Handicap International experience in Afghanistan - CBM
Handicap International experience in Afghanistan - CBM
Handicap International experience in Afghanistan - CBM
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Prevalence Threshold with Regard to the Screen<strong>in</strong>g Questionnaire:27 Questions2.7%Threshold1Severe Difficulties <strong>in</strong>Function<strong>in</strong>g4.8%Threshold2Inclusion of Less SevereDifficulties <strong>in</strong> Function<strong>in</strong>gPrevalence Thresholds with Regard to Abilities <strong>in</strong> EverydayFunction<strong>in</strong>g: 9 Dimensions.If we consider answers to the health questionnaire, accord<strong>in</strong>g to the 9 dimensions def<strong>in</strong>ed above, the thresholdcan be put at various levels of severity of limitations. One option is to take <strong>in</strong>to consideration the answers‘very severe difficulty or <strong>in</strong>ability’ to any one of the dimensions. In this configuration, the rate of prevalenceis 2.2%. If we add people with the score of ‘severe difficulty’ to any of the dimensions, the rate of prevalence<strong>in</strong>creases to 10.8%. Then, if we add people scor<strong>in</strong>g a level of ‘moderate difficulty’, the rate becomes 36.7%.F<strong>in</strong>ally, if we add people with the score of ‘mild difficulty’ to any of the dimensions, the prevalence ratebecomes 58.9%. In other words, <strong>in</strong> the latter situation people with ‘no difficulty’ are only 41.1%!2.2%Threshold110.8%Threshold236.7%Threshold358.9%Threshold4Very SevereDifficulties on atleast 1 DimensionVery Severe/SevereDifficulties on at least1 DimensionVery Severe/Severe/Moderate Difficulties on atleast 1 DimensionVery Severe/ Severe/Moderate/Mild Difficulties on atleast 1 DimensionAn Over-representation of Males among Persons with DisabilityThe first conclusion that we can draw regard<strong>in</strong>g the overall profile of Afghans with disability is that there are(significantly) more males than females.Figure 2. Sex-Ratio of the Non-Disabled and Afghans withDisability• Non-Disabled Females • Non-Disabled Males • Females with Disability • Males with DisabilityIt is important to note that <strong>in</strong> the overall NDSA sample, the male-female ratio of the non-disabled is 0.95(958 women for 1000 men). In the sample of persons with disability the ratio is 0.70 (700 women for 1000men). This shows an under-representation of women that can be due to several reasons: high visibility ofthe physically disabled who are mostly men, as well as stigmatization of other forms of disability, especiallymental, that are more prevalent amongst women. Another explanation is that women have less severedifficulties, so they do not fall <strong>in</strong>to the ‘very severe’ category. This will be discussed <strong>in</strong> the follow<strong>in</strong>g sectionsof this report.8 Understand<strong>in</strong>g the Challenge Ahead