In Bangladesh, more than 16 million people with disabilities in Bangladesh, or 10% of the country's population. The prevalence of disability was about 6% among those below the age of 18 and about 14% among those above that age.We should critically think about disability and reha-bilitation
DR.MD SHAFIULLAH PRODHAN
More than One billion people of the worlds population, experience different form of disability, and disability spectrum is higher for developing countries. One-fifth of the estimated global total, or between 110 million and 190 million people, experience significant disabilities.
In Bangladesh, more than 16 million people with disabilities in Bangladesh, or 10% of the countrys population. The prevalence of disability was about 6% among those below the age of 18 and about 14% among those above that age.
At first we should understand what is Disability?
According to WHO (World Health Organization): Disabilities is an umbrella term, covering impairments (loss of anatomical, physiological, psychological, and functional) activity limitations, and participation restrictions. An impairment is a problem in body function or structure; an activity limitation is a difficulty encountered by an individual in executing a task or action; while a participation restriction is a problem experienced by an individual in involvement in life situations.
Disability is thus not just a health problem. It is a complex phenomenon, reflecting the interaction between features of a persons body and features of the society in which he or she lives. Overcoming the difficulties faced by people with disabilities requires interventions to remove environmental and social barriers.
People with disabilities have the same health needs as non-disabled people for immunization, cancer screening, general health checkup, psychological measure, pain measure etc. They also may experience a narrower margin of health, both because of poverty and social exclusion and also because they may be vulnerable to secondary conditions, such as pressure sores or urinary tract infections, decrease joint mobility, paralysis. Evidence suggests that people with disabilities face barriers in accessing the health and rehabilitation services they need in many settings.
Disability are a wide variety of spectrum disorders of human life. Such as autism/ ASD, Chronic Illness, Hearing Loss and Deafness, Intellectual Disability, Learning Disability, Memory Loss, Mental Health, Physical Disability, Speech and Language Disorders, Vision Loss and Blindness etc.
Presently Non communicable disease such as diabetes, arthritis, cardiac disease, stroke, nervous system disorders, mechanical pain increasing day by day. Road traffic accident, war, assault, different accident are onset regularly. By both communicable and non- communicable disease people having different disability. If we look in our family, at least we have 1/2 senior people, they have different form of disability.
Rehabilitation is a multidisciplinary process by whom a group of specialist and their approach to a disable person for getting optimal level of benefits. Here involves different health care professionals, social worker, disable persons relatives, care giver etc. So it is important here a team work, without team work we cannot get optimal level of improvement of a disable person. A disable person face to more barrier than a normal person at the bingeing of his or her life from family to society, society to community, community to country, country to worldwide. Now a days we should critically thing rehabilitation for a disable people.
We should guide by unique interdisciplinary and productive debates on a range of issues and solutions. Develop agreement that disabled people are undervalued and discriminated against and this cannot be changed simply through liberal or neo-liberal legislation and policy. Disability rehabilitation must be manifestation of political party country to globally. It is hope that disabling socio-cultural factors, environmental factors, economical supports, and religious aspects can be critiqued a wide range of issues and discourses will become more visible.
Investigating difficult problems that disability studies tended to shy away from and opening up new lines of critical enquiry to elucidate these issues will be beneficial to the study of disability and contribute to an expanded understanding of disabled peoples place in the world.
