# Presentation: 664408

## 5th Annual Meeting of the Washington Group on Disability Statistics

- Philippines National Statistics Office

## Importance of Disability Statistics

- The Philippines recognizes the importance of Disability Statistics:

- In formulating plans for rehabilitation, education and development of the “physically challenged” individuals.

- In the establishment of more government-subsidized institutions that would cater to the promotion of physical, emotional, and psycho-social well-being of disabled persons

## Source of Disability Statistics

- The primary source of information on the size, distribution and characteristics of Persons with Disabilities (PWDs) in the Philippines is the Census of Population and Housing (CPH).

- Data items for capturing Disability Statistics was first introduced during the Census of Population and Housing in 1990.

## For this census, disability refers to any restriction or lack of ability (resulting from an impairment) to perform an activity in the manner or within the range considered normal for human being. 

- Based on the 2000 Census of Population (CPH) and Housing results, the proportion of Persons with Disabilities (PWDs) in the Philippines was registered at 1.23 percent.

- Source of Disability Statistics

## Activities Related to Disability Statistics

- The Philippines National Statistics Office (PNSO) undertook some testing for an effective data gathering for Disability Statistics.

- A. Pretests and Pilot Census for the 2005 Census of Population (POPCEN 2005).

- B. WHO/UNESCAP Disability Question Set Testing

## Pretest and Pilot Activities

- A series of pretests and Pilot census were conducted to test the effectiveness of the disability questions as well as other data items to be collected in the 2005 POPCEN

| Pretest Number | Location of Pretest | Date of Pretest |
| --- | --- | --- |
| Pretest 1 | City of Manila | March 11-12, 2004 |
| Pretest 2 | Rizal Province | March 25-26, 2004 |
| Pretest 3 | Tarlac Province | April 5-6, 2004 |
| Pilot Census | Ilocos Norte | May 2004 |
|  | Davao Oriental |  |

## Main Findings

- The word ”disability” in the heading of the question has somehow affected the way the question is asked by the enumerators. Thus, it was recommended to use “functional difficulty” as replacement for the word “disability” to avoid bias

- Extensive consultation and partnership with other agencies and the local government units were  seen as essential strategies to ensure the success of the undertaking.

## Disability question for the Pilot Census:

- Pilot Census

## WHO/UNESCAP Disability Question Set Testing

- The field test conducted for WHO/UNESCAP provided insights as to the proper way of asking questions and clearer concepts and procedures to follow in collecting information on disability.

- It was conducted from May 30 to June 19, 2005 in five *barangays *(smallest political unit in the Philippines).

## From the sample households, all members aged 18 years old and over were taken as respondents. 

- Data were collected through a personal interview of the respondents.

- The questionnaire was translated in Filipino language.

- There were 1,057 respondents interviewed from 345 households.

- WHO/UNESCAP Disability Question Set Testing

## Results of the Pretest

## WHO/UNESCAP Disability Question Set Testing

| Number and Percent of Interviews by Questionnaire Version |  |  |
| --- | --- | --- |
| Questionnaire Version | Number of Interviews | Percent |
| Version A | 556 | 52.60 |
| Version B | 501 | 47.40 |
| Total | 1,057 | 100.00 |

-  The odd-even household serial number (household’s unique identification) scheme adopted for determining which sample households will be assigned with a particular version resulted in 52.60 percent of interviews using Questionnaire Version A and 47.40 percent using Questionnaire Version B.

## WHO/UNESCAP Disability Question Set Testing

| Number and Percent of Interviews by Type of Respondent |  |  |
| --- | --- | --- |
| Type of Respondent | Number of Interviews | Percent |
| Original Respondent | 1,035 | 97.92 |
| Proxy Respondent | 22 | 2.08 |
| Total | 1,057 | 100.00 |

-  Only 2.08 percent of interviews were conducted to proxy respondents.  Proxy respondents responded on behalf of the original respondents who in a way or another, had difficulty communicating due to health condition, language barrier or disability.

## Profile of the Respondents of the WHO/UNESCAP Disability Question Set Testing

- There were more female respondents than males (58.18 %)

| Number and Percent of Interviews by Sex |  |  |
| --- | --- | --- |
| Sex | Number of Respondents | Percent |
| Female | 615 | 58.18 |
| Male | 442 | 41.82 |
| Total | 1,057 | 100.00 |

## Profile of the Respondents of the WHO/UNESCAP Disability Question Set Testing

- Those 62 years old and above comprised for 9.27 percent.
- The median age is 36 years old.

## Profile of the Respondents of the WHO/UNESCAP Disability Question Set Testing

| Number and Percent of Respondents by Age Group |  |  |
| --- | --- | --- |
| Age Group | Number of Respondents | Percent |
| 18-21 | 143 | 13.53 |
| 22-25 | 111 | 10.50 |
| 26-29 | 122 | 11.54 |
| 30-33 | 86 | 8.14 |
| 34-37 | 97 | 9.18 |
| 38-41 | 97 | 9.18 |
| 42-45 | 105 | 9.93 |
| 46-49 | 70 | 6.62 |
| 50-53 | 61 | 5.77 |
| 54-57 | 45 | 4.26 |
| 58-61 | 22 | 2.08 |
| 62-65 | 19 | 1.80 |
| 66-69 | 13 | 1.23 |
| 70 and above | 66 | 6.24 |
| Total | 1,057 | 100.00 |

## Profile of the Respondents of the WHO/UNESCAP Disability Question Set Testing

- Those who spent six years accounted for 14.57 percent.
- Respondents with more than 17 years spent in school made up of 2.55 percent.  “Cannot remember” reached 1.42 percent. These are the respondents who could not remember the number of years they spent in school, college or university.

## Profile of the Respondents of the WHO/UNESCAP Disability Question Set Testing

| Number and Percent of Respondents by Years Spent Studying in School |  |  |
| --- | --- | --- |
| Years Spent in School | Number of Respondents | Percent |
| 0 | 3 | 0.28 |
| 1 | 3 | 0.28 |
| 2 | 13 | 1.23 |
| 3 | 19 | 1.80 |
| 4 | 26 | 2.46 |
| 5 | 29 | 2.74 |
| 6 | 154 | 14.57 |
| 7 | 41 | 3.88 |
| 8 | 62 | 5.87 |
| 9 | 55 | 5.20 |
| 10 | 302 | 28.57 |
| 11 | 59 | 5.58 |
| 12 | 105 | 9.93 |
| 13 | 28 | 2.65 |
| 14 | 70 | 6.62 |
| 15 | 30 | 2.84 |
| 16 | 16 | 1.51 |
| 17 and over | 27 | 2.55 |
| Can’t Remember | 15 | 1.42 |
| Total | 1,057 | 100.00 |

## Profile of the Respondents of the WHO/UNESCAP Disability Question Set Testing

| Number and Percent of Respondents by Current Marital Status |  |  |
| --- | --- | --- |
| Marital Status | Number of Respondents | Percent |
| Never Married | 270 | 25.54 |
| Currently Married | 630 | 59.60 |
| Separated | 34 | 3.22 |
| Divorced | 2 | 0.19 |
| Widowed | 76 | 7.19 |
| Cohabiting | 41 | 3.88 |
| Not Reported | 4 | 0.38 |
| Total | 1,057 | 100.00 |

- More than half of the respondents are currently married (59.60 percent).
- Less than half of that (25.54 percent) are never married.

## Profile of the Respondents of the WHO/UNESCAP Disability Question Set Testing

- There were 25.83 percent who identified themselves as housekeepers/homemakers.
- Few were students at 4.07 percent.
- However, 8.80 percent of the respondents were unemployed for health and other reasons.

## Profile of the Respondents of the WHO/UNESCAP Disability Question Set Testing

| Number and Percent of Respondents by Main Work Status |  |  |
| --- | --- | --- |
| Main Work Status | Number of Respondents | Percent |
| Paid Work | 362 | 34.25 |
| Self Employed | 240 | 22.71 |
| Non Paid Work | 4 | 0.38 |
| Student | 43 | 4.07 |
| Keeping House/Homemaker | 273 | 25.83 |
| Retired | 37 | 3.50 |
| Unemployed (health reasons) | 23 | 2.18 |
| Unemployed (other reasons) | 70 | 6.62 |
| Others | 5 | 0.47 |
| Total | 1,057 | 100.00 |

## Results of the WHO/UNESCAP Disability Question Set Testing

- There are fewer respondents (below three percent) who experienced a lot of difficulties in the said activities while others are unable to perform said activities.

## Results of the WHO/UNESCAP Disability Question Set Testing

| Number and Percent of Respondents by Scale of Difficulty for Items W1 to W6 |  |  |  |  |  |  |  |  |
| --- | --- | --- | --- | --- | --- | --- | --- | --- |
| Question Item | Number and Percent of Respondents by Scale of Difficulty |  |  |  |  |  |  |  |
|  | No | Percent | Some | Percent | A Lot | Percent | Unable | Percent |
| W1 | 820 | 77.58 | 206 | 19.49 | 14 | 1.32 | 5 | 0.47 |
| W2 | 940 | 88.93 | 99 | 9.37 | 3 | 0.28 | 3 | 0.28 |
| W3 | 816 | 77.20 | 199 | 18.83 | 24 | 2.27 | 5 | 0.47 |
| W4 | 817 | 77.29 | 200 | 18.92 | 20 | 1.89 | 5 | 0.47 |
| W5 | 1,001 | 94.70 | 31 | 2.93 | 5 | 0.47 | 7 | 0.66 |
| W6 | 914 | 86.47 | 113 | 10.69 | 11 | 1.04 | 5 | 0.47 |
| 
Total number of respondents is 1,057.
Not Reported response ranges from 1.14 to 1.42 percent. |  |  |  |  |  |  |  |  |

## Results of the WHO/UNESCAP Disability Question Set Testing

- Sleeping problems (B1.15) got the most number of respondents with severe difficulty at 4.07 percent while 0.85 percent of the respondents have extreme difficulty in seeing and recognizing an object at arm’s length or in reading (B1.7).
- Those who replied that coughing or wheezing for 10 minutes or more at a time (B1.14) is not applicable (NA) reached 1.42 percent.  Those were the individuals who did not experience the said difficulty within the reference period.

## Results of the WHO/UNESCAP Disability Question Set Testing

| Number and Percent of Respondents by Scale of Difficulty for Items B1.1 to B1.9 |  |  |  |  |  |  |  |  |  |  |
| --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- |
| Item | Number and Percent of Respondents by Scale of Difficulty |  |  |  |  |  |  |  |  |  |
|  | No | Percent | Mild | Percent | Moderate | Percent | Severe | Percent | Extreme/Cannot Do | Percent |
| B1.1 | 475 | 44.94 | 376 | 35.57 | 171 | 16.18 | 29 | 2.74 | 4 | 0.38 |
| B1.2 | 545 | 51.56 | 315 | 29.80 | 168 | 15.89 | 21 | 1.99 | 6 | 0.57 |
| B1.3 | 784 | 74.17 | 174 | 16.46 | 80 | 7.57 | 15 | 1.42 | 2 | 0.19 |
| B1.4 | 951 | 89.97 | 59 | 5.58 | 33 | 3.12 | 10 | 0.95 | 2 | 0.19 |
| B1.5 | 863 | 81.65 | 125 | 11.83 | 54 | 5.11 | 9 | 0.85 | 4 | 0.38 |
| B1.6 | 756 | 71.52 | 180 | 17.03 | 92 | 8.70 | 19 | 1.80 | 8 | 0.76 |
| B1.7 | 830 | 78.52 | 124 | 11.73 | 72 | 6.81 | 20 | 1.89 | 9 | 0.85 |
| B1.8 | 788 | 74.55 | 186 | 17.60 | 65 | 6.15 | 9 | 0.85 | 7 | 0.66 |
| B1.9 | 879 | 83.16 | 118 | 11.16 | 48 | 4.54 | 4 | 0.38 | 5 | 0.47 |
| 
Not Reported response ranges from 0.19 to 0.28 percent. |  |  |  |  |  |  |  |  |  |  |

## Results of the WHO/UNESCAP Disability Question Set Testing

| Number and Percent of Respondents by Scale of Difficulty for Items B1.10 to B1.17 |  |  |  |  |  |  |  |  |  |  |
| --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- |
| Item | Number and Percent of Respondents by Scale of Difficulty |  |  |  |  |  |  |  |  |  |
|  | No | Percent | Mild | Percent | Moderate | Percent | Severe | Percent | Extreme/Cannot Do | Percent |
| B1.10 | 868 | 82.12 | 106 | 10.03 | 68 | 6.43 | 11 | 1.04 | 2 | 0.19 |
| B1.11 | 926 | 87.61 | 77 | 7.28 | 45 | 4.26 | 5 | 0.47 | 1 | 0.09 |
| B1.12 | 806 | 76.25 | 149 | 14.10 | 83 | 7.85 | 14 | 1.32 | 3 | 0.28 |
| B1.13 | 519 | 49.10 | 339 | 32.07 | 162 | 15.33 | 23 | 2.18 | 7 | 0.66 |
| B1.14 | 668 | 63.20 | 204 | 19.30 | 127 | 12.02 | 31 | 2.93 | 1 | 0.09 |
| B1.15 | 659 | 62.35 | 211 | 19.96 | 133 | 12.58 | 43 | 4.07 | 5 | 0.47 |
| B1.16 | 764 | 72.28 | 176 | 16.75 | 90 | 8.51 | 15 | 1.42 | 6 | 0.57 |
| B1.17 | 690 | 65.28 | 236 | 21.76 | 102 | 9.65 | 20 | 1.89 | 8 | 0.76 |

## Results of the WHO/UNESCAP Disability Question Set Testing

- 1.32 percent had extreme difficulty in learning a new task (D1.4).
- 0.09 percent of the respondents refused to answer items D1.3 to D1.6 because he/she found these questions to be redundant and repetitive.

- Understanding and Communication

## Results of the WHO/UNESCAP Disability Question Set Testing

| Number and Percent of Respondents by Scale of Difficulty for Items D1.1 to D1.6 |  |  |  |  |  |  |  |  |  |  |
| --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- |
| Item | Number and Percent of Respondents by Scale of Difficulty |  |  |  |  |  |  |  |  |  |
|  | No | Percent | Mild | Percent | Moderate | Percent | Severe | Percent | Extreme/Cannot Do | Percent |
| D1.1 | 738 | 69.82 | 204 | 19.30 | 95 | 8.99 | 9 | 0.85 | 6 | 0.57 |
| D1.2 | 679 | 64.24 | 263 | 24.88 | 87 | 8.23 | 21 | 1.99 | 5 | 0.47 |
| D1.3 | 562 | 53.17 | 298 | 28.19 | 157 | 14.85 | 28 | 2.65 | 9 | 0.85 |
| D1.4 | 697 | 65.94 | 230 | 21.76 | 96 | 9.08 | 15 | 1.42 | 14 | 1.32 |
| D1.5 | 780 | 73.79 | 182 | 17.22 | 72 | 6.81 | 8 | 0.76 | 9 | 0.85 |
| D1.6 | 803 | 75.97 | 155 | 14.66 | 79 | 7.47 | 5 | 0.47 | 10 | 0.95 |
| 
Don’t Know responses for D1.1 (0.19 percent), D1.5 (0.19) and D1.6 (0.09 percent)
Refusal for D1.3 (0.09 percent), D1.4 (0.09 percent), D1.5 (0.09 percent) and D1.6 (0.09 percent)
Not Reported response ranges from 0.09 percent to 0.28 percent. |  |  |  |  |  |  |  |  |  |  |

## Results of the WHO/UNESCAP Disability Question Set Testing

- From mild to moderate difficulties, there were respondents who experienced them both in standing for long periods (D2.1) at 21.76 percent and 12.30 percent, respectively.
- Posted at 3.97 percent and 2.37 percent, respectively, these respondents revealed to have severe and extreme difficulties in walking a long distance (D2.5).

- Getting Around

## Results of the WHO/UNESCAP Disability Question Set Testing

| Number and Percent of Respondents by Scale of Difficulty for Items D2.1 to D2.5 |  |  |  |  |  |  |  |  |  |  |
| --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- |
| Item | Number and Percent of Respondents by Scale of Difficulty |  |  |  |  |  |  |  |  |  |
|  | No | Percent | Mild | Percent | Moderate | Percent | Severe | Percent | Extreme/Cannot Do | Percent |
| D2.1 | 664 | 62.82 | 230 | 21.76 | 130 | 12.30 | 20 | 1.89 | 10 | 0.95 |
| D2.2 | 755 | 71.43 | 185 | 17.50 | 85 | 8.04 | 24 | 2.27 | 5 | 0.47 |
| D2.3 | 849 | 80.32 | 110 | 10.41 | 84 | 7.95 | 5 | 0.47 | 6 | 0.57 |
| D2.4 | 907 | 85.81 | 80 | 7.57 | 53 | 5.01 | 8 | 0.76 | 6 | 0.57 |
| D2.5 | 629 | 59.51 | 229 | 21.67 | 124 | 11.73 | 42 | 3.97 | 25 | 2.37 |
| 
Refusal for all items at 0.09 percent
Not Reported response for all items at 0.19 percent |  |  |  |  |  |  |  |  |  |  |

## Results of the WHO/UNESCAP Disability Question Set Testing

| Number and Percent of Respondents by Scale of Difficulty for Items D3.1 to D3.4 |  |  |  |  |  |  |  |  |  |  |
| --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- |
| Item | Number and Percent of Respondents by Scale of Difficulty |  |  |  |  |  |  |  |  |  |
|  | No | Percent | Mild | Percent | Moderate | Percent | Severe | Percent | Extreme/Cannot Do | Percent |
| D3.1 | 988 | 93.47 | 32 | 3.03 | 17 | 1.61 | 9 | 0.85 | 7 | 0.66 |
| D3.2 | 1,003 | 94.89 | 22 | 2.08 | 16 | 1.51 | 5 | 0.47 | 7 | 0.66 |
| D3.3 | 975 | 92.59 | 47 | 4.46 | 17 | 1.61 | 4 | 0.38 | 4 | 0.38 |
| D3.4 | 830 | 78.52 | 133 | 12.58 | 62 | 5.87 | 13 | 1.23 | 12 | 1.14 |
| Refusal for all items at 0.09 percent
Not Reported response ranges from 0.28 percent to 0.47 percent. |  |  |  |  |  |  |  |  |  |  |

- Most of the respondents replied that they did not have difficulty in taking care of themselves.  However, there were also respondents who reported to have mild to extreme difficulty in staying alone for a few days (D3.4).

- Self Care

## Results of the WHO/UNESCAP Disability Question Set Testing

| Number and Percent of Respondents by Scale of Difficulty for Items D4.1 to D4.5 |  |  |  |  |  |  |  |  |  |  |
| --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- |
| Item | Number and Percent of Respondents by Scale of Difficulty |  |  |  |  |  |  |  |  |  |
|  | No | Percent | Mild | Percent | Moderate | Percent | Severe | Percent | Extreme/Cannot Do | Percent |
| D4.1 | 683 | 64.82 | 236 | 22.23 | 107 | 10.12 | 13 | 1.23 | 10 | 0.95 |
| D4.2 | 831 | 78.69 | 128 | 12.12 | 79 | 7.48 | 3 | 0.28 | 9 | 0.85 |
| D4.3 | 895 | 84.67 | 86 | 8.14 | 59 | 5.58 | 3 | 0.28 | 9 | 0.85 |
| D4.4 | 827 | 78.24 | 156 | 14.76 | 54 | 5.11 | 2 | 0.19 | 10 | 0.95 |
| D4.5 | 635 | 60.08 | 85 | 8.04 | 62 | 5.87 | 6 | 0.57 | 7 | 0.66 |
| Refusal for all items at 0.09 percent
Not Reported response ranges from 0.38 percent to 0.47 percent. |  |  |  |  |  |  |  |  |  |  |

- Majority of the respondents, at least 60 percent, had no difficulty in getting along with people.  There were respondents who experienced difficulty from mild to extreme in dealing with people they did not know (D4.1).  A 24.03 percent of the total number of respondents claimed the question on sexual activities was not applicable to them.

- Getting Along With People

## Results of the WHO/UNESCAP Disability Question Set Testing

- On the contrary, 22.33 percent, 12.11 percent and 1.04 percent attested to have mild, moderate and severe difficulties in taking care of their household responsibilities (D5.1).
- 1.14 percent of the total number of respondents experienced extreme difficulty in getting all the household work done that they needed to do (D5.3).

- Life Activities

## Results of the WHO/UNESCAP Disability Question Set Testing

- Life Activities

## Results of the WHO/UNESCAP Disability Question Set Testing

| Number and Percent of Respondents by Scale of Difficulty for Items D5.1 to D5.8 |  |  |  |  |  |  |  |  |  |  |
| --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- |
| Item | Number and Percent of Respondents by Scale of Difficulty |  |  |  |  |  |  |  |  |  |
|  | No | Percent | Mild | Percent | Moderate | Percent | Severe | Percent | Extreme/Cannot Do | Percent |
| D5.1 | 661 | 62.54 | 235 | 22.23 | 128 | 12.11 | 11 | 1.04 | 11 | 1.04 |
| D5.2 | 752 | 71.14 | 173 | 16.37 | 98 | 9.29 | 11 | 1.04 | 7 | 0.66 |
| D5.3 | 714 | 67.55 | 196 | 18.54 | 107 | 10.12 | 10 | 0.95 | 12 | 1.14 |
| D5.4 | 707 | 66.89 | 204 | 19.30 | 107 | 10.12 | 11 | 1.04 | 9 | 0.85 |
| D5.5 | 474 | 73.04 | 96 | 9.08 | 60 | 9.24 | 4 | 0.62 | 6 | 0.92 |
| D5.6 | 641 | 60.64 | 125 | 11.83 | 86 | 8.14 | 5 | 0.47 | 4 | 0.38 |
| D5.7 | 616 | 58.28 | 137 | 12.96 | 86 | 8.14 | 9 | 0.85 | 5 | 0.47 |
| D5.8 | 613 | 57.99 | 130 | 12.30 | 98 | 9.27 | 8 | 0.76 | 6 | 0.57 |
| 
Refusal for all items at 0.09 percent
Not Reported response ranges from 0.28 percent to 1.23 percent |  |  |  |  |  |  |  |  |  |  |

## Results of the WHO/UNESCAP Disability Question Set Testing

- There were respondents (21.67 percent) who were mildly affected emotionally by their health condition (D6.5).
- There were also 11.64 percent and 2.93 percent of the total number of respondents whose financial resources were moderately and severely affected by their health condition (D6.6).
- Another 1.14 percent of the respondents acknowledged having extreme difficulty in joining community activities (D6.1).

- Participation in Society

## Results of the WHO/UNESCAP Disability Question Set Testing

| Number and Percent of Respondents by Scale of Difficulty for Items D6.1 to D6.8 |  |  |  |  |  |  |  |  |  |  |
| --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- |
| Item | Number and Percent of Respondents by Scale of Difficulty |  |  |  |  |  |  |  |  |  |
|  | No | Percent | Mild | Percent | Moderate | Percent | Severe | Percent | Extreme/Cannot Do | Percent |
| D6.1 | 693 | 65.56 | 192 | 18.16 | 94 | 8.89 | 14 | 1.32 | 12 | 1.14 |
| D6.2 | 729 | 68.97 | 217 | 20.53 | 72 | 6.81 | 19 | 1.80 | 11 | 1.04 |
| D6.3 | 804 | 76.06 | 162 | 15.33 | 68 | 6.43 | 7 | 0.66 | 6 | 0.57 |
| D6.4 | 699 | 66.13 | 205 | 19.39 | 115 | 10.88 | 18 | 1.70 | 6 | 0.57 |
| D6.5 | 687 | 65.00 | 229 | 21.67 | 95 | 8.99 | 24 | 2.27 | 10 | 0.95 |
| D6.6 | 681 | 64.43 | 201 | 19.02 | 123 | 11.64 | 31 | 2.27 | 10 | 0.95 |
| D6.7 | 727 | 68.78 | 180 | 17.03 | 103 | 9.74 | 26 | 2.93 | 10 | 0.95 |
| D6.8 | 813 | 76.92 | 137 | 12.96 | 77 | 7.28 | 9 | 2.46 | 11 | 1.04 |
| 
Refusal for all items at 0.09 percent
Not Reported response ranges from 0.38 percent to 0.76 percent |  |  |  |  |  |  |  |  |  |  |

## Results of the WHO/UNESCAP Disability Question Set Testing

| Number and Percent of Respondents by Scale of Difficulty for Items E1 to E3 |  |  |  |  |  |  |
| --- | --- | --- | --- | --- | --- | --- |
| Item | Number and Percent of Respondents by Scale of Difficulty |  |  |  |  |  |
|  | No | Percent | Yes, Sometimes | Percent | Yes, Always | Percent |
| E1 | 996 | 94.23 | 41 | 3.88 | 16 | 1.51 |
| E2 | 1,009 | 95.46 | 31 | 2.93 | 13 | 1.23 |
| E3 | 965 | 91.30 | 71 | 6.72 | 17 | 1.61 |
| 
Refusal for all items at 0.38 percent |  |  |  |  |  |  |

- Most of the respondents reported no assistance needed.  But there were 6.72 percent of the respondents who sometimes needed assistance for communication activities (E3).  A few respondents (1.61 percent) admitted they always needed assistance for the same activity.

- Need for Assistance

## Results of the WHO/UNESCAP Disability Question Set Testing

- A few needed help or supervision due to short-term health condition (E4b) with 4.54 percent.
- Caused by long-term health condition (E4c) with 2.55 percent.
- By reason of disability (E4d) with 1.99 percent.
- Because of old or young age (E4e) with 3.97 percent and
- On account of difficulty with the language (E4f) with 4.07 percent.

- Need for Assistance

## Results of the WHO/UNESCAP Disability Question Set Testing

| Number and Percent of Respondents by Scale of Difficulty for Items E4a to E4g |  |  |  |  |
| --- | --- | --- | --- | --- |
| Item | Number and Percent of Respondents by Scale of Difficulty |  |  |  |
|  | No | Percent | Yes | Percent |
| E4a | 114 | 10.79 | 939 | 88.84 |
| E4b | 1,005 | 95.80 | 48 | 4.54 |
| E4c | 1,026 | 97.07 | 57 | 2.55 |
| E4d | 1,032 | 97.63 | 21 | 1.99 |
| E4e | 1,011 | 96.65 | 42 | 3.97 |
| E4f | 1,010 | 95.55 | 43 | 4.07 |
| E4g | 1,035 | 97.92 | 17 | 1.61 |
| 
Refusal for all items at 0.38 percent |  |  |  |  |

## WHO/UNESCAP Disability Question Set Testing

- Philippines: Cross tabulation of Question Set 1 (WG) and Question Set 2 (WHO/UNESCAP)
- (n = 1,057)

- W1. Do you have difficulty seeing, even if wearing glasses?

- B1.6 How much difficulty did you have in _seeing and recognizing a person you know across the road_? (take into account eye glasses, if you wear them) *Read the brackets if you see respondent wearing glasses*.

## WHO/UNESCAP Disability Question Set Testing

- W1. Do you have difficulty seeing, even if wearing glasses?

- B1.7 How much difficulty did you have _in seeing and recognizing an object at arm’s length_ or in reading? (take into account eye glasses, if you wear them)                          *Read the brackets if you see respondent wearing glasses*.

- Philippines: Cross tabulation of Question Set 1 (WG) and Question Set 2 (WHO/UNESCAP)
- (n = 1,057)

## WHO/UNESCAP Disability Question Set Testing

- W2 Do you have difficulty hearing, even if using a hearing aid?

- B1.8 How much difficulty did you have in _hearing someone talking _on the other side of the room in a normal voice? (take into account hearing aids, if you use them)                                                                                                *Read the brackets if you see respondent using hearing aid.*.

- Philippines: Cross tabulation of Question Set 1 (WG) and Question Set 2 (WHO/UNESCAP)
- (n = 1,057)

## WHO/UNESCAP Disability Question Set Testing

- B1.9 How much difficulty did you have in _hearing what is said in a conversation_ with one other person in a quiet room?(take into account hearing aids, if you use them)       *Read the brackets if you see respondent using hearing aid.*.

- W2 Do you have difficulty hearing, even if using a hearing aid?

- Philippines: Cross tabulation of Question Set 1 (WG) and Question Set 2 (WHO/UNESCAP)
- (n = 1,057)

## WHO/UNESCAP Disability Question Set Testing

- W2 Do you have difficulty hearing, even if using a hearing aid?

- D1.5 How much difficulty did you have in _generally understanding_ what people  say?

- Philippines: Cross tabulation of Question Set 1 (WG) and Question Set 2 (WHO/UNESCAP)
- (n = 1,057)

## WHO/UNESCAP Disability Question Set Testing

- W2 Do you have difficulty hearing, even if using a hearing aid?

- D1.6 How much difficulty did you have in _starting and maintaining a conversation_?

- Philippines: Cross tabulation of Question Set 1 (WG) and Question Set 2 (WHO/UNESCAP)
- (n = 1,057)

## WHO/UNESCAP Disability Question Set Testing

- W2 Do you have difficulty hearing, even if using a hearing aid?

- E3 Do you ever need someone to help with, or be with you for, communication activities?                                                                           For example: understanding, or being understood by, others.

- Philippines: Cross tabulation of Question Set 1 (WG) and Question Set 2 (WHO/UNESCAP)
- (n = 1,057)

## WHO/UNESCAP Disability Question Set Testing

- W3. Do you have difficulty walking or climbing steps?

- D2.5 How much difficulty did you have in _walking a long distance_ such as a _kilometre_ [or equivalent]?

- Philippines: Cross tabulation of Question Set 1 (WG) and Question Set 2 (WHO/UNESCAP)
- (n = 1,057)

## WHO/UNESCAP Disability Question Set Testing

- W3. Do you have difficulty walking or climbing steps?

- E2 Do you ever need someone to help with, or be with you for, body movement activities?                                                                                                     For example: getting out of bed, moving around at home or at places away from home.

- Philippines: Cross tabulation of Question Set 1 (WG) and Question Set 2 (WHO/UNESCAP)
- (n = 1,057)

## WHO/UNESCAP Disability Question Set Testing

- W4 Do you have difficulty remembering or concentrating?

- D1.1 How much difficulty did you have in _concentrating_ on doing something for _ten minutes_?

- Philippines: Cross tabulation of Question Set 1 (WG) and Question Set 2 (WHO/UNESCAP)
- (n = 1,057)

## WHO/UNESCAP Disability Question Set Testing

- W4 Do you have difficulty remembering or concentrating?

- D1.1 How much difficulty did you have in _remembering_ to do _important things_?

- Philippines: Cross tabulation of Question Set 1 (WG) and Question Set 2 (WHO/UNESCAP)
- (n = 1,057)

## WHO/UNESCAP Disability Question Set Testing

- W5 Do you have difficulty (with self-care such as) washing all over or dressing?

- D3.1 How much difficulty did you have in _washing_ your _whole body_?

- Philippines: Cross tabulation of Question Set 1 (WG) and Question Set 2 (WHO/UNESCAP)
- (n = 1,057)

## WHO/UNESCAP Disability Question Set Testing

- W5 Do you have difficulty (with self-care such as) washing all over or dressing?

- D3.1 How much difficulty did you have in getting _dressed_?

- Philippines: Cross tabulation of Question Set 1 (WG) and Question Set 2 (WHO/UNESCAP)
- (n = 1,057)

## WHO/UNESCAP Disability Question Set Testing

- W5 Do you have difficulty (with self-care such as) washing all over or dressing?

- E1 Do you ever need someone to help with, or be with you for, self care activities? For example: doing everyday activities such as eating, showering, dressing or toileting.

- Philippines: Cross tabulation of Question Set 1 (WG) and Question Set 2 (WHO/UNESCAP)
- (n = 1,057)

## WHO/UNESCAP Disability Question Set Testing

- W6 Because of a physical, mental, or emotional health condition, do you have difficulty communicating, (for example understanding or being understood by others)?

- D1.5 How much difficulty did you have in _generally understanding_ what people say?

- Philippines: Cross tabulation of Question Set 1 (WG) and Question Set 2 (WHO/UNESCAP)
- (n = 1,057)

## Recommendations

## Recommendations

- The pretest provided several observations that could improve not only the questions for disability statistics but also the overall system of data collection for disability statistics.

## Recommendations for the Manual

- There should be a rationale why only 18 years old and over are considered eligible respondents.  There are also a number of zero to 17 years old with disabilities and should also be given attention for programs and projects.

- The manual should include several examples and explanations

## Recommendations for the Questionnaire

- The phrase “due to health condition” should be added to questions, which are normally not connected to health related conditions.  These questions are: B1.15, B1.16 to B1.17, D1.1 to D1.6, D2.3 to D2.4, D3.4, D4.1 to D4.5, D5.1 to D5.8 and D6.1 to D6.8.

- Item D1.3 is very hard to ask because respondents always relate this to financial problem of the family even if the interviewer keeps on emphasizing that this question refers to health condition only.

- Due To Health Reasons:

## Recommendations for the Questionnaire

- Items D6.1 to D6.8 which are on the last part of the questionnaire suffered because of the length of interview. Respondents tend to provide whatever answer just to finish the interview.  Thus, the questionnaire should be shortened to reduce the length of the interview.

- The Need to Shorten the Questions:

## Recommendations for the Questionnaire

- The Need to Shorten the Questions:

## Recommendations for the Questionnaire

- Questions for each domain (1 to 6) are numerous that respondents found them redundant and lengthy.  It is recommended that these questions be structured such that the phrase “How much difficulty...” will not be repeated for each item of interest.

- The Need to Shorten the Questions:

## Recommendations for the Questionnaire

- Domain 3.  Self care:
- How much difficulty did you have in:
-   Washing your whole body?
-   Getting dressed?
-   Eating?
-   Staying by yourself for a few days?

- The Need to Shorten the Questions:

## Recommendations for the Questionnaire

- In item W4, there is a conflict between remembering vs. concentrating.  There should be two separate questions.

- Revision of Questions that are vague or too general or with sequential problem:

- Item B1.13 is easier to understand than item B1.12.  If the questionnaire is to be shortened, the recommendation is to retain item B1.13.

## Recommendations for the Questionnaire

- Items B1.15 and D6.4 asked time but choices are not appropriate.  Hence, either the question or the choices should be revised.

- Revision of Questions that are vague or too general or with sequential problem:

## Recommendations for the Questionnaire

- In item D3.4, add “home” to the question to be more precise.

- Revision of Questions that are vague or too general or with sequential problem:

## Recommendations for the Questionnaire

- Items D6.2 and D6.3 are too vague.  In item D6.3, attitude can be positive or negative.  There is a need to revise these questions.

- In item D6.6, a 30-day period is too short to measure drain in resources.  Thus, there is a need to extend the period.

- Revision of Questions that are vague or too general or with sequential problem:

## Recommendations for the Questionnaire

- Revision of Questions that are vague or too general or with sequential problem:

## Recommendations for the Questionnaire

- In Question Set 1, add instruction to interviewers that they should mention responses/choices.

- Response Options:

- The use of flashcards is very helpful.  It is recommended that for Question Set 1, a similar device be used.

## Recommendations for the Questionnaire

- Items D5.1 to D5.8 and D6.1 to D6.8 should be skipped if respondents have no health problem.

- Skipping/Screening Instructions:

## Recommendations for the Questionnaire

- Use of skipping instructions and filtered questions are essential.  For instance in Domain 5, those with no work or out of school respondents should no longer be asked with questions regarding difficulty in these activities.

- Skipping/Screening Instructions:

## Recommendations for the Questionnaire

- In item D1.4, it is better to remove “for example....” since this example tend to limit the situation of learning a new task.

- Use of “Examples” in the questions:

- In item D4.5, however, there is a need for an example in the questionnaire to provide basis of the said activity.

## Recommendations for the Questionnaire

- Use of “Examples” in the questions:

## Recommendations for the Questionnaire

- Translation of the Questionnaire:

## Recommendations for the Questionnaire

- Clarification or follow-up questions should be made in the actual survey/census in order to elicit accurate response from the respondents.  The mere repetition of questions is not enough.

- Probing and Other Recommendations:

## Recommendations for the Questionnaire

- Probing and Other Recommendations:

## Recommendations for the Questionnaire

- Introduction for Part 2 was repeated.  It should be removed before the B-items.

- Probing and Other Recommendations:

## Recommendations for the Questionnaire

- Response Choices:

## Recommendations for the Timing of the Pretest

- The study was conducted at the time when rainy season started in the country, thus, contributing to the difficulties of the interviewers.  Extension of the interview was sought.  Obviously, timing of the conduct of the study should be given consideration.

- A very short period was allotted to prepare for translation of the questions from English to Filipino language.  The same goes for the duration of the field test where there are several callbacks.

## Recommendations for the Timing of the Pretest

## Recommendations for a Series of Pretests

- To ensure that a process or a set of questions to be used to collect information is free from errors, several testing should be employed.  This is done whenever revisions are made to determine the implication of such changes.  Hence, it is suggested that another test be conducted once the questions are revised based on the findings of this test.

## Conclusions

## WHO/UNESCAP Disability Question Set Testing

- The conduct of the Disability Question Set Testing has identified more room for improvement. These are:

- 1. Revision of the instruction manual to include detailed concepts.

- 2. Revision of questionnaires to include probing, consistency and skipping instructions.

- 3. Simplification of the questions.

## WHO/UNESCAP Disability Question Set Testing

- 5. Consideration on the timing of the operation (not rainy season).

- 6. A need for a series of pretests to finalize the questions, procedures and strategies.

## Plan for the Conduct of Cognitive Test for the Washington Group Questions

## The study aims to identify problematic questions and record the respondent's understanding of the question's intent. 

- The study will serve as a guide in the  preparation of disability questions for the 2006 POPCEN in an attempt to capture up-to-date statistics on persons with disability.

- Plan for the Conduct of Cognitive Test for the Washington Group Questions

## Plan for the Conduct of Cognitive Test for the Washington Group Questions

| Activity | Date | Area |
| --- | --- | --- |
| Preparatory Phase
Preparation of Questionnaires and Field Instructions
Test 1 | 
Sept 1-16, 2005

Sept 23, 2005 | 
Central Office

Ten Respondents
Central Office Personnel |
| Training | Sept 29 – 30, 2005 | Central Office |

**Timetable**

## Plan for the Conduct of Cognitive Test for the Washington Group Questions

| Activity | Date | Area |
| --- | --- | --- |
| 
Cognitive 
Field Test 2 | 
Oct 6 - 7, 2005 | 60 Respondents, National Capital Region (Urban Village) |
| Cognitive 
Field Test 3 | 
Oct 10 – 11, 2005 | 60 Respondents from a Rural Village |

**Timetable**

## Plan for the Conduct of Cognitive Test for the Washington Group Questions

| Activity | Date | Area |
| --- | --- | --- |
| Post-Enumeration
Phase
Data Processing
Data Analysis
Submission of Data and Report | 

Oct 12 – 21, 2005
Oct 17 – 28, 2005
October 31,2005 | 

Central Office
Central Office
Washington Group |

**Timetable**

## Translation

- The questions to be administered have been translated to Filipino language (the national language) as these questions were included in the WHO-UNESCAP Field test that was conducted in June.

- The Filipino Translation was prepared by a group of personnel who are well versed in the language.

- Plan for the Conduct of Cognitive Test for the Washington Group Questions

## Actual Test

**A. Selection of Sample Areas**

- The selection of areas will be determined according to some considerations like the enumeration costs and geographic characteristics.

- 1. One village classified as a highly urbanized area.

- 2. One rural village

- Plan for the Conduct of Cognitive Test for the Washington Group Questions

## Actual Test

- Prior to the field test, coordination with the field offices will be made regarding:

- 1. The actual area to be selected

- 2. Coordination with local officials

- 3. Transportation to the field area

- 4. Training and supervision

- 5. Other related matters

- Plan for the Conduct of Cognitive Test for the Washington Group Questions

**Actual Test**

## Actual Test

- A systematic cluster sampling technique will be used in the selection of households.

- The village will be divided into three segments

- Clusters of five households each will be formed as the interviewer lists the households in the segment.

- Plan for the Conduct of Cognitive Test for the Washington Group Questions

**Actual Test**

## Actual Test

- A random start will be assigned to each segment and two clusters will be selected as samples in each segment

- Thirty sample households will be selected per village

- Plan for the Conduct of Cognitive Test for the Washington Group Questions

**Actual Test**

## D. Respondents

- All persons 18 years old and over in the sample households will be selected as samples.

**E. Interview Approach**

- A team approach strategy will be adopted during data collection.

- Plan for the Conduct of Cognitive Test for the Washington Group Questions

## F. Question to be Tested

- W1. Do you have difficulty seeing, even if wearing glasses?

- W2.  Do you have difficulty hearing, even if using a hearing aid?

- W3.  Do you have difficulty walking or climbing steps?

- Plan for the Conduct of Cognitive Test for the Washington Group Questions

## F. Question to be Tested

- W4. Do you have difficulty remembering or concentrating?

- W5. Do you have difficulty (with self-care such as) washing all over or dressing?

- W6.Because of a physical, mental, or emotional health condition, do you have difficulty communicating, (for example understanding and being understood by others

- Plan for the Conduct of Cognitive Test for the Washington Group Questions

## G. Cognitive Test Mechanics.

- a.  The interviewer makes an introduction of the test.

- b. Both the interviewer and the observer record the responses in a separate testing questionnaires.

- c. The observer identifies and lists the question(s) the respondent has difficulty answering  on the cognitive form.

- Plan for the Conduct of Cognitive Test for the Washington Group Questions

## G. Cognitive Test Mechanics.

- 5. The observer should have noted down the difficulties of the respondents during the interview. This will serve as a basis in the succeeding questions.

**G. Cognitive Test Mechanics.**

- Plan for the Conduct of Cognitive Test for the Washington Group Questions

## G. Cognitive Test Mechanics.

- 7. The following questions for the cognitive testing are to ask;

- Could you repeat the question, as you understood it in the interview?

**G. Cognitive Test Mechanics.**

- Plan for the Conduct of Cognitive Test for the Washington Group Questions

## G. Cognitive Test Mechanics.

-  What is your recommendation to improve the question?

- Do you need any kind of clarification about this question?

**G. Cognitive Test Mechanics.**

- Plan for the Conduct of Cognitive Test for the Washington Group Questions

## H. Training and Debriefing

- After the field test, one day will be devoted to discuss the problems and observations made by both the interviewers and observers.

-  A one-day training will be conducted to discuss each question and the strategy to be employed in the field test.

- Plan for the Conduct of Cognitive Test for the Washington Group Questions

## Data Entry and Analysis

-  All forms are to be edited for completeness of entries.

-  The data will then be used as input in the STATA for tabulation, cross-reference, matching of entries and consistency checks.

- Plan for the Conduct of Cognitive Test for the Washington Group Questions

**Data Entry and Analysis**

## Data Entry and Analysis

-  Analysis of the data will be descriptive using tables and graphs.

**Data Entry and Analysis**

- Plan for the Conduct of Cognitive Test for the Washington Group Questions

## thank you!