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  4. Surviving spinal cord injury in low income countries

Surviving spinal cord injury in low income countries

African Journal of Disability, 2014 · DOI: 10.4102/ajod.v3i2.80 · Published: August 26, 2014

RehabilitationDisabilityPublic Health

Simple Explanation

This study explores the challenges faced by individuals with spinal cord injuries (SCI) in low-income countries, focusing on life expectancy and daily living conditions. Qualitative data was collected through interviews with people with SCI, their families, and rehabilitation professionals in Zimbabwe to understand their experiences. The research highlights the high rates of pressure sores and urinary tract infections, leading to suffering and premature death, compounded by poverty and limited access to care.

Study Duration
Not specified
Participants
23 informants: persons with SCI, their relatives and rehabilitation professionals
Evidence Level
Qualitative study

Key Findings

  • 1
    Individuals with SCI in low income countries experience a shorter life expectancy compared to the general population and those with SCI in high income countries.
  • 2
    Pressure sores and urinary tract infections are leading causes of death among individuals with SCI in low income countries, often exacerbated by poverty and lack of access to healthcare.
  • 3
    Poverty worsens the situation for individuals with SCI, creating barriers such as limited access to wheelchairs, medical devices, transport, and social participation, contributing to a lower quality of life.

Research Summary

The study indicates that individuals with SCI in low income settings have a shorter life expectancy compared to the average population and individuals with SCI in high income countries. Poverty worsens the situation for individuals with SCI, creating barriers that increase the risk of contracting harmful pressure sores and infections leading to premature death. The findings confirm that individuals with SCI and their families in low income settings are facing major challenges in their daily life, because of limited financial, medical, social and technical support.

Practical Implications

Improved Healthcare Access

Increase access to affordable and quality healthcare services, including specialized care for SCI, to prevent and manage complications like pressure sores and infections.

Wheelchair Provision and Maintenance

Provide appropriate and well-fitted wheelchairs along with regular maintenance and repair services to improve mobility and prevent pressure sores.

Financial and Social Support

Implement financial support systems and promote social inclusion to reduce poverty-related barriers and improve the quality of life for individuals with SCI and their families.

Study Limitations

  • 1
    Limited to 23 informants from four study settings in one low income country
  • 2
    Data was coded and analysed by the author
  • 3
    Findings could serve as a basis for a larger research study covering more countries

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