Country: The Gambia

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Country The Gambia

• Presenter Alieu Saho
• Gambia Bureau of Statistics
• Question Designation Cognition

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SUMMARY OF HOW THE PRE-TEST WAS CONDUCTED

• We have conducted 100 interviews for the
  cognitive test and the target group was the
  population aged 5 years and over for both sexes.
  The interviews were conducted both in the rural
  and urban areas.

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SAMPLING METHOD

• We adopted purposive sampling method during the
  interview. We targeted 25 people with
  disabilities and the remaining 75 was the non
  disable population. But during the interviews we
  come across people whom we thought did not have
  disabilities but during the interview they
  reported to have some form disabilities notably
  seeing difficulty.

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FINDINGS FROM COGNITIVE PROBES, INTERVIEWER
DEBRIEFING

• The respondents were cooperative, but most of
  them reported that questions of this nature, it
  is only the individual concerned who can answer
  it correctly, that being the case they are afraid
  that most the responses we will be getting will
  be Dont Know for the proxy questions or I think.
  Some of the respondents with disabilities
  reported that, they hope after this survey
  something will be done to improve their
  livelihoods, as they have been interviewed over
  and over and they have not seen anything.

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Observation

• My observation was, most of the respondents
  thought the problem of remembering and
  concentrating is associated with mental disorder
  and by looking at the responses we got from the
  field shows that.

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Type of responses

• He is very focused
• He does not have such a problem
• I have never seen him behave abnormally
• He is normal
• She does not have difficulty remembering or
  concentrating
• He can remember lot things that have passed
• She has a good memory
• I am not absent minded
• I have no mental problem

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Self Report

• 71. I have a problem concentrating or remembering
  for more than 10 minutes
• This man was trying to explain if he tries to
  recall an event or an activity or concentrate on
  a particular issue after 10 minutes, his mind
  went to something else
• 33. At times I loose concentration or forget
  certain things

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Self Report Contd.

• She means at times you could be talking to her
  and her mind is on something else. Also at times
  she wants to do a particular activity within a
  very short time she forgets what she was
  supposed to
• 40. At times I have difficulty remembering
  certain past events
• When he is discussing with friends or his family
  members on a past event, at times, he finds it
  difficult to remember that past events.

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Proxy Report

• At times I loose concentration or forget certain
  things
• He means at times you could be talking to him and
  his mind is on something else. Also at times he
  wants to do a particular activity within a very
  short time she forgets what she was supposed to
  do
• 43. Because she has a mental problem

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Proxy Report Contd.

• The respondent said the lady will have some
  difficulty remembering or concentrating because
  she has a mental disorder
• 52. He has learning difficulty and so he has
  difficulty remembering or concentrating
• The respondent said the boy has some learning
  difficulty and so he might have some difficulty
  remembering or concentrating

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Field Test

• We have conducted 302 interviews. One hundred and
  forty eight in the rural areas and 154 in the
  urban areas.
• Among the respondents who reported to have some
  form of disability, 36 percent reported to be
  taken modern medicine, 32 percent traditional
  medicine, 20 percent marabout/spiritual and 11
  percent rehabilitation services

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Field Test Contd.

• Of those who reported to they are not taken any
  treatment or rehabilitation services, 7 percent
  reported they cannot see at all, 4 percent
  reported they cant hear at all, 4 percent they
  cant walk at all, 3 percent reported they cant
  remember or concentrate at all.

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Field Test Cont.

• Those who reported are not taken rehabilitation
  services, 10 percent reported are not aware of
  the facility, 3 percent reported not available, 3
  percent reported facility not available, 36
  percent reported they dont think anything can be
  done and 48 percent reported they dont need any
  services

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Field Test Cont.

• Regarding difficulty moving around the community,
  21 percent reported road surfaces, 8 percent
  reported pavements, 4 percent reported gutters,
  18 percent reported traffic, 17 percent reported
  social attitudes, 14 percent reported lack of
  personal support and 14 percent reported lack of
  equipment or aid

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• Thank You