Social participation of individuals with spinal injury using wheelchairs in rural Tanzania after peer training and entrepreneurial skills training

African Journal of Disability, 2023 · DOI: 10.4102/ajod.v12i0.975 · Published: January 12, 2023

Simple Explanation

This study explores the experiences of individuals with spinal cord injuries (SCI) in rural Tanzania regarding their social participation after receiving peer training and entrepreneurial skills training. Participants used photographs to capture their daily activities and challenges, providing insights into how these programs impacted their community involvement and access to services. The study highlights the importance of accessibility and equal opportunities for individuals with disabilities in less-resourced settings, emphasizing the need for continued efforts and advocacy to address their physical, psychological, and social needs.

Study Duration

4 weeks

Participants

10 WC users with SCIs

Evidence Level

Qualitative photovoice approach

Key Findings

1
Participants' community integration was influenced by their activities, personal factors (such as self-esteem), and environmental factors (such as accessibility and social support).
2
Participants expressed a strong desire to advocate for equal rights and raise awareness about disability issues within their communities.
3
Accessibility challenges and advocacy for needs and rights were the predominant issues raised by participants.

Research Summary

The study explored social participation of individuals with SCIs using WCs in rural Tanzania after MPT and EST programmes. Two interrelated themes emerged: influencing factors (activities, personal, and environmental) and empowerment (advocacy and awareness). Participants emphasized accessibility and equal opportunities, highlighting daily participation challenges and the need for continued efforts and advocacy.

Practical Implications

Improve Accessibility

Address physical environmental barriers such as inaccessible infrastructure, rough roads, and limited transportation services to enhance mobility and community participation.

Enhance Peer Training Programs

Expand the focus of peer training to include communication and advocacy skills, enabling individuals to better express their needs and promote self-management of health.

Promote Inclusion in Decision-Making

Involve individuals with disabilities in governmental decision-making processes to ensure that new infrastructures and policies are inclusive and meet the needs of the entire population.

Study Limitations

1
Small sample size limits generalizability.
2
Lack of details about SCI level prevents commenting on functioning or mobility limitations.
3
Study materials translated informally to Swahili may have cultural nuances not adequately considered.

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