Day 2 Speaker Presentation - Prof Hannah Kuper
This document discusses disability and health. It notes that over 1 billion people worldwide have disabilities, with 110-190 million experiencing significant difficulties. Disability can impact many areas of life, such as education, employment, social participation, and access to services. The document then examines whether people with disabilities are more likely to have poor health compared to those without disabilities. Several studies are cited that found higher odds of serious illness among people with disabilities in various countries. Possible reasons for this link between disability and poor health are explored, such as poverty, vulnerability, exclusion from healthcare access, and higher healthcare needs among those with disabilities. Barriers to accessing healthcare like inaccessible infrastructure and transportation, costs, stigma, and lack of provider skills are also
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Day 2 Speaker Presentation - Prof Hannah Kuper
- 1. Disability and health Hannah Kuper London School of Hygiene & Tropical Medicine
- 2. World Report on Disability • >1 billion people with disabilities in the world • 110-190 million experience v. significant difficulties
- 3. Wide impact of disability • School • Work • Social • Service access • Poverty
- 4. Are people with disabilities more likely to have poor health?
- 5. Disability and serious illness: boys 0 2 4 6 8 10 12 14 16 18 20 Bolivia Brazil Colombia DominicanRep Ecuador ElSalvador Guatemala Honduras Nicaragua Paraguay Peru Benin Egypt Guinea Kenya Mozambique Niger Rwanda Senegal Sudan Tanzania Uganda Zambia Zimbabwe India Indonesia Nepal Philippines SriLanka Vietnam More in CWD Odds Ratio
- 6. Disability and serious illness: boys 0 2 4 6 8 10 12 14 16 18 20 Bolivia Brazil Colombia DominicanRep Ecuador ElSalvador Guatemala Honduras Nicaragua Paraguay Peru Benin Egypt Guinea Kenya Mozambique Niger Rwanda Senegal Sudan Tanzania Uganda Zambia Zimbabwe India Indonesia Nepal Philippines SriLanka Vietnam More in CWD Odds Ratio
- 7. Disability and serious illness: girls 0 2 4 6 8 10 12 14 16 18 20 Bolivia Brazil Colombia DominicanRep Ecuador ElSalvador Guatemala Honduras Nicaragua Paraguay Peru Benin Egypt Guinea Kenya Mozambique Niger Rwanda Senegal Sudan Tanzania Uganda Zambia Zimbabwe India Indonesia Nepal Philippines SriLanka Vietnam More in CWD Odds Ratio
- 8. Serious illness in last 12 months STUDY ODDS RATIO (95% CI) • Tanzania: 2.8 (1.6-4.9) • Cameroon: 1.9 (1.4-2.7) • India: 3.2 (2.1-4.8)
- 9. Chronic conditions more common in people with disabilities: • Hypertension • Arthritis • Diabetes • Osteoporosis • HIV • Psychological disorders
- 10. People with disabilities more likely to have poor health Why?
- 12. Reasons Disability Poor health Poverty Ageing
- 16. People with disabilities have higher health care needs
- 17. Health care services needed • General health care services • Specialist health care services
- 18. What are the barriers to accessing health care?
- 19. Same barriers as everyone
- 21. Cost
- 24. Health-care providers skills poor
- 26. Does this translate into poorer health access?
- 27. Does this translate into poorer health access? ??????
- 28. Needed, but did not get care. World Health Surveys 0 1 2 3 4 5 6 7 Men Women % Disabled Not disabled
- 29. Also need Rehab/Assistive Devices 0 5 10 15 20 25 30 %ofcases Need Use
- 31. Issues • Big population • Access to health • Access to all health services needed • Quality of experience • Affordability
- 32. Universal health coverage and disability
- 34. Also rights based argument
- 35. What are the solutions?
- 36. Thank you for your time and attention