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Epidemiology and policy
P1-204 Epidemiology of disability in India: observations from a recent study in two states, 2009–2010
  1. A Kumar,
  2. S Husain
  1. National JALMA Institute for Leprosy & Other Mycobacterial Diseases (ICMR), Taj Ganj, Agra, Uttar Pradesh, India

Abstract

Introduction Disability refers to functional impairment of any part of the body and may be congenital or acquired. Estimation of disability load and its causes is an important index for determining services for social justice and rehabilitation. This study aimed to estimate the community disability burden in India at the request of the Government of India and WHO.

Materials and Methods Cluster random sampling in two states (Uttar Pradesh and Haryana) was used. A sample of 100 000 people per district, with four districts per state was identified. Twenty per cent were selected from urban areas and rest from four randomly selected PHCs. In rural areas the survey was conducted with the help of ASHA workers and in Urban areas by the Urban Team. ASHA workers were provided with 2 days of comprehensive training and urban team was also trained.

Results We found that the total disability rate (TDR) was 67.3/10 000 population—77.4/10 000 in males and 56.7/10 000 in females (p<0.001). The TDR was significantly higher in urban areas than in rural areas (83.2/10 000 vs 62.9/10 000, p<0.001). The same trend was observed at the state level. The data show that 58.2% of the total disability was due to locomotors defects only (polio, paralysis, epilepsy, congenital and trauma) followed by blindness and multiple disabilities. Further data will be available for the Congress.

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