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Global childhood disability Hannah Kuper

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Presentation on theme: "Global childhood disability Hannah Kuper"— Presentation transcript:

1 Global childhood disability Hannah Kuper

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 India: 3.6% Cameroon: 4.7%

6 Key Informant Method

7 KIM results: moderate/severe BangladeshPakistanKenyaMalawi Prevalence0.9%0.5%0.8%1.7%

8 KIM results: moderate/severe BangladeshPakistanKenyaMalawi Physical70%63%42%39% Hearing4%20%14%27% Vision8%4%8%4% Intellectual--22%26% Epilepsy17%12%14%22%

9

10

11 Does the child have an impairment/a medical condition that can lead to disability?

12 Latin America Bolivia 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% Africa Benin 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% Asia India 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 gender More in boys More in girls Odds Ratio

14 Disability and gender More in boys More in girls Odds Ratio

15 Overview of childhood disability 1 in children have a disability 1 in 100 children severe disabilities Leading cause physical More common in boys

16 What is the impact of disability?

17 Education

18 Indonesia: School attendance Girls 95%

19 Indonesia: School attendance Girls 95% 48% Odds ratio: 21

20 Indonesia: School attendance Girls 95% 48% Odds ratio: 21 Odds ratio: 10 Boys 94% 61%

21 Disability and school: Girls More in CWD Odds Ratio

22 Disability and school: Girls More in CWD Odds Ratio

23 Disability and school: Boys More in CWD Odds 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 illness Boys 6% 21% Odds ratio: 4

30 Indonesia: Serious illness Boys 6% 21% Odds ratio: 4 Odds ratio: 3 Girls 5% 14%

31 Disability and serious illness: boys More in CWD Odds Ratio

32 Disability and serious illness: boys More in CWD Odds Ratio

33 Disability and serious illness: girls More in CWD Odds Ratio

34 Disability and poverty

35 Poverty Childhood disability Reduced employment Cost of disability More at risk Less treatment

36 DisabilityCountryPoverty association VisionChina- HearingEgypt+ PhysicalMexico+ CognitivePakistan+ Brazil+ + Bangladesh+ India+ Turkey+ Brazil0 China+ + GeneralKenya+ India+ +

37 Malnutrition Childhood disability Poverty Feeding difficulties Poor care Exclusion Frequent illness Specific conditions Developmental delay

38 Turkana: disability and malnutrition

39 Malnutrition and disability VariableCase vs Sibling OR (95% CI) Case vs Neighbour OR (95% CI) UnderweightYes No 2.2 ( ) Baseline 2.7 ( ) Baseline

40 Malnutrition and disability VariableCase vs Sibling OR (95% CI) Case vs Neighbour OR (95% CI) UnderweightYes No 2.2 ( ) Baseline 2.7 ( ) Baseline StuntingYes No 1.7 ( ) Baseline 1.9 ( ) Baseline Low BMI for ageYes No 1.6 ( ) Baseline 1.8 ( ) Baseline WastingYes No 1.5 ( ) Baseline 1.9 ( ) 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 Conclusions Childhood disability common Widespread impact Large treatment gap Wider needs Poor evidence base

49 Thank you


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