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Service needs of children with disabilities in Jamaica
M J Thorburn1, P Desai, T J Paul
1Department of Social and Preventive Medicine, University of the West Indies, Kingston, Jamaica.
Insights
This study assessed Jamaican children
Area of Science:
- Pediatric health
- Disability services
- Public health in Jamaica
Background:
- Assessing service needs for children with disabilities is crucial for effective intervention.
- Jamaica faces challenges in meeting the healthcare and educational demands for its young population.
Purpose of the Study:
- To investigate the service needs of children aged 2-9 years in Clarendon, Jamaica.
- To analyze the prevalence of various disabilities and recommended interventions.
- To compare identified needs with existing service capacities.
Main Methods:
- A two-stage survey involving medical and psychological assessments.
- Parents reported on symptoms across six disability categories.
- Data extrapolated to estimate needs for children under 15 in Jamaica.
Main Results:
- 62% of disabled children required special education, 29.5% needed community-based services.
- 21% required spectacles, 21% specialist referral, and 6% medical treatment.
- A significant gap exists between identified needs and available services.
Conclusions:
- The majority of service needs for disabled children in Jamaica are unmet.
- Training health and education personnel in basic screening can expand community-based service provision.
- There is a critical need to enhance existing services and develop new ones to meet the demand.
Abstract:
We investigated the service needs of children attending a medical assessment as part of a two stage survey of 2 to 9-year-old children in mid and south Clarendon, Jamaica. Parents were asked about symptoms relating to six different disabilities: visual, hearing, speech, motor, cognitive and fits. Following medical and psychological assessment, a diagnosis of mild, moderate, severe or no disability was made. For children with disabilities, the frequencies of five possible types of intervention recommended by the physician were analysed and related to the prevalence of the six disabilities in the parish. To estimate the needs of the Jamaican child population the figures were extrapolated based on an estimate of 1 million children under the age of 15 years. These needs were then compared with places in existing services. Of the disabled children, 62% needed special education, 29.5% needed community-based services, 21% needed spectacles, 21% needed specialist referral, and 6% required medical treatment. Although the vast majority of these needs are not met, many more could be met in the community if existing health and education personnel are trained in basic techniques of screening and assessment.
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