Exercise 5

[kbalsara]

Share in the class discussion board some of your data.

[Yasmin Garcia Mendez]

In Mexico, according to the WHO Rehabilitation Need Estimator, in 2019, about 37 million people experienced conditions that could benefit from rehabilitation. This is 2 in 7 Mexicans. The leading condition was low back pain with 8.2 million prevalent cases in the same year.

According to the National Institute of Statistics and Geography (INEGI) 6,179,890 had some kind of disability in 2020 in Mexico, which represents 4.9 % of the total population.

According to the INEGI, in 2022 there were 91,501 persons injured due to road traffic injuries.

Most prevalent conditions in Mexico in 2019 were musculoskeletal conditions, followed by sensory impairments.

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The 2017 Global Burden of Disease (GBD) data and the Health Indicators for 2018 in Mongolia, indicate that the health conditions most associated with disability and amenable to rehabilitation are cardiovascular disease, hypertension, ischemic heart disease, stroke, road injuries, falls, arthritis, neck and low back pain, congenital defects, neonatal disorders, cancer (particularly liver cancer) and mental disorders including depression and stress. Currently, rehabilitation needs are largely unmet.
Estimates of need for rehabilitation are now available from the Institute of Health Metrics and Evaluation website at https://vizhub.healthdata.org/rehabilitation/. These data demonstrate that in Mongolia (based on Global Burden of Disease 2019 data) approximately 2 persons in 7 could benefit from rehabilitation; that is 990, 000 people experienced conditions that could benefit from rehabilitation. Of these 230,000 were affected by fractures. In total for all conditions, in Mongolia, 110,000 years are lived with disability. Musculo-skeletal disorders were, in 2019, by far the most prevalent condition at 24.4k per 100,000 persons (23.2-25.6k); followed by sensory impairments at 7.9k (7.38k-8.50k), neurological disorders 3.21k (3.06k-3.38k), mental disorders at 1.82k(1.46k-2.10k), chronic respiratory diseases at 501 per 100,000 persons (385-615), cardio-vascular disease 373 per 100,000 persons (294-472), and neoplasms 308 per 100,000 persons (88.3-131).
Currently there is no MOH data that directly addresses unmet rehabilitation needs in Mongolia, however the GBD data, together with reports and experiences from practitioners and consumer groups suggest that there is clearly a significant unmet need for rehabilitation in Mongolia.

[Tshering Penjor]

Key findings in Bhutan are as per 2019 report:
1. There has been a 66.6% increased in year lived with disability between 1990 to 2019.
2. 190,000 people experienced conditions that could benefit from rehabilitation.
3. 47,000 people have been affected by LBA
4. Approximately 1 in 4 people could benefit from rehabilitation.

According to the latest Population and Housing Census of Bhutan, 2.1% of the population are categorized as disabled (NSB, 2020).
The country recorded more than 800 motor vehicle accidents in 2020. In 2021 and 2022, more than 700 cases were reported in each year (As per the report/data maintained by the Royal Bhutan Police).

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According to the data, non-communicable diseases (NCDs) are a significant public health challenge in Uganda. In 2019, the leading NCDs in terms of disability-adjusted life years (DALYs) were cardiovascular diseases, cancer, chronic respiratory diseases, and diabetes. Specifically, the number of people living with cardiovascular diseases was 1,218,000, cancer was 585,000, chronic respiratory diseases were 567,000, and diabetes was 335,000.
Disability:
The data shows that disability is a significant issue in Uganda. In 2019, there were 2,716,000 people living with disabilities, representing 6.3% of the population. The most common types of disability were hearing loss (808,000), vision loss (692,000), and mobility limitations (671,000). Disability intersects with other social determinants of health, such as poverty, education, and employment, creating a vicious cycle that perpetuates inequality and marginalization.
Road Safety Injuries:
Road safety injuries are a significant public health concern in Uganda. In 2019, there were an estimated 3,657 deaths due to road injuries, representing a rate of 14.2 deaths per 100,000 population. This is significantly higher than the global average of 18.2 deaths per 100,000 population. Moreover, there were an estimated 177,000 new cases of non-fatal road injuries in 2019. Road safety injuries not only result in loss of life and disability but also impose a significant economic burden on individuals, families, and society.

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ICDR-Zambia was formed in 2011 to conduct novel global rehabilitation and disability research in Zambia. We strive to unite people at the University of Toronto, Canada and internationally, who are conducting disability and/or rehabilitation research in Zambia to enhance the integrity of our research through harmonization and mutual problem solving.

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ICDR-Zambia was formed in 2011 to conduct novel global rehabilitation and disability research in Zambia. We strive to unite people at the University of Toronto, Canada and internationally, who are conducting disability and/or rehabilitation research in Zambia to enhance the integrity of our research through harmonization and mutual problem solving.

[Albert Erongu]

In Uganda, 820k years have been lived with disability.
There has been a 124.6% increase in years lived with disability between 1990 and 2019.
The Uganda Bureau of Statistics Census Report (UBOS 2016) indicated that 12.4% of the Ugandan
the population lives with some form of disability implying that approximately 4.5 million Ugandans are
persons with disability

[Hoeung HEAM “[email protected]”]

In Cambodia, disability data is about 25% of the population based on the latest health demographic survey in 2021. We have 11 rehabilitation centers around the country. These centers are not in all provinces of Cambodia. These centers are particularly providing assistive technology services rather than comprehensive. We do not have need assessment data for rehabilitation service and thus this is an issue for planning if the aim is to design good rehabilitation services interns of facilities, technical resources, and budget. It is noted that at hospital, physiotherapists are providing rehabilitation service for IPD and OPD. However, it is still very limited in particular within provincial and community hospitals.

[Hoang Thuy Dung]

According to data from the Global Burden of Disease Study (GBD), in Vietnam, about 33.4 million people are living with chronic diseases.
About 7.2 million people in Vietnam are living with disabilities.
In 2019, Vietnam recorded about 350,000 cases of injury due to traffic accidents, accounting for a large part of the national disease burden. This rate includes injuries from motorbike, bicycle, and other vehicle accidents, with the rate of death and loss of work capacity due to injury also being very significant.

[Samuel Lagu]

The Uganda Bureau of Statistics Census Report (UBOS 2016) indicated that 12.4% of the Ugandan
the population lives with some form of disability implying that approximately 4.5 million Ugandans are
persons with disability.
Inspite of the above official data there circumstances when certain do not divulge information on their disabillity status due to stigma.

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In Tanzania;
The age-standardized mortality rate across four major NCDs (Cardiovascular Disease, Chronic Respiratory Disease, Cancer, and Diabetes) was 557 per 100,000 in males and 498 in females in 2021.
There is an average of 870k People living with Neurological disorders and 6.6 Million people on average living with musculoskeletal disorders. An average of 300k people living with chronic respiratory diseases.
3.3 million are living with disabilities.
In the United Republic of Tanzania, there are more than 330,000 serious road traffic injuries per year and the road traffic mortality rate is 31 per 100,000

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