to 46.5).

Conclusions: Under the supervision of physical therapists and/or other allied health professionals, the village health volunteer is likely to be a key person for improving the accessibility to home health care and assistive devices for persons with disabilities in a rural community.

Limitations: The study was limited to only one sub-district. No comparable areas were studied. Further, since the study recruited persons with disabilities from a rural community, applicability of the findings to persons with disabilities in an urban community should be considered judiciously.

doi 10.5463/DCID.v23i1.86


Keywords


Home health care, Assistive devices, Village health volunteers, Rural community

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References


Daenseekaew S, Srisontisuk S, Thongkrajar E, Sriruecha P (2005). Mobilising communities to combat illicit drug use in North-east Thailand. Thai J Nurs Res; 9 (3): 141-154.

Jitngern U, Kongsukwiwat K, Wirakul W (2007). Synthesis of knowledge on community works. Bangkok: U-sa Publishers.

Lopez JM, Lewis JA, Boldy DP (2000). Evaluation of a Philippine community based rehabilitation programme. Asia Pacific J Public Health; 12 (2): 85-89. http://dx.doi.org/10.1177/101053950001200206. PMid:11836924

National Office for Empowerment of Persons with Disability, Ministry of Social Development and Human Security (2011). Database of persons with disability. Retrieved from: http://www.m-society.go.th/document/statistic/statistic, July 2011.

Nualnetr N (2009). Physical therapy roles in community-based rehabilitation: a case study in rural areas of north-eastern Thailand. Asia Pacific Disability Rehabilitation Journal; 20 (1): 73-82.

Nualnetr N, Ninprapan A, Mator L (2006). Community-based rehabilitation in rural area of Khon Kaen Province: a case study at Namphong Sub-district, Namphong District. Khon Kaen: Research and Development Institute, Khon Kaen University.

Nuntaboot K, Jirarattanawanna N, Boonsawatgulchai P, Tangtongkam S, Sarnthima P (2007). A case study of innovation for community health care (north-eastern region): cares for the disadvantaged in community, disease prevention and control by community, health promotion community, health promotion for family. Nonthaburi: Health Systems Research Institute.

Sharma M (2007). Community participation in community-based rehabilitation programmes. Asia Pacific Disability Rehabilitation Journal; 18 (2): 146-157.

Sriprachya-anunt S (1995). Medical rehabilitation manual for physician about the prevention and rehabilitation services for persons with disability. Bangkok: War Veterans Organisation of Thailand Printing.

Stuelz A (1999). Community-based rehabilitation in Lao: comparison of needs and services. Disability and Rehabilitation; 21 (10-11): 508-514. http://dx.doi.org/10.1080/096382899297341

Thomas M, Thomas MJ (1999). A discussion on the shifts and changes in community-based rehabilitation in the last decade. Neurorehabil Neural Repair; 13: 185-189. DOI: 10.1177/154596839901300308. http://dx.doi.org/10.1177/154596839901300308

Thomas M, Thomas MJ (2003). Manual for CBR planners. Bangalore: National Printing Press.




DOI: http://dx.doi.org/10.5463/dcid.v23i1.86

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