Disability and rehabilitation in rural Jamaica: an ethnographic study
Persons with disabilities, and existing and potential modes of rehabilitation in the developing world, have yet to attract the attention they deserve from within the medical community or among health care researchers. It is estimated that about 10 per cent of the population, or 450 million people, a...
Gespeichert in:
| 1. Verfasser: | |
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| Format: | Buch |
| Sprache: | English |
| Veröffentlicht: |
Rutherford
Fairleigh Dickinson Univ. Press u.a.
1992
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| Schlagworte: | |
| Online-Zugang: | Inhaltsverzeichnis |
| Zusammenfassung: | Persons with disabilities, and existing and potential modes of rehabilitation in the developing world, have yet to attract the attention they deserve from within the medical community or among health care researchers. It is estimated that about 10 per cent of the population, or 450 million people, are disabled (World Health Organization ?WHO? 1984). There is remarkably little in the way of descriptive or empirical studies on cultural patterning of disability and rehabilitation, and there is a similar dearth of published information describing international rehabilitation services. The specific objectives of this research are: (1) an ethnographic description of a community based rehabilitation (CBR) project; (2) a description and analysis of the beliefs and behaviors held by or exhibited by the families of disabled children as they relate to disability and rehabilitation; and (3) an analysis of the issues and problems associated with a CBR program in a low-income, rural environment The research for this book was conducted in St. Catherine parish, Jamaica. Eighty-one caretakers of disabled children who are participants in a community based rehabilitation program known as the 3D Project were interviewed. The development of community based rehabilitation coincides with all increasingly universal support of a community approach to all health care and is similar to other primary health care (PHC) models in that it involves measures taken at the community level to use and build upon the resources of the community. It is based on practical, scientifically sound, and socially acceptable methods and technology made universally available to individuals and families. CBR is expected to be low cost and highly accessible to the local people. With regard to the three salient theoretical domains that were the focus of this research: stigma, health beliefs and behaviors, and adaptation, the conclusions for this poor rural population are:. 1 Although negative conditions exist, it appears that disabled children are not particularly stigmatized at the household level. Nevertheless, societal stigmatization and apathy do exist. As a result, disabled children are not being prepared to fully integrate into Jamaican society. 2. There is a range of variation of beliefs and behaviors with regard to disability and rehabilitation. The concept of intracultural diversity is supported. 3. This population has adapted their cultural belief systems and actual behaviors to match their material realities. That is, it would appear that people who have a disability, and their caretakers, have demonstrated "contextual accommodation." 4. Community based rehabilitation programs, based on the primary health care and community participation principles enumerated by the WHO are theoretically sound and practically attainable in Jamaica |
| Beschreibung: | 249 S. Ill., Kt. |
| ISBN: | 0838634370 |
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| 520 | 3 | |a Persons with disabilities, and existing and potential modes of rehabilitation in the developing world, have yet to attract the attention they deserve from within the medical community or among health care researchers. It is estimated that about 10 per cent of the population, or 450 million people, are disabled (World Health Organization ?WHO? 1984). There is remarkably little in the way of descriptive or empirical studies on cultural patterning of disability and rehabilitation, and there is a similar dearth of published information describing international rehabilitation services. The specific objectives of this research are: (1) an ethnographic description of a community based rehabilitation (CBR) project; (2) a description and analysis of the beliefs and behaviors held by or exhibited by the families of disabled children as they relate to disability and rehabilitation; and (3) an analysis of the issues and problems associated with a CBR program in a low-income, rural environment | |
| 520 | 3 | |a The research for this book was conducted in St. Catherine parish, Jamaica. Eighty-one caretakers of disabled children who are participants in a community based rehabilitation program known as the 3D Project were interviewed. The development of community based rehabilitation coincides with all increasingly universal support of a community approach to all health care and is similar to other primary health care (PHC) models in that it involves measures taken at the community level to use and build upon the resources of the community. It is based on practical, scientifically sound, and socially acceptable methods and technology made universally available to individuals and families. CBR is expected to be low cost and highly accessible to the local people. With regard to the three salient theoretical domains that were the focus of this research: stigma, health beliefs and behaviors, and adaptation, the conclusions for this poor rural population are:. 1 | |
| 520 | 3 | |a Although negative conditions exist, it appears that disabled children are not particularly stigmatized at the household level. Nevertheless, societal stigmatization and apathy do exist. As a result, disabled children are not being prepared to fully integrate into Jamaican society. 2. There is a range of variation of beliefs and behaviors with regard to disability and rehabilitation. The concept of intracultural diversity is supported. 3. This population has adapted their cultural belief systems and actual behaviors to match their material realities. That is, it would appear that people who have a disability, and their caretakers, have demonstrated "contextual accommodation." 4. Community based rehabilitation programs, based on the primary health care and community participation principles enumerated by the WHO are theoretically sound and practically attainable in Jamaica | |
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Datensatz im Suchindex
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|---|---|
| adam_text | Contents
List of Illustrations 7
List of Abbreviations 9
Preface 11
Acknowledgments 15
1. Introduction 19
2. A Community Based Rehabilitation Project in Jamaica: An
Ethnographie Description 28
3. Jamaica: The Nation and Its People 44
4. Health in Jamaica: The Delivery System and Present Status
of the People 70
5. Methods of Research 90
6. Disabled Children and Their Families: A Quantitative and
Qualitative Perspective 101
7. Disabled Children and Their Families: Case Examples 143
8. Discussion, Recommendations, and Conclusions 166
Appendix A: Disability and Rehabilitation in the Third World 194
Appendix B: Theoretical Constructs: A Review of the
Literature 226
References 239
Index 247
Illustrations
Photographs
Dr. Molly Thorburn 29
CRW Role Playing as Part of Training 35
CRW with Disabled Child, Family, and Research Assistant 38
Outdoor Food Market 49
One of Many Small Churches throughout the Island 65
Mona Rehabilitation Centre Children s Ward and
Dr. John Golding 82
Appliance Workshop at Mona Rehabilitation Centre 83
Disabled Child and Grandmother Caretaker 113
Disabled Child, CRW, and Family in Homemade
Seating Device 123
Figures
1. Map of St. Catherine Parish, Jamaica 32
2. Map of the West Indies 45
3. Map of Jamaica 46
4. Jamaican National Emblem 47
5. The Organization of the National Level of Health 74
6. Primary Functions of the Parish Health Department 75
7. Possible Responses to the Presence of a Disabled Child 170
8. The Cycle of Underdevelopment 197
9. World Incidence of Disability 199
10. Incidence of Disability Due to Congenital Diseases 199
11. Incidence of Disability Due to Communicable Diseases 200
12. Community Based Rehabilitation Model 219
Tables
1. Demographic Profile of Female Headed Households
in Jamaica 63
7
8 ILLUSTRATIONS
2. Frequency of Diagnosis 103
3. Frequency of Material Items Used for Economic Status
Variable 106
4. Frequency of Household Organization Types 109
5. Frequency of Household Composition Data 110
6. Beliefs Concerning the Cause of the Disability 118
7. Disability Identifying Labels 119
8. Sources of Referral to the 3D Project 121
9. Use of Traditional Healing Practices 126
10. The Caretakers Greatest Concern for the Present Time 135
11. The Caretakers Greatest Concern for the Future 136
12. Developmental Classification of Disability Etiology 203
13. Etiological Factors in Clinical Studies of Mental Retardation 203
14. Etiological Diagnosis in Soweto 204
|
| any_adam_object | 1 |
| author | Leavitt, Ronnie L. |
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| publisher | Fairleigh Dickinson Univ. Press u.a. |
| record_format | marc |
| spelling | Leavitt, Ronnie L. Verfasser aut Disability and rehabilitation in rural Jamaica an ethnographic study Ronnie Linda Leavitt Rutherford Fairleigh Dickinson Univ. Press u.a. 1992 249 S. Ill., Kt. txt rdacontent n rdamedia nc rdacarrier Persons with disabilities, and existing and potential modes of rehabilitation in the developing world, have yet to attract the attention they deserve from within the medical community or among health care researchers. It is estimated that about 10 per cent of the population, or 450 million people, are disabled (World Health Organization ?WHO? 1984). There is remarkably little in the way of descriptive or empirical studies on cultural patterning of disability and rehabilitation, and there is a similar dearth of published information describing international rehabilitation services. The specific objectives of this research are: (1) an ethnographic description of a community based rehabilitation (CBR) project; (2) a description and analysis of the beliefs and behaviors held by or exhibited by the families of disabled children as they relate to disability and rehabilitation; and (3) an analysis of the issues and problems associated with a CBR program in a low-income, rural environment The research for this book was conducted in St. Catherine parish, Jamaica. Eighty-one caretakers of disabled children who are participants in a community based rehabilitation program known as the 3D Project were interviewed. The development of community based rehabilitation coincides with all increasingly universal support of a community approach to all health care and is similar to other primary health care (PHC) models in that it involves measures taken at the community level to use and build upon the resources of the community. It is based on practical, scientifically sound, and socially acceptable methods and technology made universally available to individuals and families. CBR is expected to be low cost and highly accessible to the local people. With regard to the three salient theoretical domains that were the focus of this research: stigma, health beliefs and behaviors, and adaptation, the conclusions for this poor rural population are:. 1 Although negative conditions exist, it appears that disabled children are not particularly stigmatized at the household level. Nevertheless, societal stigmatization and apathy do exist. As a result, disabled children are not being prepared to fully integrate into Jamaican society. 2. There is a range of variation of beliefs and behaviors with regard to disability and rehabilitation. The concept of intracultural diversity is supported. 3. This population has adapted their cultural belief systems and actual behaviors to match their material realities. That is, it would appear that people who have a disability, and their caretakers, have demonstrated "contextual accommodation." 4. Community based rehabilitation programs, based on the primary health care and community participation principles enumerated by the WHO are theoretically sound and practically attainable in Jamaica Anthropologie médicale Anthropologie médicale - Jamaïque ram Handicapés - Jamaïque Handicapés - Jamaïque ram Réadaptation - Jamaïque Santé rurale, Cliniques de - Jamaïque Services de santé en milieu rural - Jamaïque ram Soins infirmiers en réadaptation - Jamaïque ram Community Health Aides Jamaica Community Health Services Jamaica Disabled Persons Jamaica Medical anthropology People with disabilities Jamaica Rehabilitation Jamaica Rural health clinics Jamaica Behinderung (DE-588)4112696-8 gnd rswk-swf Behinderter Mensch (DE-588)4005279-5 gnd rswk-swf Ländlicher Raum (DE-588)4034026-0 gnd rswk-swf Familienbeziehung (DE-588)4133734-7 gnd rswk-swf Rehabilitation (DE-588)4049078-6 gnd rswk-swf Jamaika (DE-588)4028456-6 gnd rswk-swf Jamaika (DE-588)4028456-6 g Ländlicher Raum (DE-588)4034026-0 s Behinderung (DE-588)4112696-8 s Rehabilitation (DE-588)4049078-6 s DE-604 Behinderter Mensch (DE-588)4005279-5 s Familienbeziehung (DE-588)4133734-7 s HBZ Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=003698653&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
| spellingShingle | Leavitt, Ronnie L. Disability and rehabilitation in rural Jamaica an ethnographic study Anthropologie médicale Anthropologie médicale - Jamaïque ram Handicapés - Jamaïque Handicapés - Jamaïque ram Réadaptation - Jamaïque Santé rurale, Cliniques de - Jamaïque Services de santé en milieu rural - Jamaïque ram Soins infirmiers en réadaptation - Jamaïque ram Community Health Aides Jamaica Community Health Services Jamaica Disabled Persons Jamaica Medical anthropology People with disabilities Jamaica Rehabilitation Jamaica Rural health clinics Jamaica Behinderung (DE-588)4112696-8 gnd Behinderter Mensch (DE-588)4005279-5 gnd Ländlicher Raum (DE-588)4034026-0 gnd Familienbeziehung (DE-588)4133734-7 gnd Rehabilitation (DE-588)4049078-6 gnd |
| subject_GND | (DE-588)4112696-8 (DE-588)4005279-5 (DE-588)4034026-0 (DE-588)4133734-7 (DE-588)4049078-6 (DE-588)4028456-6 |
| title | Disability and rehabilitation in rural Jamaica an ethnographic study |
| title_auth | Disability and rehabilitation in rural Jamaica an ethnographic study |
| title_exact_search | Disability and rehabilitation in rural Jamaica an ethnographic study |
| title_full | Disability and rehabilitation in rural Jamaica an ethnographic study Ronnie Linda Leavitt |
| title_fullStr | Disability and rehabilitation in rural Jamaica an ethnographic study Ronnie Linda Leavitt |
| title_full_unstemmed | Disability and rehabilitation in rural Jamaica an ethnographic study Ronnie Linda Leavitt |
| title_short | Disability and rehabilitation in rural Jamaica |
| title_sort | disability and rehabilitation in rural jamaica an ethnographic study |
| title_sub | an ethnographic study |
| topic | Anthropologie médicale Anthropologie médicale - Jamaïque ram Handicapés - Jamaïque Handicapés - Jamaïque ram Réadaptation - Jamaïque Santé rurale, Cliniques de - Jamaïque Services de santé en milieu rural - Jamaïque ram Soins infirmiers en réadaptation - Jamaïque ram Community Health Aides Jamaica Community Health Services Jamaica Disabled Persons Jamaica Medical anthropology People with disabilities Jamaica Rehabilitation Jamaica Rural health clinics Jamaica Behinderung (DE-588)4112696-8 gnd Behinderter Mensch (DE-588)4005279-5 gnd Ländlicher Raum (DE-588)4034026-0 gnd Familienbeziehung (DE-588)4133734-7 gnd Rehabilitation (DE-588)4049078-6 gnd |
| topic_facet | Anthropologie médicale Anthropologie médicale - Jamaïque Handicapés - Jamaïque Réadaptation - Jamaïque Santé rurale, Cliniques de - Jamaïque Services de santé en milieu rural - Jamaïque Soins infirmiers en réadaptation - Jamaïque Community Health Aides Jamaica Community Health Services Jamaica Disabled Persons Jamaica Medical anthropology People with disabilities Jamaica Rehabilitation Jamaica Rural health clinics Jamaica Behinderung Behinderter Mensch Ländlicher Raum Familienbeziehung Rehabilitation Jamaika |
| url | http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=003698653&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA |
| work_keys_str_mv | AT leavittronniel disabilityandrehabilitationinruraljamaicaanethnographicstudy |