Hannah Kuper httpdisabilitycentrelshtmacuk 1 billion people with disabilities 15 95 million children with disabilities 5 global estimates are essentially speculative Surveys of childhood disability ID: 1043020
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1. Global childhood disabilityHannah Kuperhttp://disabilitycentre.lshtm.ac.uk/
2. 1 billion people with disabilities: 15%95 million children with disabilities: 5%
3. “global estimates are essentially speculative”
4. Surveys of childhood disability
5. Surveys of childhood disabilityIndia: 3.6%Cameroon: 4.7%
6. Key Informant Method
7. KIM results: moderate/severeBangladeshPakistanKenyaMalawiPrevalence0.9%0.5%0.8%1.7%
8. KIM results: moderate/severeBangladeshPakistanKenyaMalawiPhysical70%63%42%39%Hearing4%20%14%27%Vision8%4%8%4%Intellectual--22%26%Epilepsy17%12%14%22%
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11. Does the child have an impairment/a medical condition that can lead to disability?
12. Latin AmericaBolivia 0.9%Brazil 1.1%Colombia 1.0%Dom Rep 0.7%Ecuador 1.7%El Salvador 1.9%Guatemala 1.1%Honduras 1.6%Nicaragua 1.7%Paraguay 1.5%Peru 0.8%AfricaBenin 0.4%Egypt 1.3%Guinea 0.5%Kenya 0.4%Mozamb 1.8%Niger 1.0%Rwanda 3.3%Senegal 0.5%Sudan 0.5%Tanzania 0.4%Uganda 0.8%Zambia 0.7%Zimbabwe 0.6%AsiaIndia 0.8%Indonesia 0.8%Nepal 0.7%Philippines 1.2%Sri Lanka 0.8%Vietnam 1.8%907,734 children 8,900 children with disabilities
13. Disability and genderMore in boysMore in girlsOdds Ratio
14. Disability and genderMore in boysMore in girlsOdds Ratio
15. Overview of childhood disability1 in 20-30 children have a disability1 in 100 children severe disabilitiesLeading cause physicalMore common in boys
16. What is the impact of disability?
17. Education
18. Indonesia: School attendanceGirls95%
19. Indonesia: School attendanceGirls95% 48% Odds ratio: 21
20. Indonesia: School attendanceGirls95% 48% Odds ratio: 21Odds ratio: 10Boys94% 61%
21. Disability and school: GirlsMore in CWDOdds Ratio
22. Disability and school: GirlsMore in CWDOdds Ratio
23. Disability and school: BoysMore in CWDOdds Ratio
24. Impairment reported as main barrier
25. Lower level of schooling
26. Variation by impairment type
27. Exclusion from education major issue!
28. Health
29. Indonesia: Serious illnessBoys6% 21% Odds ratio: 4
30. Indonesia: Serious illnessBoys6% 21% Odds ratio: 4Odds ratio: 3Girls5% 14%
31. Disability and serious illness: boysMore in CWDOdds Ratio
32. Disability and serious illness: boysMore in CWDOdds Ratio
33. Disability and serious illness: girlsMore in CWDOdds Ratio
34. Disability and poverty
35. PovertyChildhood disabilityReduced employmentCost of disabilityMore at riskLess treatment
36. DisabilityCountryPoverty associationVisionChina-HearingEgypt+PhysicalMexico+CognitivePakistan+Brazil+Brazil+Bangladesh+India+Turkey+Brazil0China+China+GeneralKenya+India+India+
37. MalnutritionChildhood disabilityPovertyFeeding difficultiesPoor careExclusionFrequent illnessSpecific conditionsDevelopmental delay
38. Turkana: disability and malnutrition
39. Malnutrition and disabilityVariableCase vs SiblingOR (95% CI)Case vs NeighbourOR (95% CI)UnderweightYesNo2.2 (1.5-3.2)Baseline2.7 (1.9-3.7)Baseline
40. Malnutrition and disabilityVariableCase vs SiblingOR (95% CI)Case vs NeighbourOR (95% CI)UnderweightYesNo2.2 (1.5-3.2)Baseline2.7 (1.9-3.7)BaselineStuntingYesNo1.7 (1.1-2.6)Baseline1.9 (1.3-2.9)BaselineLow BMI for ageYesNo1.6 (1.1-2.5)Baseline1.8 (1.2-2.7)BaselineWastingYesNo1.5 (0.8-2.7)Baseline1.9 (1.1-3.4)Baseline
41. Family impact of disability
42. What are priorities for action?
43. Close treatment gap
44. Close rehabilitation gap
45. Uptake of treatment
46. Widespread impact of disability
47.
48. ConclusionsChildhood disability commonWidespread impactLarge treatment gapWider needsPoor evidence base
49. Thank youhttp://disabilitycentre.lshtm.ac.uk/