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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

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...

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Autores principales: Al Imam, Mahmudul Hassan, Jahan, Israt, Muhit, Mohammad, Hardianto, Denny, Laryea, Francis, Chhetri, Amir Banjara, Smithers-Sheedy, Hayley, McIntyre, Sarah, Badawi, Nadia, Khandaker, Gulam
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8301915/
https://www.ncbi.nlm.nih.gov/pubmed/34202162
http://dx.doi.org/10.3390/brainsci11070848
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author Al Imam, Mahmudul Hassan
Jahan, Israt
Muhit, Mohammad
Hardianto, Denny
Laryea, Francis
Chhetri, Amir Banjara
Smithers-Sheedy, Hayley
McIntyre, Sarah
Badawi, Nadia
Khandaker, Gulam
author_facet Al Imam, Mahmudul Hassan
Jahan, Israt
Muhit, Mohammad
Hardianto, Denny
Laryea, Francis
Chhetri, Amir Banjara
Smithers-Sheedy, Hayley
McIntyre, Sarah
Badawi, Nadia
Khandaker, Gulam
author_sort Al Imam, Mahmudul Hassan
collection PubMed
description 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.
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spelling pubmed-83019152021-07-24 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 Al Imam, Mahmudul Hassan Jahan, Israt Muhit, Mohammad Hardianto, Denny Laryea, Francis Chhetri, Amir Banjara Smithers-Sheedy, Hayley McIntyre, Sarah Badawi, Nadia Khandaker, Gulam Brain Sci Article 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. MDPI 2021-06-25 /pmc/articles/PMC8301915/ /pubmed/34202162 http://dx.doi.org/10.3390/brainsci11070848 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Al Imam, Mahmudul Hassan
Jahan, Israt
Muhit, Mohammad
Hardianto, Denny
Laryea, Francis
Chhetri, Amir Banjara
Smithers-Sheedy, Hayley
McIntyre, Sarah
Badawi, Nadia
Khandaker, Gulam
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
title 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
title_full 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
title_fullStr 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
title_full_unstemmed 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
title_short 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
title_sort 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
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8301915/
https://www.ncbi.nlm.nih.gov/pubmed/34202162
http://dx.doi.org/10.3390/brainsci11070848
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