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ITiMGOOMsHGHIEHCItUI Cac yeu td'Uen quan dd'n tid'p cSn dich vu phuc hdi chtfc nang cua ngtfori khuyd't t§t N g u y i n Thi Minh Thuy' Bdi van di: Co nhiiu djch vu phuc hii chitc ndng (PHCN) cho ngum khuyet Idl (NKT) Tuy nhien,^ NKT gdp phii khong ll cdc rdo cdn tigp cdn vdi cdc dich vu ndy M\ic niu: T,m hieu cdc ylu l6 Uen quen din Ulp cdn dich vy PHCN cUa NKT Phuang phdp: Nghiin cdu cdl ngdng duac lien hdnh ndm Iren dii tuang Id 2.318 NKT tfi xd ihuoc Hd Noi Hdi Phdng Nam Binh dm diin cho cdc viing did ly cia dong bdng Song Hing Kit qud: Nghiin citu cho thd'y cdc ylu lied lien qudn tdi Ulp cdn dich vu cho NKT Id viing did ly cd nhu ciu cin trtl giup va nhu cau cin can thiep y tl va dugc tilp can thing tin vi dich vu cdn Ihilt cho NKT Khuyin nghi: Cin Idng cudng diu IU nguon luc vd ndng luc cho cdc cdn bi y tivi PHCN cdc tuyin, ddc biit Id tuyin xd vi huyen de tdng cudng tilp cin thing tin va tilp cin dich vif PHCN cho NKT Tif khia: ngudi khuylt til, Ulp cqn dich vu phuc hii chUc ndng, dich vii phuc hoi chiic ndng Factors related to accessibility of ehabilitation services for people with disabilities Nguyen Thi Minh Thuy' Background: There are many rehabilitation services available for people with disabilities (PWD) However, PWDs still face many barriers in gelling access lo these services In recent years, in Viet Nam, provision of rehabilitation services has made progress bul several factors related to access to services of PWDs need to be considered Objective: To find out factors related to access lo rehabilitation services of PWDs Method: Cross-sectional study was conducted for two years on 2,318 PWDs in eight communes in Ha Noi, Hai Phong, and Nam Dinh representing geographic areas of the Red River Delta Results: The study findings show that factors related to access to rehabilitation services for PWDs include a geographic factor, the need for assistance and medical intervention, and access to information about disabilities Recommendation: To enhance the investment resources and the capacity of medical staff on rehabilitation at different levels, especially at commune and district levels: improve access to information and rehabilitation services for PWDs Keywords: people wilh disabilities, access to rehabilitation services, rehabilitation services Tic gia Daihpc Yt6'c6ngcOng Tap chi Y te Cong cfing, 1.2014, Sd 30 (30) • Ngiy nhSn bii: 25 10.2013 • NgSy phan bi$ii; 11.2013 • NgSy chinh sila; 24.11.2013 • Ngiy iiiac chfp nh|n aang: 5.12.2013 35 ira'KGQOAN&NGHfENCUUI Dat va'n de Theo Lien Hdp Qudc, cac dich vu phuc hdi chrfc nang (PHCN) chp ngtfdi khuydt tat (NKT) bao gdm: phat bifin, chan doan va can thifip sdm; cham sdc vi chffa tri y tfi'; cung ca'p cic loai ttf vi'n va hi trd ve tam 1^ va xa hpi; dio tao cic hpat dpng ttf cham sdc, bao gdm van dfing, giao tidp va ky ning sinh boat hing ngiy, dd chd ^ den nhu cdu die bifit cua ngtfdi khifi'm thinh, khidm ihi va thieu nang tri tue; cung ci!p cac thifi't hi trd gidp vin dpng va cic thiet bi trd gidp khic; cic dich vu giio due chuyen mdn hoa cao; PHCN htfdng nghiep, dio tao nghe va sap xe'p vific lam [8] vung ddng bang chau thd sdng Hdng" nham tim hie'u ro hdn vl cic ye'u td' lifin quan deh tifi'p cin dich vu PHCN cua NKT Phtfdng ph^p nghidn ctfu Nghifin cffu cat ngang dffdc tie'n hinh tren 2.318 NKT thudc xa/phffSng tai Ha Ndi, Nam Dinh va Hai Phdng Die dilm cua NKT dtfdc tim hifi'u gdm: die diem kinh td - xa hpi (vung, mien, trinh hpc van); die diem nhan khau hpc (tudi, gidi, din tdc), die dilm vl khuyfi't tat Ben canh dd, cic thdng tin nhtf nhu can can trd gidp, hda nh|p xi hpi vi nhu clu can tliifip y tfi'cung dtfdc md ta ro nghifin cffu Nghifin cffu ve tie'p can dicb vu cham sdc sffc khoe tren ddi tffdng NKT la nhffng ngffdi dp Kd't qua tudi trtfdng thinh d My bi bai nao, xd ciJng rai ric vi chi'n thtfdng tffy sdng cho thay hau he't cic hinh thrfc Bdng MOt sdddc diem cua NKT dich vu, bai ke la dich vu cdng hay dich vu thu phi SongiSit B9C diem truyin thd'ng ddu cd han chd dd'i vdi NKT trpng vific (n=23m tie'p cin vi sff dung Do dd, van dl tidp cin cic dich Vfing vu cua NKT khdng chi ban che d cac trung tam cham Miin niji vd bdn son 3ia 344 324 sdc srfc khde cdng mi cdn han chfi' vi^c tidp Hai Mo vd duyen hdi 496 Thanh c§n khic tbeo hinh thtfc dich vu Han chfi' 1154 Bum bSne dich vu cdng la bao phu cda dich vu cdn hep vdi Hc.'n 66 dich vu tra plii li chi phi cao va loai dich vu ngheo Chua Sen moi di Ivpc i
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