An Appraisal of Rehabilitation Services in Nigeria

An Appraisal of Rehabilitation Services in Nigeria

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Description

Rehabilitation services have been provided by leprosy settlements in Abia and Oyo States for decades, but there is not much evidence to show the benefits of rehabilitation on patients treated in these settlements. Furthermore, specific information on the rehabilitation services provided to leprosy patients both those in the settlement and those discharged home is scanty. This study therefore, sought to appraise the rehabilitation services provided to leprosy patients.This descriptive study was carried out in 3 purposively selected leprosy settlements, namely: Uzuakoli in Abia State and Ohaozara in Ebonyi State and Ogbomoso in Oyo State. A total of 110 inmates, 2 administrative officers in charge of the settlements, 24 in Abia and Ebonyi and 117 inmates, 1 administrative officer and 7 health workers in Oyo participated in the study. Eight focus group discussions were also done in the settlements. In all, 4 sets of questionnaires were used for the various categories of persons who participated in the study. The questionnaire for the patients was divided into sections to assess medical, social, vocational, and psychological rehabilitation. The maximum score for each category were 7,11,6, and 21 respectively.Assessment of medical services provided for the inmates showed that 55 (50%) of inmates in Abia and 96 (82.1%) of those in Oyo received follow-up visits by health workers. Supply of drugs was poor in all the settlements. For those discharged home, there was no follow-up services in any of the States. Facilities for vocational rehabilitation were limited to basket-making in Oyo and cane chair making in Abia. Financial support by State/ Local Government was provided for 27 (24.5%) of inmates in Abia and 99 (84.6%) in Oyo. Mean score for medical rehabilitation for inmates in Oyo was 2.0 + 0.8 and that for Abia was 2.1 + 0.8. Married patients in Oyo State scored 2.2 + 0.9 while the non-married scored 1.6 + 0.6 (P = .03). For vocational rehabilitation, the scores for inmates in Oyo and Abia State were 2.3 + 1.1 and 2.4 + 1.2 respectively (P = 0.000002). In Oyo, males had higher vocational mean score 2.6 + 1.2 than females 2.1 + 1.2 (P = 0.01). The score for social rehabilitation in Abia and Oyo were 4.1 + 2.8 and 3.5 + 2.2 respectively. For social rehabilitation males in Abia had higher mean score 4.7 + 3.0 than females 3.2 + 2.3 (P = 0.014). Psychological rehabilitation score for inmates in Abia State was 13.4 + 12.1 and that for Oyo State was 11.1 + 4.6. Divorce/separated inmates scored 16.5 + 8.9 while married inmates scored 22.4 + 6.0 (P = 0.03). Older patients 70 years and above in Abia and Oyo scored higher than the younger ones 20 – 29 years (P = 0.003).Age, sex and marital status were the most important factors associated with rehabilitation of leprosy patients. The younger and married the patients were, the more psychologically rehabilitated they were. It is recommended that leprosy patients should be encouraged to remain married or get married in the settlements. Adequate facilities and craft teachers for vocational rehabilitation should be provided in the settlements to enable inmates acquire vocations and skills that will encourage self-sustenance after discharge. The public and patient’s families should be educated and encouraged to accept inmates back into the community after discharge. This stems from the high proportion of discharged patients who were rejected by their family members.show more

Product details

  • Paperback | 182 pages
  • 215.9 x 279.4 x 10.41mm | 544.31g
  • Createspace Independent Pub
  • English
  • 1508431779
  • 9781508431770