Bangladesh
is a developing country located in South Asia and is home to approximately 160
million people. It is a country of widespread poverty, with 44.3 % of the
population living below the poverty line, inadequate health, education, and
social security services, low employment and at high risk from natural
disasters, particularly flooding (CDD, 2011). According to world health
organization about 15% of the world’s population lives with some kind of
disability & around 2-4% of them experiences significant difficulties in
functioning. According to World Bank Group the prevalence of the person with
disability of Bangladesh about 10%. Other survey shows that between 9%-16%
people are disable in Bangladesh (Disibility ,2012). This report also shows
that 3.4 million children suffer from some kind of disability in Bangladesh.  Estimates indicate that 10% of the population
means 16 million people are living with a disability. Government and NGO
deliver development programs to minimize the disability and promote their life
style include their rights, vocational training to increase job opportunity,
arranging awareness program, provide assistive device and other  but only reach a small proportion of the
population benefited by the program still need more. The most common causes of
disability are chronic diseases (Diabetes, cardiovascular disease and cancer).
Injuries (traffic accident, fall, violence, work place accident). Mental health
problem, birth defects.(CDD,2011). The accident rate of the Bangladesh is
increasing day by day. In recent year several numbers of tragedies happen and
huge number of people died (Rana plaza, Tazreen fashion’s) & many people
lose limbs. A study from Egypt reported that about 42.27% males and 38.1%
female who are acquire disability by amputation are illiterate and they had job
that require physical efforts (Mohammed et al, 2014).  According
to Bangladesh road transport authority (BRTA) 
In
year 2-13-14 there 4421 accident occur and injured patient are 3493 and almost
2430 are death (reported accident only). The World Health Organization reported
that Bangladesh has chaotic traffic & poor safety. Worldwide, the number of
people killed in road traffic crashes is estimated to be 1.3 million, with
another 50 million injured each year (Ahsan, 2012). This accident also the
leading causes of the amputee. A person with amputee faces difficulties in
activity in daily life self care, productivity and also leisure.

 

Incidence:

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In
USA about 50,000 new amputations every year in USA based on information from
National Center for Health Statistics. The World Health Organization (WHO) has
estimated that in low-income countries like Bangladesh, about 0.5% of the
population is in need of Prosthetic and Orthotic (P&O) mobility  and assistive device(CRP,2012-13). According
to the United Nations more than 13 million people in Bangladesh are believed to
have disabilities, with more than 22.5 % of these reported to be individuals
affected by physical disabilities. Another source reported that About
0.7percent of total population in any low income countries needs orthosis and
prosthesis services per year. That means in Bangladesh more than 1 million
people need prosthesis and Orthosis services per year (Revive Bangladesh,
2016). The Amputee Coalition of America estimates that there are 185,000 new
lower extremity amputations each year just within the United States and also
reported that there are nearly 2 million people living with limb loss in the
United States (LLC,2012). In 2009, hospital costs associated with amputation
totaled more than $8.3 billion. In united state Among person those living with
limb loss, the main causes are vascular disease (54%) – including diabetes and
peripheral arterial disease – trauma (45%) and cancer (less than 2%) (Ziegler, 2008).
African?Americans are up
to four times more likely to have an amputation than white Americans.  Lives of the amputee are more miserable than
other. Persons with disabilities tend to experience higher unemployment and
have lower earnings than people without disabilities (CDD,2011). In South Asia
developing country the number of person with disabilities is 10%. The
combination of India & Bangladesh population almost 1.4 billion and more
than 9 million persons with mobility related disabilities who need for
prosthetics and orthotics services (Cochrane, 2015). In India the prevalence
rate of amputees are 0.62 per 1000 population (Mohan, 1986). Because of amputee
person face many limitation and difficulties. Mobility is one of the biggest
limitations for amputee patient. Mobility is one of the basic needs for all
activities like education, social events and livelihood activities. Ones a
person misses lower limbs loss major mobility function and also removing bottle
tops, lacing shoes and using scissors and others most of them are loss their
job or change job. Maximum of the amputee patient are unsatisfied for their
income. One study estimated that only 7.3% of amputee patient received rehabilitation
services. (Jang et al, 2011). Persons with amputee who use prosthesis device
for functional or cosmetic purpose were more satisfied in psychologically than
physically.

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