Predictors of Rehabilitation Service Utilisation among Children with Cerebral Palsy (CP) in Low- and Middle-Income Countries (LMIC): Findings from the Global LMIC CP Register

LATEST ARTICLES
SEARCH INDEX
SUGGEST ARTICLE
THE OSI COLLECTIONS
AUDIOGRAM SERIES
ABOUT THE OSI
2020 SUMMARY

OSI STATISTICS

Open access articles:
1135
Annotations added:
3
Countries represented:
112
No. of contributors:
13
Bookmarks made:
22

Predictors of Rehabilitation Service Utilisation among Children with Cerebral Palsy (CP) in Low- and Middle-Income Countries (LMIC): Findings from the Global LMIC CP Register


JournalBrain Sciences
Article typeJournal research article – Clinical research
Publication date – Jun – 2021
Authors – Mahmudul Hassan Al Imam ,Israt Jahan ,Mohammad Muhit ,Denny Hardianto ,Francis Laryea ,Amir Banjara Chhetri ,Hayley Smithers-Sheedy ,Sarah McIntyre,Nadia Badawi ,Gulam Khandaker
Keywordscerebral palsy (CP), Children, factors, global, low- and middle-income country (LMIC), rehabilitation
Open access – Yes
SpecialityPaediatric surgery, Trauma and orthopaedic surgery
World region South-eastern Asia, Southern Asia, Western Africa
Country: Bangladesh, Ghana, Indonesia, Nepal
Language – English
Submitted to the One Surgery Index on July 2, 2021 at 11:09 pm
Abstract:

Background: We assessed the rehabilitation status and predictors of rehabilitation service utilisation among children with cerebral palsy (CP) in selected low- and middle-income countries (LMICs). Methods: Data from the Global LMIC CP Register (GLM-CPR), a multi-country register of children with CP aged <18 years in selected countries, were used. Descriptive and inferential statistics (e.g., adjusted odds ratios) were reported. Results: Between January 2015 and December 2019, 3441 children were registered from Bangladesh (n = 2852), Indonesia (n = 130), Nepal (n = 182), and Ghana (n = 277). The proportion of children who never received rehabilitation was 49.8% (n = 1411) in Bangladesh, 45.8% (n = 82) in Nepal, 66.2% (n = 86) in Indonesia, and 26.7% (n = 74) in Ghana. The mean (Standard Deviation) age of commencing rehabilitation services was relatively delayed in Nepal (3.9 (3.1) year). Lack of awareness was the most frequently reported reason for not receiving rehabilitation in all four countries. Common predictors of not receiving rehabilitation were older age at assessment (i.e., age of children at the time of the data collection), low parental education and family income, mild functional limitation, and associated impairments (i.e., hearing and/or intellectual impairments). Additionally, gender of the children significantly influenced rehabilitation service utilisation in Bangladesh. Conclusions: Child’s age, functional limitation and associated impairments, and parental education and economic status influenced the rehabilitation utilisation among children with CP in LMICs. Policymakers and service providers could use these findings to increase access to rehabilitation and improve equity in rehabilitation service utilisation for better functional outcome of children with CP

OSI Number – 21160

Public annotations on this article:
No public annotations yet