KUMJ | VOL. 12 | NO. 3 | ISSUE 47 | JULY-SEPT, 2014
Movement Disability: Situations and Factors Influencing Access to Health Services in the Northeast of Thailand
Wongkongdech A, Laohasiriwong W
Abstract: Background
Persons with movement disability (PWMDs) are the biggest group of persons
with disabilities (PWDs) with needs helps especially on health. There has been no
evident to show health services accessibility situation of PWMDs in the Northeast of
Thailand, the biggest region.
Objective
This study aimed to explore the current situation of accessibility to health services
among PWMDs, and factors influencing such access.
Method
This cross-sectional study used a multistage stratified random sampling to select
462 subjects from the national registered PWMDs poll to response to a structured
questionnaire. This study complies with the principles of the Declaration of Helsinki
and was approved by the Khon Kaen University Ethics Committee for Human
Research prior to the data collection.
Result
We found that most of PWMDs (66%) had overall health service accessibility at
medium level. Factors influencing the access to health services were living in rural
area (adj. mean diff.= -24.01; 95 % CI: -45.88 to-2.31; p-value=0.032), high income
(adj. mean diff.=0.002; 95 % CI: 0.001 to 0.005; p-value = 0.044), and having offspring
or spouse as care givers (adj. mean diff.=40.44; 95% CI: 7.69 to 73.19; p-value=0.044;
and adj. mean diff.=48.99; 95%CI: 15.01-82.98; p-value=0.016, respectively). PWMDs
who lived in rural areas had better access to health services especially to the subdistrict
health promoting hospital than those in the urban area.
Conclusion
Accessibly to health services of PWMDs still limited. Income, care givers and
residential areas had influences on their access.
Keyword : Domain of accessibility, health service, movement disability
