Factors affecting availment of Expanded Z-MORPH Program in an urban communitybased rehabilitation center: A mixed methods study

Jose Ronilo  G. Juangco,; John Lemuel  A. Balatucan,; Cybil Brigitta  P. Kwok,; Timothy Christian  M. Aromin,; Anna Katrina  D. Bongalonta,; lan Carlo  G. Medina,; Alyssa Joyce  D. Gorgonio,; Jerome  B. Lovidad,

Factors affecting availment of Expanded Z-MORPH Program in an urban communitybased rehabilitation center: A mixed methods study

Abstract:

Introduction Community-based rehabilitation, a strategy executed by the local government, aims to improve access by providing rehabilitation, ensuring social inclusion and equalizing rights among persons with disabilities in the community in developing countries. Believing in the same idea, the Philippine Health Insurance Corporation (PhilHealth) seeks to reintegrate persons with physical disabilities into the community by rendering affordable prosthetic and orthotic services and materialized the Expanded Z-MORPH Program. Unfortunately, the program only has few to exiguous number of availers as of 2016 with limited studies done. Therefore, the study aims to determine the factors that affect how the persons with disabilities (PWD) avail of the Expanded Z–MORPH Program in an urban community-based rehabilitation center in the Philippines. Methods The study uses a Quantitative-Qualitative mixed study design. A cross sectional study was conducted involving the Barangay Health Workers (BHWs) and PWDs in Barangay 185 Malaria, Caloocan City, using a questionnaire on the possible factors affecting the utilization of Expanded Z-MORPH Program gathered using related literature. A Case Study of the community was done for the qualitative aspect using focus group discussions to further delve into the details of the factors identified in the quantitative results. Descriptive analysis using frequency and proportion was used for the quantitative design, while thematic analysis was used for the qualitative design.

References:

1. Guillen W. Country efforts on the measurement of disability (Philippines) 2016. Bangkok, Thailand Philippine Statistics Authority, Social Sector Statistics Service; 2016.

2. Chopra A, Azarbal A, Jung E, Abraham C, Liem T, Landry G. Ambulation and functional outcome after major lower extremity amputation. J Vasc Surg 2018; 67(5): 1521-9

3. World Health Organization International. [Online]. [cited 2018 July. Available from: http://www.who.int/disabilities/cbr/guidelines/en/.

4. PhilHealth. PhilHealth. [Online].; 2016 [cited 2018 August. Available from: https://www.philhealth.gov.ph/circulars/2016/circ2016-033.pdf.

5. PhilHealth. PhilHealth. [Online].; 2013 [cited 2018 August. Available from: https://www.philhealth.gov.ph/circulars/2013/circ19_2013.pdf.

6. Reyes C. Persons with disability (PWDs) in rural Philippines: Results from the 2010 field survey in Rosario, Batangas. Philippine Institute for Development Studies 2011; 2011(06).

7. Gurung G. Citizen’s charter in a primary health-care setting of Nepal: An accountability tool or a “mere wall poster”? The Authors Health Expectations. 2017 June 12.

8. Lakshminarayanan S. Role of government in public health: Current scenario in India and future scope. J Fam Comm Med 2011; 18(1): 26-30.

9. Kashyap L. Family’s role in providing support to disabled persons in India’s changing times. Int J Adv Counselling 1989; 12(4): 261-71.

10. Department CA. Committee Daily Bulletin. In 17th Congress Second Regular Session; 2018: Committee Affairs Department.

11. Benigno M, Kleinitz P, Calina L, Alcido M, Gohy B, Hall J. Responding to the health and rehabilitation needs of people with disabilities post-Haiyan. Western Pacific Surveillance and Response Journal 2015; 6(1): 53-9.

12. Department of Health. Department of Health Center for Health and Development. [Online].; 2016 [cited 2018 February 17. Available from: http://caro.doh.gov.ph/wp-content/uploads/2016/01/PWD-situational-analysis.pdf.

13. Tabuga A. Factors motivating participation of persons with disability in the Philippines: The discount privilege in goods and services. Philippine Institute for Development Studies. 2010 November; 2010-28.

14. Soltani S,SM,AM,YR. Accessibility for disabled in public transportation terminal. Procedia Social and Behavioral Sciences 2012; 35.

15. Picazo O, VG U, Pantig I, Ho B. A Critical Analysis of Purchasing of Health Services in the Philippines. Philippine Institute for Development Studies 2015 December; 54.

16. Nieto E. Quality assurance in health care for the urban poor. Aust Clin Rev d1989; 9(3-4): 130-6