IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v16y2019i17p3085-d260772.html
   My bibliography  Save this article

Disability-Disaggregated Data Collection: Hospital-Based Application of the Washington Group Questions in an Eye Hospital in Paraguay

Author

Listed:
  • Manfred Mörchen

    (Christoffel Blindenmission (CBM) International, Stubenwaldallee 5, 64625 Bensheim, Germany)

  • Olmedo Zambrano

    (Christoffel Blindenmission (CBM) International, Stubenwaldallee 5, 64625 Bensheim, Germany)

  • Alexander Páez

    (Fundaciόn Visiόn, Ingavi, Fernando de la Mora 8000, Paraguay)

  • Paola Salgado

    (Fundaciόn Visiόn, Ingavi, Fernando de la Mora 8000, Paraguay)

  • Jason Penniecook

    (Fundaciόn Visiόn, Ingavi, Fernando de la Mora 8000, Paraguay)

  • Andrea Brandt von Lindau

    (Christoffel Blindenmission (CBM) International, Stubenwaldallee 5, 64625 Bensheim, Germany)

  • David Lewis

    (CBM Australia, 56 Rutland Rd, Melbourne 3128, Australia)

Abstract

Disability-disaggregated data are increasingly considered important to monitor progress in Universal Eye Health Care. Hospital-based data are still elusive because of the cultural ambiguities of the term disability, especially in under-resourced Health Information Systems in low-and middle-income countries. The aim of this study was to estimate the hospital-based rate of disability in patients presenting at an eye department of a rural hospital in Paraguay and to discuss implications for the management of access barriers. Therefore, we introduced two standardized sets of the Washington Group (WG) Questions as a pilot project. In total, 999 patients answered the self-report WG short set (WG-SS) questionnaire with six functional domains, and 501 of these patients answered an extended set, which included additional domains for “anxiety” and “depression” (WG-ES3). Overall, 27.7% (95% Confidence Interval (CI) 24.9–30.3) were categorized as having a disability. A total of 9.6% (95% CI 7.9–11.6) were categorized as having a disability because of communication difficulties, which was second only to visual difficulties. The odds ratio for disability for patients aged 70 years and older was 8.5 (95% CI 5.0–14.4) and for male patients, it was 0.83 (95% CI 0.62–1.1). Of those patients who answered the WG-ES3, 3.4% were categorized as having a disability because of being worried, nervous or anxious and 1.4% because of feeling depressed. An analysis of the questions of the “depression” domain was impeded by a high rate of measurement errors. The results of the different domains can now be used to inform the identification and mitigation of potential access barriers to eye health services for different types of impairments.

Suggested Citation

  • Manfred Mörchen & Olmedo Zambrano & Alexander Páez & Paola Salgado & Jason Penniecook & Andrea Brandt von Lindau & David Lewis, 2019. "Disability-Disaggregated Data Collection: Hospital-Based Application of the Washington Group Questions in an Eye Hospital in Paraguay," IJERPH, MDPI, vol. 16(17), pages 1-16, August.
    • Handle: RePEc:gam:jijerp:v:16:y:2019:i:17:p:3085-:d:260772
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/16/17/3085/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/16/17/3085/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Nancy Sharby & Katharine Martire & Maura D. Iversen, 2015. "Decreasing Health Disparities for People with Disabilities through Improved Communication Strategies and Awareness," IJERPH, MDPI, vol. 12(3), pages 1-16, March.
    2. Kristen Miller & Daniel Mont & Aaron Maitland & Barbara Altman & Jennifer Madans, 2011. "Results of a cross-national structured cognitive interviewing protocol to test measures of disability," Quality & Quantity: International Journal of Methodology, Springer, vol. 45(4), pages 801-815, June.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Alex Robinson & Liem Nguyen & Fleur Smith, 2021. "Use of the Washington Group Questions in Non-Government Programming," IJERPH, MDPI, vol. 18(21), pages 1-13, October.
    2. Ruth Sanders & Ben Gascoyne & Paul Appleby & Syeda Asma Rashida & Emma Jolley, 2021. "Eye Health Service Uptake among People with Visual Impairment and Other Functional Difficulties in Bangladesh: A Cross-Sectional Study with Short-Term Follow Up," IJERPH, MDPI, vol. 18(17), pages 1-12, August.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Seong Cho & Han Park, 2013. "A qualitative analysis of cross-cultural new media research: SNS use in Asia and the West," Quality & Quantity: International Journal of Methodology, Springer, vol. 47(4), pages 2319-2330, June.
    2. Radosław Wolniak & Bożena Skotnicka-Zasadzień, 2018. "Developing a Model of Factors Influencing the Quality of Service for Disabled Customers in the Condition s of Sustainable Development, Illustrated by an Example of the Silesian Voivodeship Public Admi," Sustainability, MDPI, vol. 10(7), pages 1-17, June.
    3. Trani, Jean-François & Cannings, Tim I., 2013. "Child Poverty in an Emergency and Conflict Context: A Multidimensional Profile and an Identification of the Poorest Children in Western Darfur," World Development, Elsevier, vol. 48(C), pages 48-70.
    4. Takasaki, Yoshito, 2020. "Impacts of disability on poverty: Quasi-experimental evidence from landmine amputees in Cambodia," Journal of Economic Behavior & Organization, Elsevier, vol. 180(C), pages 85-107.
    5. Ameri, Mason & Ali, Mohammad & Schur, Lisa & Kruse, Douglas L., 2019. "Disability and the Unionized Workplace," IZA Discussion Papers 12258, Institute of Labor Economics (IZA).
    6. Igei, Kengo, 2017. "Untangling Disability and Poverty: A Matching Approach Using Large-scale Data in South Africa," Working Papers 142, JICA Research Institute.
    7. Mitra, Sophie & Posarac, Aleksandra & Vick, Brandon, 2011. "Disability and poverty in developing countries : a snapshot from the world health survey," Social Protection Discussion Papers and Notes 62564, The World Bank.
    8. Yoshito Takasaki, 2019. "Disability and Poverty: Landmine Amputees in Cambodia," CIRJE F-Series CIRJE-F-1118, CIRJE, Faculty of Economics, University of Tokyo.
    9. Xin Liu & Martin Valcke & Kajsa Yang Hansen & Jan De Neve, 2022. "Does School-Level Instructional Quality Matter for School Mathematics Performance? Comparing Teacher Data across Seven Countries," Sustainability, MDPI, vol. 14(9), pages 1-26, April.
    10. Md Ismail Tareque & Sharifa Begum & Yasuhiko Saito, 2014. "Inequality in Disability in Bangladesh," PLOS ONE, Public Library of Science, vol. 9(7), pages 1-10, July.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:16:y:2019:i:17:p:3085-:d:260772. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.