PrernaUttar Pradesh University of Medical Sciences, India
Title: Prevalence of Disability and its Association with Healthcare and Service Utilisation across Various Demographic and Socio-Economic Profiles among Persons with Disability in India
Background and rationale: Beyond the pandemic, the world is "building back better" healthcare systems and services. People with disabilities must be included in this because 1) health goals, such as Universal Health Coverage (UHC) and Sustainable Development Goal 3 (SDG 3), cannot be met by 2030 without them; 2) people with disabilities have a right to healthcare, and healthcare improves their quality of life; and 3) inclusive health systems are more effective for everyone. Therefore, it is essential for the global society to rethink how health systems should be created to include individuals with impairments.This study will provide its best efforts to bridge the existing knowledge gap on disability and service and healthcare utilization in LMICs like in India. With two large nationally representative datasets describing disability in different ways, it is clear that there are different datasets and different approaches. This creates a requirement to understand them and compare the prevalence across the nation which is standardized. This study will also analyze the current disability program run by the government of India and its effectiveness in tackling disability. It will add to the existing available evidence and hence strengthen the need for policy actions to cater to the needs of the disabled population.
Methods: A secondary research was carried out to study the service and healthcare utlisation by PwDs in India. NSS 76th round on Disability related dimensions and LASI wave 1 focuses on aging-related issues, impairment being one of the them were used as datasets. a thorough study of variables, sample size, and survey design of the datasets was undertaken. Documentation and user guides provided with the datasets were used to gain insights into the data collection methodology and sampling strategy. All analyses have been done in STATA
V.15.0 (StataCorp, College Station, Texas, USA) and Microsoft Excel 2016. The results were analysed and interpretation of the findings in the context of research objectives was done.
Conclusion: The study highlights the importance of addressing the socioeconomic determinants of disability. The higher prevalence of disability among those from lower socio-economic backgrounds suggests that poverty and other social determinants are important factors contributing to disability in India. The findings of this study have important implications across the policy front and in improving the health and well-being of people with disabilities.