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Published in: BMC International Health and Human Rights 1/2012

Open Access 01-12-2012 | Research article

Assistive technology use and human rights enjoyment: a cross-sectional study in Bangladesh

Published in: BMC International Health and Human Rights | Issue 1/2012

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Abstract

Background

About half a billion people with disabilities in developing countries have limited access to assistive technology. The Convention on the Rights of persons with Disabilities requires governments to take measures to ensure provision of such technologies. To guide implementation of these measures there is a need for understanding health outcomes from a human rights perspective. The objective of this study was therefore to explore the relation between assistive technology use and enjoyment of human rights in a low-income country.

Methods

Data was collected in eight districts of Bangladesh through interviews of people with hearing impairments using and not using hearings aids, and people with ambulatory impairments using and not using manual wheelchairs (N = 583). Using logistic regression, self-reported outcomes on standard of living, health, education, work, receiving information and movement were analyzed.

Results

The adjusted likelihood of reporting greater enjoyment of human rights was significantly higher among people using hearing aids compared to non-users for all outcomes except working status. Compared to non-users, users of wheelchairs reported a significantly higher adjusted likelihood of good ambulatory performance and a significantly lower adjusted likelihood of reporting a positive working status. Further analyses indicated that physical accessibility to working places and duration of wheelchair use had a statistically significant impact on the likelihood of reporting positive work outcomes.

Conclusions

The findings support the notion that assistive technology use increases the likelihood of human rights enjoyment, particularly hearing aid use. Physical accessibility should always be addressed in wheelchair provision.
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Literature
1.
go back to reference United Nations: Standard Rules on the Equalization of Opportunities for Persons with Disabilities. 1993, United Nations, New York United Nations: Standard Rules on the Equalization of Opportunities for Persons with Disabilities. 1993, United Nations, New York
2.
go back to reference United Nations: Convention on the rights of persons with disabilities. 2007, New York, New York United Nations: Convention on the rights of persons with disabilities. 2007, New York, New York
3.
go back to reference Shore SL: Use of an economical wheelchair in India and Peru: Impact on health and function. Med Sci Monit. 2008, 14 (12): 71-79. Shore SL: Use of an economical wheelchair in India and Peru: Impact on health and function. Med Sci Monit. 2008, 14 (12): 71-79.
4.
go back to reference Joseph P: A study on certain factors influencing language performance of hearing impaired students. Asia Pac Disabil Rehabil J. 2003, 14 (2): 201-208. Joseph P: A study on certain factors influencing language performance of hearing impaired students. Asia Pac Disabil Rehabil J. 2003, 14 (2): 201-208.
5.
go back to reference Matsen SL: A closer look at amputees in Vietnam: a field survey of Vietnamese using prostheses. Prosthet Orthot Int. 1999, 23 (2): 93-101.PubMed Matsen SL: A closer look at amputees in Vietnam: a field survey of Vietnamese using prostheses. Prosthet Orthot Int. 1999, 23 (2): 93-101.PubMed
6.
go back to reference Siegert RJ, Ward T, Playford D: Human rights and rehabilitation outcomes. Disabil Rehabil. 2010, 32 (12): 965-71. 10.3109/09638281003775360.CrossRefPubMed Siegert RJ, Ward T, Playford D: Human rights and rehabilitation outcomes. Disabil Rehabil. 2010, 32 (12): 965-71. 10.3109/09638281003775360.CrossRefPubMed
7.
go back to reference French P: Human rights indicators for people with disability - A resource for disability activists and policy makers. 2007, Queensland Advocacy Incorporated, Brisbane French P: Human rights indicators for people with disability - A resource for disability activists and policy makers. 2007, Queensland Advocacy Incorporated, Brisbane
8.
go back to reference United Nations: Universal Declaration of Human Rights. 1948, United Nations, New York United Nations: Universal Declaration of Human Rights. 1948, United Nations, New York
9.
go back to reference United Nations: International Covenant on Civil and Political Rights. 1966, New York, New York United Nations: International Covenant on Civil and Political Rights. 1966, New York, New York
10.
go back to reference Nations U: International Covenant on Economic. 1966, United Nations, New York Nations U: International Covenant on Economic. 1966, United Nations, New York
11.
go back to reference Programme UND: Human development report 2000. 2000, United Nations Development Programme, New York Programme UND: Human development report 2000. 2000, United Nations Development Programme, New York
12.
go back to reference Elwan A: Poverty and disability: A review of the literature. Social Protection Discussion Paper Series No 9932. 1999, World Bank, Washington, DC Elwan A: Poverty and disability: A review of the literature. Social Protection Discussion Paper Series No 9932. 1999, World Bank, Washington, DC
13.
go back to reference Parnes P, Cameron D, Christie N, Cockburn L, Hashemi G, Yoshida , Karen : Disability in low-income countries: Issues and implications. Disabil Rehabil. 2009, 31 (14): 1170-1180. 10.1080/09638280902773778.CrossRefPubMed Parnes P, Cameron D, Christie N, Cockburn L, Hashemi G, Yoshida , Karen : Disability in low-income countries: Issues and implications. Disabil Rehabil. 2009, 31 (14): 1170-1180. 10.1080/09638280902773778.CrossRefPubMed
15.
go back to reference World Health Organization: Disability, including prevention, management and rehabilitation. 2005, Fifty-eight World Health Assembly A58/17, Geneva World Health Organization: Disability, including prevention, management and rehabilitation. 2005, Fifty-eight World Health Assembly A58/17, Geneva
16.
go back to reference Eide AH, Oderud T: Assistive technology in low-income countries. Disability & international development: Towards inclusive global health. Edited by: MacLachlan M, Swartz L. 2009, Springer, New York, 149-160.CrossRef Eide AH, Oderud T: Assistive technology in low-income countries. Disability & international development: Towards inclusive global health. Edited by: MacLachlan M, Swartz L. 2009, Springer, New York, 149-160.CrossRef
17.
go back to reference Borg J, Lindström A, Larsson S: Assistive technology in developing countries: national and international responsibilities to implement the Convention on the Rights of Persons with Disabilities. Lancet. 2009, 374: 1863-1865. 10.1016/S0140-6736(09)61872-9.CrossRefPubMed Borg J, Lindström A, Larsson S: Assistive technology in developing countries: national and international responsibilities to implement the Convention on the Rights of Persons with Disabilities. Lancet. 2009, 374: 1863-1865. 10.1016/S0140-6736(09)61872-9.CrossRefPubMed
18.
go back to reference Oderud T: Assistive Technology for People with Disabilities in Namibia and Zimbabwe. Report STF78 A900525. 2000, SINTEF, Oslo Oderud T: Assistive Technology for People with Disabilities in Namibia and Zimbabwe. Report STF78 A900525. 2000, SINTEF, Oslo
19.
go back to reference United Nations Development Programme: Human Development Report 2009. Overcoming barriers: Human mobility and development. 2009, United Nations Development Programme, New York United Nations Development Programme: Human Development Report 2009. Overcoming barriers: Human mobility and development. 2009, United Nations Development Programme, New York
20.
go back to reference United Nations: World Population Prospects: The 2008 Revision. 2011, esa.un.org/unpp United Nations: World Population Prospects: The 2008 Revision. 2011, esa.un.org/unpp
21.
go back to reference Handicap International & National Forum of Organizations Working with the Disabled: Disability in Bangladesh. A study on prevalence. 2005, Handicap International & National Forum of Organizations Working with the Disabled, Dhaka Handicap International & National Forum of Organizations Working with the Disabled: Disability in Bangladesh. A study on prevalence. 2005, Handicap International & National Forum of Organizations Working with the Disabled, Dhaka
22.
go back to reference Hosain GMM, Atkinson D, Underwood P: Impact of disability on quality of life of rural disabled people in Bangladesh. J Health Popul Nutr. 2002, 20 (4): 297-305.PubMed Hosain GMM, Atkinson D, Underwood P: Impact of disability on quality of life of rural disabled people in Bangladesh. J Health Popul Nutr. 2002, 20 (4): 297-305.PubMed
24.
go back to reference Foley D, Chowdhury J: Poverty, social exclusion and the politics of disability: Care as a social good and the expenditure of social capital in Chuadanga, Bangladesh. Soc Policy Adm. 2007, 41 (4): 372-385. 10.1111/j.1467-9515.2007.00559.x.CrossRef Foley D, Chowdhury J: Poverty, social exclusion and the politics of disability: Care as a social good and the expenditure of social capital in Chuadanga, Bangladesh. Soc Policy Adm. 2007, 41 (4): 372-385. 10.1111/j.1467-9515.2007.00559.x.CrossRef
25.
go back to reference Borg J, Khasnabis C: Guidelines on the provision of manual wheelchairs in less-resourced settings. 2008, World Health Organization, Geneva Borg J, Khasnabis C: Guidelines on the provision of manual wheelchairs in less-resourced settings. 2008, World Health Organization, Geneva
26.
go back to reference World Health Organization: Guidelines for training personnel in developing countries for prosthetics and orthotics services. 2005, World Health Organization, Geneva World Health Organization: Guidelines for training personnel in developing countries for prosthetics and orthotics services. 2005, World Health Organization, Geneva
27.
go back to reference World Health Organization: Hearing aids for developing countries. Report of informal consultation to launch the WHO Guidelines for Hearing Aids and Services for Developing Countries. 2001, World Health Organization, Geneva World Health Organization: Hearing aids for developing countries. Report of informal consultation to launch the WHO Guidelines for Hearing Aids and Services for Developing Countries. 2001, World Health Organization, Geneva
28.
go back to reference Borg J: Supply and distribution systems: IBR/CBR approach. Consensus conference on wheelchairs for developing countries: 2006. Edited by: Sheldon S, Jacobs NA. 2006, Internatinal Society for Prosthetics and Orthotics, Bengaluru, India, 251-255. Borg J: Supply and distribution systems: IBR/CBR approach. Consensus conference on wheelchairs for developing countries: 2006. Edited by: Sheldon S, Jacobs NA. 2006, Internatinal Society for Prosthetics and Orthotics, Bengaluru, India, 251-255.
29.
go back to reference Borg J: Position Paper - Assistive Technology and Accessibility. 2002, Thematic Group on Assistive Technology and Accessibility, National Forum of Organizations Working with the Disabled, Dhaka Borg J: Position Paper - Assistive Technology and Accessibility. 2002, Thematic Group on Assistive Technology and Accessibility, National Forum of Organizations Working with the Disabled, Dhaka
30.
go back to reference World Health Organization: B – Individual Questionnaire, Rotation - A. 2002, World Health Survey World Health Organization: B – Individual Questionnaire, Rotation - A. 2002, World Health Survey
31.
go back to reference Loeb ME, Eide AH: Living Conditions among people with activity limitations in Malawi. A national representative study. 2004, SINTEF Health Research, Oslo Loeb ME, Eide AH: Living Conditions among people with activity limitations in Malawi. A national representative study. 2004, SINTEF Health Research, Oslo
32.
go back to reference Babyak MA: What you see may not be what you get: A brief, nontechnical introduction to overfitting in regression-type models. Psychosom Med. 2004, 66: 411-421. 10.1097/01.psy.0000127692.23278.a9.PubMed Babyak MA: What you see may not be what you get: A brief, nontechnical introduction to overfitting in regression-type models. Psychosom Med. 2004, 66: 411-421. 10.1097/01.psy.0000127692.23278.a9.PubMed
34.
go back to reference Hwang S-A, Gomez MI, Sobotova L, Stark AD, May JJ, Hallman EM: Predictors of hearing loss in New York. Am J Ind Med. 2001, 40: 23-31. 10.1002/ajim.1068.CrossRefPubMed Hwang S-A, Gomez MI, Sobotova L, Stark AD, May JJ, Hallman EM: Predictors of hearing loss in New York. Am J Ind Med. 2001, 40: 23-31. 10.1002/ajim.1068.CrossRefPubMed
35.
go back to reference Owens J, Simonds C: Beyond the wheelchair: development of motorised transport for people with severe mobility impairments in developing countries. Disabil Rehabil Assist Tech. 2012, 5 (4): 254-257.CrossRef Owens J, Simonds C: Beyond the wheelchair: development of motorised transport for people with severe mobility impairments in developing countries. Disabil Rehabil Assist Tech. 2012, 5 (4): 254-257.CrossRef
36.
go back to reference Rahman MR: The state of health determinants in Bangladesh. Int J Sociol Soc Policy. 2000, 20 (8): 33-54. 10.1108/01443330010789034.CrossRef Rahman MR: The state of health determinants in Bangladesh. Int J Sociol Soc Policy. 2000, 20 (8): 33-54. 10.1108/01443330010789034.CrossRef
37.
go back to reference Chowdhury AMR, Nath SR, Choudhury RK: Equity gains in Bangladesh primary education. Int Rev Educ. 2003, 49 (6): 601-619.CrossRef Chowdhury AMR, Nath SR, Choudhury RK: Equity gains in Bangladesh primary education. Int Rev Educ. 2003, 49 (6): 601-619.CrossRef
38.
go back to reference Borg J, Östergren PO, Larsson S, Rahman ASMA, Bari N, Khan AHMN: Assistive technology use is associated with reduced capability poverty: a cross-sectional study in Bangladesh. Disabil Rehabil Assist Tech. 2012, 7 (2): 112-121. 10.3109/17483107.2011.602173.CrossRef Borg J, Östergren PO, Larsson S, Rahman ASMA, Bari N, Khan AHMN: Assistive technology use is associated with reduced capability poverty: a cross-sectional study in Bangladesh. Disabil Rehabil Assist Tech. 2012, 7 (2): 112-121. 10.3109/17483107.2011.602173.CrossRef
39.
go back to reference Magni C, Freiberger F, Tonn K: Evaluation of satisfaction measures of analog and digital hearing aid users. Braz J Othorhinolaryngol. 2005, 71 (5): 650-657. Magni C, Freiberger F, Tonn K: Evaluation of satisfaction measures of analog and digital hearing aid users. Braz J Othorhinolaryngol. 2005, 71 (5): 650-657.
40.
go back to reference Olusanya B: Self-reported outcomes of aural rehabilitation in a developing country. Int J Audiol. 2004, 43 (10): 563-571.CrossRefPubMed Olusanya B: Self-reported outcomes of aural rehabilitation in a developing country. Int J Audiol. 2004, 43 (10): 563-571.CrossRefPubMed
41.
go back to reference Winn S: Is there a link between hearing aid use, employment, and income?. Am Ann Deaf. 2006, 151 (4): 434-440. 10.1353/aad.2006.0048.CrossRefPubMed Winn S: Is there a link between hearing aid use, employment, and income?. Am Ann Deaf. 2006, 151 (4): 434-440. 10.1353/aad.2006.0048.CrossRefPubMed
42.
go back to reference May-Teerink T: A survey of rehabilitative services and people coping with physical disabilities in Uganda, East Africa. Int J Rehabil Res. 1999, 22 (4): 311-316. 10.1097/00004356-199912000-00008.CrossRefPubMed May-Teerink T: A survey of rehabilitative services and people coping with physical disabilities in Uganda, East Africa. Int J Rehabil Res. 1999, 22 (4): 311-316. 10.1097/00004356-199912000-00008.CrossRefPubMed
43.
go back to reference Borg J, Östergren P-O, Larsson S, Eide AH: The Friction Model – a dynamic model of functioning, disability and contextual factors and its conceptual and practical applicability. Disabil Rehabil. 2010, 32 (21): 1790-7. 10.3109/09638280903531220.CrossRefPubMed Borg J, Östergren P-O, Larsson S, Eide AH: The Friction Model – a dynamic model of functioning, disability and contextual factors and its conceptual and practical applicability. Disabil Rehabil. 2010, 32 (21): 1790-7. 10.3109/09638280903531220.CrossRefPubMed
44.
go back to reference Hammel J, Magasi S, Heinemann A, Whiteneck G, Bogner J, Rodriguez E: What does participation mean? An insider perspective from people with disabilities. Disabil Rehabil. 2008, 30 (19): 1445-1460. 10.1080/09638280701625534.CrossRefPubMed Hammel J, Magasi S, Heinemann A, Whiteneck G, Bogner J, Rodriguez E: What does participation mean? An insider perspective from people with disabilities. Disabil Rehabil. 2008, 30 (19): 1445-1460. 10.1080/09638280701625534.CrossRefPubMed
45.
go back to reference Wildner M, Fischer R, Brunner A: Development of a questionnaire for quantitative assessment in the field of health and human rights. Soc Sci Med. 2002, 55: 1725-1744. 10.1016/S0277-9536(01)00300-8.CrossRefPubMed Wildner M, Fischer R, Brunner A: Development of a questionnaire for quantitative assessment in the field of health and human rights. Soc Sci Med. 2002, 55: 1725-1744. 10.1016/S0277-9536(01)00300-8.CrossRefPubMed
46.
go back to reference Bostoen K, Bilukha OO, Fenn B, Morgan OW, Tam CC, terVeen A, Checchi F: Methods for health surveys in difficult settings: charting progress, moving forward. Emerg Themes Epidemiol. 2007, 4 (13): 1-4. Bostoen K, Bilukha OO, Fenn B, Morgan OW, Tam CC, terVeen A, Checchi F: Methods for health surveys in difficult settings: charting progress, moving forward. Emerg Themes Epidemiol. 2007, 4 (13): 1-4.
47.
go back to reference Bostoen K, Chalabi Z: Optimization of household survey sampling without sample frames. Int J Epidemiol. 2006, 35: 751-755. 10.1093/ije/dyl019.CrossRefPubMed Bostoen K, Chalabi Z: Optimization of household survey sampling without sample frames. Int J Epidemiol. 2006, 35: 751-755. 10.1093/ije/dyl019.CrossRefPubMed
Metadata
Title
Assistive technology use and human rights enjoyment: a cross-sectional study in Bangladesh
Publication date
01-12-2012
Published in
BMC International Health and Human Rights / Issue 1/2012
Electronic ISSN: 1472-698X
DOI
https://doi.org/10.1186/1472-698X-12-18

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