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Inclusion of persons with disabilities in systems of social protection: a population-based survey and case-control study in Peru

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dc.contributor.author Bernabé Ortiz, Antonio
dc.contributor.author Diez-Canseco Montero, Francisco
dc.contributor.author Vasquez, Alberto
dc.contributor.author Kuper, Hannah
dc.contributor.author Walsham, Matthew
dc.contributor.author Blanchet, Karl
dc.date.accessioned 2019-02-06T14:45:10Z
dc.date.available 2019-02-06T14:45:10Z
dc.date.issued 2016
dc.identifier.uri https://hdl.handle.net/20.500.12866/5029
dc.description.abstract OBJECTIVE: This study aims to assess the needs of people with disabilities and their level of inclusion in social protection programmes. DESIGN: Population based-survey with a nested case-control study. SETTING: Morropon, a semiurban district located in Piura, northern Peru. PARTICIPANTS: For the population survey, a two-stage sampling method was undertaken using data from the most updated census available and information of each household member aged >/=5 years was collected. In the nested case-control study, only one participant, case or control, per household was included in the study. PRIMARY AND SECONDARY OUTCOME MEASURES: Disability was screened using the Washington Group short questionnaire. A case, defined as an individual aged >/=5 years with disabilities, was matched with one control without disabilities by sex and age (+/-5 years). Information was collected on socioeconomic status, education, health and rehabilitation and social protection participation. RESULTS: The survey included 3684 participants, 1848 (50.1%) females, mean age: 36.4 (SD: 21.7). A total of 290 participants (7.9%; 95% CI 7.0% to 8.7%) were classified as having disability. Adults with disabilities were more likely to be single (OR=3.40; 95% CI 1.54 to 7.51) and not to be working (OR=4.36; 95% CI 2.26 to 8.40), while those who did work were less likely to receive the national minimum wage (ie, 750 PEN or about US$265; p=0.007). People with disabilities were more likely to experience health problems. There was no difference between those enrolled in any social protection programme among participants with and without disabilities. CONCLUSIONS: People with disabilities were found to have higher needs for social protection, but were not more likely to be enrolled in social protection programmes. The Peruvian social protection system should consider adding disability status to selection criteria in their cash transfer programmes as well as implementing disability-specific interventions. en_US
dc.language.iso eng
dc.publisher BMJ Publishing Group
dc.relation.ispartofseries BMJ Open
dc.rights info:eu-repo/semantics/restrictedAccess
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.subject EPIDEMIOLOGY en_US
dc.subject PUBLIC HEALTH en_US
dc.subject SOCIAL MEDICINE en_US
dc.subject Adolescent en_US
dc.subject Adult en_US
dc.subject Aged en_US
dc.subject Aged, 80 and over en_US
dc.subject Case-Control Studies en_US
dc.subject Child en_US
dc.subject Child, Preschool en_US
dc.subject Disabled Persons/statistics & numerical data en_US
dc.subject Family Characteristics en_US
dc.subject Female en_US
dc.subject Financing, Government en_US
dc.subject Humans en_US
dc.subject Male en_US
dc.subject Middle Aged en_US
dc.subject Peru en_US
dc.subject Public Policy/economics en_US
dc.subject Social Class en_US
dc.subject Social Welfare en_US
dc.subject Surveys and Questionnaires en_US
dc.subject Young Adult en_US
dc.title Inclusion of persons with disabilities in systems of social protection: a population-based survey and case-control study in Peru en_US
dc.type info:eu-repo/semantics/article
dc.identifier.doi https://doi.org/10.1136/bmjopen-2016-011300
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#3.02.00
dc.relation.issn 2044-6055


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