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                            Bosnia and Herzegovina embraced the idea of a new humanitarian assistance program adhering to the principles of the social and citizenship models which were initiated during the war for rehabilitation services. By 1996, the World Bank and the BiH Mini...
2.4.4 CBR in the BiH context
	3.2 Research Implementation Process
3.4.2.1 Assumptions
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Interview
Intervju
	Dear Potential Interview Participant,
	Dragi potencijalni ucesnice u istrazivanju,
	Dear Potential Questionnaire Participant,
	Pismo sa informacijama (Upitnik)
	Dragi potencijalni ucesnici studije,
                        
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Page 1

FACTORS THAT INFLUENCE COMMUNITY INTEGRATION OF PERSONS
WITH PHYSICAL DISABILITIES

IN
POST-CONFLICT BOSNIA AND HERZEGOVINA

AS PERCEIVED BY PERSONS WITH DISABILITIES





by



ELIZABETH ANNE ENGLAND RICHAN






A thesis submitted to the School of Rehabilitation Science


in conformity with the requirements for


the degree of Master of Science






Queen’s University


Kingston, Ontario, Canada


(April, 2011)




Copyright © Elizabeth Anne England Richan, 2011

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Abstract



Rationale: Due to the uniqueness of the conflict and post-conflict experience in

Bosnia and Herzegovina and limited primary source research, it is unclear to what

extent persons with physical disability participate in rehabilitation and other

community services. It is uncertain whether persons with physical disability have

access to available community programs and services and what role policy,

environmental and attitudinal barriers play in community integration and social

participation.

Objective: The purpose of this study was to understand and describe factors that

influence community integration and social participation of persons with a physical

disability in post-conflict Bosnia and Herzegovina.

Methods: A concurrent embedded mixed methods design was used. Three face to

face interviews were conducted and thirteen participants completed written

questionnaires adapted from The “KIPA” Clear Direction Strategic Framework:

Knowledge-Inclusion-Participation-Access (Edmonds, 2003). Participants had

physical disabilities and were recruited through Mojmilo Health Clinic, Centar Za

Fizikalnu Theraiji I Rehabilitaciju Community Based Rehabilitation centre and the

Clinical Centre University Hospital in Sarajevo, Bosnia and Herzegovina.

Results: The study identified challenges and barriers encountered when accessing

rehabilitation, primary health care, education and other community services and

programs. The data suggested that persons with a physical disability perceived that

factors associated with knowledge, inclusion, participation, and access are very

important to their quality of life. Government policy reform and assistance,

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articulate and expanded on their thoughts more easily. Both of these individuals were

male and both were employed fulltime. The unemployed female answered the questions

posed by the researcher but needed probing to expand on her responses. This probing

prompted additional discussion about her experiences as a person living with a physical

disability. The participants’ names throughout this study are pseudonyms used to provide

anonymity to protect confidentiality of each interviewee.

Participant one, Azra, was a 59 year old female with secondary school education.

In September 2002 she suffered a stroke and had no hand function and very limited use of

her legs. With assistance, she used a wheelchair fulltime for mobility. She reported that

she only feels emotionally strong with the help of her husband and daughter. She lived in

an apartment in Sarajevo with her husband and had limited opportunity to leave her living

accommodations and can only do so with the assistance of her husband or adult daughter.

She was unemployed. She liked to bake at home especially when her daughter came to

visit. Azra lost her son during the conflict and received rehabilitation services through

military benefits she received due to his death. She visited the Domova Zdravlija CBR

Centre several times a month for physical rehabilitation services. During the interview

Azra was friendly and pleasant and was open and willing to discuss her situation although

often became emotional and tearful when talking about her son and her own health status.

She was a member of the Sarajevo Association of Paraplegics.

Participant two, Basir, was a 50 year old male who acquired his disability in 1992

as a result of the war. He considered himself a war victim. He had a lower limb

amputation, used a prosthesis and walked with a minor limp but had no overall mobility

issues. He drove and owns a car. He regularly visited the Domova Zdravlija CBR Centre

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in Sarajevo for physical rehabilitation services. Basir was married with one young son

and lived in Sarajevo and also owned a weekend home in the mountains outside of the

city. He stated that the war took his leg but gave him a wife and son. He was very open

and forthcoming in discussing his disability and life situation. He was a heavy smoker.

Basir completed 2 college degrees and was a former school teacher. He had fulltime

employment as the Director for Sarajevo School for Blind Children. He felt his

experience as a person with a disability enriched his life and gave him a voice to help

others with a physical disability.

Participant three, Duran, was a 47 year old male who was born with cerebral

palsy. He walked unassisted but with some difficulty. His speech was also affected by his

condition. He visited the Domova Zdravlija in Sarajevo regularly for physical therapy

services. He had a college education. Duran was employed fulltime as the President of

the Association of Persons with Cerebral Palsy of Canton Sarajevo. He was a resident of

Sarajevo and was not married. He credited his mental and emotional strength to his

parents and their motivating attitude in encouraging him to reach his potential. As a

teenager, with his parent’s help, he realized his disability would not be cured so he

stopped hoping and waiting for medical intervention to help him. This became a turning

point in his life and he dedicated himself to living up to his potential despite his

disability. Duran felt his purpose in life was to help others reach their potential and

advocated for persons with disability to lead purposeful and meaningful lives.

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APPENDIX K
RESEARCH ETHICS BOARD PERMISSION TO

CONDUCT RESEARCH LETTERS

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