Socio-Economic Impact of Covid-19 on People with Spinal Cord Injury in Bangladesh: A Telephonic Survey

Abstract

Background: The COVID-19 pandemic has significantly impacted global health systems and economies with people with disabilities, particularly those with spinal cord injuries (SCI). In Bangladesh, where healthcare resources are limited, persons with SCI face challenges in accessing necessary services and maintaining socio-economic stability during the pandemic. Methods: A quantitative cross-sectional study was conducted using a telephonic survey of 470 individuals with SCI who had completed rehabilitation at the Centre for the Rehabilitation of the Paralysed (CRP). Data were collected from both urban and rural areas across eight divisions of Bangladesh. The survey, consisting of semi-structured questionnaires, gathered information on demographic profiles, Covid-19 protection measures, and socio-economic impacts. Statistical analysis was performed using SPSS version 20. Results: The study shows the significant socio-economic disruptions among persons with SCI due to the Covid-19 pandemic. The majority of participants (87%) were male, with age distribution primarily between 21-40 years. Only 30% of participants took Covid-19 protection measures, and 18% received local emergency aid. Economic activities were adversely affected, with 52% reporting their business status as "bad" and 12% as "not good enough." Additionally, 78% required Covid-19 related support, highlighting the severe financial distress and need for assistance in this group of populations. Conclusions: The findings highlight the socio-economic impact of the Covid-19 pandemic on persons with SCI in Bangladesh. The findings highlight the urgent need for targeted interventions and support mechanisms to address the unique challenges faced by this vulnerable group. Policymakers and healthcare providers must prioritize inclusive and equitable responses to public health emergencies to ensure that no one is left behind.