Loss of work-related income impoverishes people with SCI and their families in Bangladesh

Spinal Cord, 2020 · DOI: 10.1038/s41393-019-0382-1 · Published: November 26, 2019

Spinal Cord Injury Rehabilitation Public Health

Simple Explanation

This study examines the financial impact of spinal cord injuries (SCI) on individuals and their families in Bangladesh, focusing on the loss of income due to the injury. The research found that SCI leads to significant impoverishment because those injured are often young, the primary income earners, and come from low socioeconomic backgrounds. The study highlights the urgent need for financial support and vocational training to improve the lives of people with SCI and their families in low- and middle-income countries.

Study Duration

July 2015 and March 2018

Participants

410 wheelchair-dependent people with recent SCI

Evidence Level

Cross-sectional study

Key Findings

1
Prior to injury, 74% of participants were the main income earners for their families, and 50% provided the only source of income.
2
After injury, the median income of each family member dropped to US$0 per month, placing 91% of families below the extreme poverty line.
3
Prior to injury, 67% of family members were already living below the extreme poverty line, highlighting the pre-existing financial vulnerability of these families.

Research Summary

The study investigates the financial consequences of SCI on individuals and their families in Bangladesh, revealing significant impoverishment due to loss of work-related income. The research demonstrates that SCI pushes already vulnerable families into extreme poverty, emphasizing the need for targeted interventions and support. The findings underscore the importance of vocational training and financial assistance to help individuals with SCI return to work and alleviate the financial burden on their families.

Practical Implications

Policy and Financial Support

Governments should provide financial support to families affected by SCI, recognizing the profound economic impact.

Vocational Training Programs

Rehabilitation programs should prioritize vocational training to help individuals with SCI regain employment and financial independence.

Addressing Societal Barriers

Efforts should be made to reduce discrimination and improve societal attitudes towards people with disabilities to facilitate their reintegration into the workforce.

Study Limitations

1
The study's results may not be generalizable to all people with SCI in Bangladesh or other LMICs, as the sample was drawn from a single rehabilitation center.
2
The study relied on self-reported income data, which may be subject to recall bias or underestimation.
3
The study did not capture all potential sources of income or assets, such as insurance, government assistance, or family support.

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