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Delay in access to rehabilitation care for disabled persons in Benin: what are the determinants?

par Godonou, Elie-Tino;Assogba, Corneille Tolofon;Houinsou Hans, Iléri Mélina ;Labat, Aline
Référence European Congress on Tropical Medicine and International Health (12: 28/09 - 01/10/21: Virtual from Bergen Norway), TM & IH. Tropical medicine and international health, TM & IH. Tropical medicine and international health (26), 455
Publication Publié, 2021-09-01

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Résumé :

Objective: People with physical disabilities are prone to health inequalities in their experience with health care system in Benin. Rehabilitation care need for these people with severe conditions is important, and are not included in the care package. Rehabilitation care is provided at the hospital and in community-based rehabilitation (CBR) services. The aim of this quantitative study is to identify the determinants of the delay in access to rehabilitation care experienced by disabled people (DP). Methods: The 2-stage sampling consisted in selecting the medical rehabilitation and CBR services where a systematic sampling of DP was carried out. A logistic regression model identified the factors that influence the delay to access care. Results: Over the 318 DP, 57.19% had not received rehabilitation care immediately after the onset of disability. Bivariate analysis (CHI2) show that there is a statistically significant relationship between the immediate start of rehabilitation care and variables such as age (p<0.0001), PD education level (p=0.042), socio-economic level (p=0.014), nature/cause of the handicap (p=0.001), perception of the cause of the handicap (p=0.030) by the DP, and caregiver availability (p=0.005). The different simple logistic regressions identified the significant factors which are: age (OR: 0.58, p=0.001), level of education (OR: 1.33, p=0.024), socio-economic level (OR: 0.66, p=0.005), nature/cause of the handicap (OR: 0.82, p. 0.031). However, multiple logistic regression, adjusted for the significant variables noted in the bivariate analysis, identified only two significant factors, age (0.33, p=0.004) and socio-economic level (0.68, p=0.042). Conclusion: To reach universal health coverage, vulnerable population, especially DP, should not be forgotten. It is thus important for policy makers to reduce the barriers to access rehabilitation care. Facilitate an access without delay, based on the determinants highlighted here, is required for the best recovery possible of disabled people.