Handicap International experience in Afghanistan - CBM

Figure 17. Number of Visits to Health Services in One YearAccording to Persons with Disability and Non-Disabled45• Persons with Disability • Non-Disabled4035302520151050Not Used Once Twice 3 Times 4 Times orMoreDon’t KnowWhen persons with disabilities were asked about barriers to health services, 37.2% professed no difficultyin accessing health care while 47.1% non-disabled persons reported having faced no difficulty. This is anexpected result. Persons with disabilities probably require more complicated medical procedures that theoften under-qualified medical staff can provide, especially in rural areas. Among difficulties reported, personswith disability faced problems mainly regarding money for fees or medication and transportation (25.1%),followed by the absence of transportation (20.0%), and far behind, the absence of medication (4.0%).Non-disabled people also face difficulty with transportation (21.1%), lack of money (19.0%) and absenceof medication (4.2%).Overall, we can state that the access being low, the main difficulties remain money and transportation. It canbe expected that once access does improve, new problems will come up within the services if no measuresare taken for training and sensitization of the staff.Figure 18. Distribution of the Difficulties Encountered During theVisits to Health Services50• Persons with Disability • Non-Disabled454035302520151050No MoneyNo TransportationNo Medication AvailableNo One Could Come With MeNo FoodNo Doctor/Staff AvailableBad Attitude of StaffEquipment Given was UselessOther DifficultyNo DifficultyRespondents could give up to 3 answers for each visit. “No difficulty” is counted once by visit.28 Understanding the Challenge Ahead