Disability and International Development by Cobley David;

Author:Cobley, David;
Language: eng
Format: epub
Publisher: Taylor & Francis Group
Published: 2018-02-15T00:00:00+00:00

Affordability

Cost barriers reduce access to health and rehabilitation services for many disabled people, as well as reinforcing poverty. The World Health Survey (WHO, 2002–04) identified affordability issues (including transport costs) as the most significant barrier to accessing healthcare in low-income countries, with disabled people more likely than non-disabled people to sell items, borrow or rely on family members in order to pay for healthcare. This is consistent with the findings of a World Bank (2009) study based on rural village surveys conducted in the Indian states of Uttar Pradesh and Tamil Nadu, which identified cost, distance and inadequate transportation as the top three barriers to accessing health services, and also noted that many disabled people had to pay for their own assistive devices. Similarly, Grech’s (2008) study on disability and poverty in Guatemala identifies widespread mistrust in doctors among disabled people, due to the high fees that they tend to charge, while a study in rural China (Sagli et al., 2013) noted that high healthcare costs associated with the privatisation of healthcare tend to deepen poverty within households with disabled family members.

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