Living conditions among people with disabilities in Lesotho, a

110 Pages·2011·1.56 MB·English

SINTEF A17239 - Unrestricted

Report
Living Conditions among People with
Disabilities in Lesotho
A National Representative Study

Editor(s)
Yusman Kamaleri
Arne H. Eide

SINTEF Technology and Society
Global Health and Welfare
2011-02-20

SINTEF Teknologi og samfunn
SINTEF Technology and Society Report
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Table of contents

1 ACKNOWLEDGEMENTS 1
2 SUMMARY 3
3 PREFACE 9
4 INTRODUCTION 12
4.1 Background of Lesotho 12
4.2 General view of disability 14
4.3 Disability in Lesotho’s context 16
4.3.1 DPOs in Lesotho and their achievements 17
5 CONCEPTUAL UNDERSTANDING 20
5.1 Disability 20
5.2 International Classification of Functioning, Disability and Health (ICF) 21
5.3 Application of ICF in the current study 22
5.4 Environmental factors 22
5.5 Living conditions 23
5.6 Disability and living conditions 23
5.7 Combining two traditions and ICF 26
6 DESIGN AND METHODOLOGY 27
6.1 Introduction 27
6.2 Sampling Design 27
6.3 Sample Size Determination 28
6.4 Selection of Enumeration Areas 28
6.5 Household Listing and Screening 30
6.6 Selection of households 30
6.7 Data collection tools 31
6.8 Disability screening in the context of this survey 32
6.9 Research Teams 33
7 Results 34
7.1 Household Section 35
7.1.1 Household size 39
7.1.2 Age of members 41
7.1.3 Dependency ratio 43
7.1.4 Gender 44
7.1.5 Socioeconomic status 45
7.1.6 Dietary diversity 47
7.1.7 Education 48
7.1.8 Literacy 50
7.1.9 Employment 51
7.1.10 Stillbirth among females aged 15 years old and above 53
7.1.11 Distance to school and health facility 54
7.2 Individual section 55
7.2.1 Demographic 55
7.2.2 Distribution of disability core domains 57
7.2.3 Disability onset 60
7.2.4 Discrimination: personal experience 61
7.2.5 Welfare and Health Services: Needed, Aware of or Received 62
7.2.6 Education 64
7.2.7 Employment 66
7.2.8 Accessibility 68
7.2.9 Assistive devices 69
7.2.10 Assistance in daily life activity 72
7.2.11 Involvement in family, social life and social activities 73
7.2.12 General health 76
7.3 Towards a revised understanding of disability 78
8 Discussion 83
9 Conclusions 89
10 References 91
APPENDICES

A. Activity limitation
B. Participation Restriction
C. Data collection team members
Map of Lesotho