Browsing by Author "ADEJUMOBI Adeyemi Sunday"

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    Geo-spatial mapping of occupational therapy and physiotherapy services for children with disabilities in Ile-Ife Osun state, Nigeria.
    (Department of community health, Faculty of clinical sciences, Obafemi Awolowo University., 2022) ADEJUMOBI Adeyemi Sunday
    This study described the spatial distribution of Occupational Therapy (OT) and Physiotherapy (PT) services for use by Children with Disabilities (CWDs) in the study area; determined the accessibility of Occupational and Physiotherapy services for use by CWDs in the study area; assessed self-reported use of OT and PT services by parents of CWDs; determined association between accessibility (availability) of services and self-reported use of services; and determined association between characteristics of parents of CWDs’ and self-reported use of the services. These were with the view to assess prevalence of OT and PT services and identify factors associated with use of the services. This study was a descriptive cross sectional study carried out among 102 consenting parents of CWDs in Ile Ife, Osun State, Nigeria. Respondents were purposively selected from special needs schools and have lived a minimum of 12 months with their CWDs. Occupational therapy and PT facilities were located using Snowball sampling technique. A questionnaire from similar study and Disability Screening Questions (DSQ) scale were used to assess respondents’ self-reported use of OT and PT services and screen types of childhood disabilities respectively. Residences of respondents and location of OT and PT facilities were mapped using Garmin GPS 72H. IBM SPSS version 20 was used to analyze quantitative data and geodata was analyzed using Geospatial data interpolation. Alpha level was set at p<0.05. Results showed that 56 (54.9%) of the respondents were male, 61 (59.81%) had above primary school education and 59 (57.84%) were traders/businessmen. Majority were married 83 (81.37%), christians 93 (91.18%) and were yoruba 98 (96.08 %.). The study area had one OT and two PT services for CWDs which are more centrally located compared to residences of respondents. Lowest mean distance to any facility by respondents was 3.84km while some respondents covered over 8km. The respondents traveled across LGA boundaries to seek rehabilitation care due to unavailability of services nearby. Fifty one (50%) of the respondents reported ever use of rehabilitation services while only 23 (22.6%) recorded current use. Thirty six (35.3%) went for referral and 20 (19.6%) reported use in the last 12 months. Significant association was found between facility type and ever use (χ2=63.630, p=0.001); use in the last 12 months (χ2=42.593, p=0.001); current use (χ2=51.916, p=0.001) and going for referrals (χ2=67.545, p=0.001). Location of facility was also significantly associated with ever use (χ2=63.409, p=0.001); use in the last 12 months (χ2=28.495, p=0.001); current use (χ2=34.856, p=0.001) and going for referrals (χ2=55.963, p=0.001). Level of education had significant association with use in the last 12 months (χ2=16.736, p=0.001); going for referrals (χ2=13.816, p=0.003) and occupation had significant associations with ever use (χ2=17.901, p=0.01); use in the last 12 months (χ2=38.243, p=0.001); current use (χ2=44.050, p=0.001) and going for referrals (χ2=23.118, p=0.001). The study concluded that occupational therapy and physiotherapy services for children with disabilities were scarce and that geographical availability of services, level of education and occupation of parents affected the use of Occupational Therapy and Physiotherapy services.