ACCESSIBILITY TO BASIC HEALTH UNITS FOR PEOPLE WITH PHYSICAL DISABILITIES

Jéssyka Chaves da Silva Corresponding author: Jéssyka Chaves Da Silva Universidade Estadual da Paraíba - Campina Grande, PB, Brasil E-mail: jessykachavessilva@gmail.com

Universidade Estadual da Paraíba, Universidade de Pernambuco. Recife, PE, Brasil.

http://orcid.org/0000-0002-2070-7893

Corresponding author: Jéssyka Chaves Da Silva Universidade Estadual da Paraíba - Campina Grande, PB, Brasil E-mail: jessykachavessilva@gmail.com

Role of Authors:

Substantial contributions to the conception or design of the work; or the acquisition, analysis, or interpretation of data for the work - Araújo YF de L, Coura AS, França ISX de, Souto RQ, Rocha MA, Silva JC da; Drafting the work or revising it critically for important intellectual content - Araújo YF de L, Coura AS, França ISX de, Souto RQ, Rocha MA, Silva JC da; Agreement to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved - Araújo YF de L, Coura AS, França ISX de, Souto RQ, Rocha MA, Silva JC da. All authors approved the final version of the text.

Associate editor: Susanne Elero Betiolli

Variables		Yes		No		NA^* * Not applicable
Variables		n	%	n	%	n	%
Public Roads
	Pedestrian Crosswalks	7	8,8	73	91,2	-	-
	Curb cuts	59	73,8	21	26,2	-	-
	Signed public works	1	1,3	79	98,7	-	-
	Clear sidewalks	52	65	28	35	-	-
	Potholess sidewalks	9	11,3	71	88,7	-	-
	Sidewalks have minimum width (1.20m)	73	91,3	7	8,7	-	-
	Traffic signs	18	22,5	62	77,5	-	-
	Locality signs	12	15	68	80	-	-
	Traffic lights with push buttons	0	0	80	100	-	-
From the access to the entrance of the BHU
	Lowering of the sidewalk	58	72,5	22	27,5	-	-
	Private parking for PwD	0	0	80	100	-	-
	Path from the parking space to the entrance	23	28,7	57	71,3	-	-
	Corridors with arrows	3	3,7	77	96,3	-	-
From the access to the interior of the BHU
	Staircase without handrail	4	5	76	95	-	-
	Staircase with handrail	7	8,8	73	91,2	-	-
	Ramp	71	88,8	9	11,2	-	-
	Circulation areas	62	77,5	18	22,5	-	-
	Doors with rails	15	18,7	7	8,8	58	72,5
	Regular floor	65	81,2	15	18,8	-	-
	Free areas of collective circulation	73	91,3	7	8,7	-	-
Vertical circulation in the building
	Ramp	51	63,7	29	36,3	-	-
	Staircase	11	13,8	69	86,2	-	-
	Sloping ramp access	38	47,5	14	17,5	28	35
	Non-stick ramp floor	38	47,5	14	17,5	28	35
	Access by wide stairway	7	8,8	4	5	69	86,2
	Insulated steps	9	11,3	2	2,5	69	86,2
	Step tread	6	7,5	5	6,3	69	86,2
	Visual signage on edge of floor	2	2,5	9	11,3	69	86,2
	Handrail made of rigid material	10	12,5	3	3,8	67	83,7
	Handrail firmly fixed	10	12,5	3	3,8	67	83,7
	Handrail installed on both sides	5	6,3	8	10	67	83,7
	Handrail 0.92m and 0.7m (from the floor)	7	8,8	6	7,5	67	83,7
	Handrail at 0,04m away	0	0	11	13,8	69	86,2
	Handrail extends at least 0,30m	1	1,3	12	15	67	83,7
	Curved handrail	7	8,8	6	7,5	67	83,7
International Symbol for Access (SIA)
	Entrances	4	5	76	95	-	-
	Parking areas and spaces	1	1,3	79	98,7	-	-
	Toilets	47	58,8	33	41,2	-	-
	Rescue assistance areas	1	1,3	79	98,7	-	-
	Restricted areas (wheelchairs)	3	3,8	77	96,2	-	-
	Preferential equipment/furnishings	0	0	80	100	-	-

Variables	Yes		No		NA*
Variables	n	%	n	%	n	%
Furniture
Tables have a minimum width	58	72,5	22	27,5	-	-
Seats are between 0.4 and 0.45m deep	69	86,3	11	13,7	-	-
Drinking fountains are installed at 0.90m from the floor	9	11,3	59	73,7	12	15
Sanitary Facilities					-	-
Toilets Suitable for PwD	40	50	40	50	-	-
Symbolized Toilets	49	61,3	31	38,7	-	-
Toilets available for both sexes	38	47,5	42	52,5	-	-
Approach areas					-	-
Has free space equivalent to a rectangle	50	62,5	30	37,5	-	-
Side and back wall next to the toilet bowl	27	33,8	53	66,2	-	-
Horizontal bars have a minimum length of 0.8m	19	23,8	61	76,2	-	-
Horizontal bars are at a height of 0.75m from the floor	10	12,5	70	87,5	-	-
Toilet bowl is at a maximum height of 0.46m	74	92,5	6	7,5	-	-
Toilet bowl is at a height of 0.55m from the floor	61	76,2	19	23,8	-	-
The flush valve is at a maximum height of 1.00m	69	86,2	11	13,8	-	-
Washbasin is a pedestal-free type	64	80	16	20	-	-
Sink is at a height of 0.80m from the floor	65	81,2	15	18,8	-	-
Faucet with lever	2	2,5	78	97,5	-	-

Variables		BHU Location Zone				p
		Urban		Countryside
		n	%	n	%
Tables have minimum width	Yes	52	89,7	6	10,3	0,004^ Fisher’s Test
Tables have minimum width	No	13	59,1	9	40,9	0,004^ Fisher’s Test
Seats have depth	Yes	56	81,1	13	18,9	1,000^ Fisher’s Test
Seats have depth	No	9	81,8	2	18,2	1,000^ Fisher’s Test
Drinking fountains are 0.9m from the floor	Yes	6	66,6	3	33,4	0,402^ Fisher’s Test
Drinking fountains are 0.9m from the floor	No	47	79,6	12	20,4	0,402^ Fisher’s Test
Toilets are adequate	Yes	35	87,5	5	13,5	0,152
Toilets are adequate	No	30	75	10	25	0,152
Toilets are symbolized	Yes	40	81,6	9	18,4	0,912
Toilets are symbolized	No	25	80,6	6	19,4	0,912
Toilets (male and female)	Yes	31	81,6	7	18,4	0,943
Toilets (male and female)	No	34	80,9	8	19,1	0,943
Has equivalent free space	Yes	41	82	9	18	0,824
Has equivalent free space	No	24	80	6	20	0,824
Horizontal bars installed	Yes	23	85,2	4	14,8	0,520^ Fisher’s Test
Horizontal bars installed	No	42	79,2	11	20,8	0,520^ Fisher’s Test
Bar length	Yes	16	84,2	3	15,8	1,000^ Fisher’s Test
Bar length	No	49	80,3	12	19,7	1,000^ Fisher’s Test
Bar height	Yes	7	70	3	30	0,387
Bar height	No	58	82,9	12	17,1	0,387
Basin height (0.46m)	Yes	61	82,4	13	17,6	0,313^ Fisher’s Test
Basin height (0.46m)	No	4	66,7	2	33,3	0,313^ Fisher’s Test
Paper bowl next to toilet bowl	Yes	49	80,3	12	19,7	1,000**
Paper bowl next to toilet bowl	No	16	84,2	3	15,8
Flush valve (height)	Yes	56	81,2	13	18,8	1,000**
Flush valve (height)	No	9	81,8	2	18,2
Washbasin type without column	Yes	52	81,2	12	18,8	1,000^ Fisher’s Test
Washbasin type without column		No	81,2	3	18,8	1,000^ Fisher’s Test
Washbasin at a height of 0.80m	Yes	52	80	13	20	0,724^ Fisher’s Test
Washbasin at a height of 0.80m	No	13	86,7	2	13,3	0,724^ Fisher’s Test
Faucet with lever	Yes	2	100	0	0	1,000^ Fisher’s Test
Faucet with lever	No	63	80,8	15	19,2	1,000^ Fisher’s Test

Variables			Type of BHU				p
			Built		Adapted
			n	%	n	%
Access to the external and internal area
	Has sidewalk undercutting	Yes	35	60,3	23	39,7	0,023
	Has sidewalk undercutting	No	7	31,8	15	68,2	0,023
	Obstacle-free path	Yes	17	73,9	6	26,1	0,015
	Obstacle-free path	No	25	43,9	32	56,1	0,015
	The floor is regular	Yes	38	58,5	27	41,5	0,026
	The floor is regular	No	4	26,7	11	73,3	0,026
Internal Circulation and the SIA
	The ramp access has an inclination	Yes	23	60,5	15	39,5	0,012
	The ramp access has an inclination	No	3	21,4	11	78,6	0,012
	The handrail is made of rigid material	Yes	8	80	2	20	0,035^ Fisher’s Test
	The handrail is made of rigid material	No	0	0	3	100	0,035^ Fisher’s Test
	The handrail height is 0.92m and 0.7m	Yes	7	100	0	0	0,005^ Fisher’s Test
	The handrail height is 0.92m and 0.7m	No	1	17,7	5	83,3	0,005^ Fisher’s Test
	The ends of handrails	Yes	7	100	0	0	0,005^ Fisher’s Test
	The ends of handrails	No	1	17,7	5	83,3	0,005^ Fisher’s Test
	Toilets	Yes	34	72,3	13	27,7	<0,001
	Toilets	No	8	24,2	25	75,8	<0,001
Furniture and sanitary installation
	Toilets are adequate	Yes	30	75	10	25	<0,001
	Toilets are adequate	No	12	30	28	70	<0,001
	Toilets are symbolized	Yes	33	67,3	16	32,7	0,001
	Toilets are symbolized	No	9	29	22	71	0,001
	Has free space	Yes	34	68	16	32	<0,001
	Has free space	No	8	26,7	22	73,3	<0,001
	Bars on the bottom	Yes	22	81,5	5	18,5	<0,001
	Bars on the bottom	No	20	37,8	33	62,2	<0,001
	Length of bars	Yes	16	84,2	3	15,8	0,002
	Length of bars	No	26	42,6	35	57,4	0,002
	Lavatory	Yes	38	59,4	26	40,6	0,014
	Lavatory	No	4	25	12	75	0,014
	Washbasin at a height of 0.80m	Yes	39	60	26	40	0,005
	Washbasin at a height of 0.80m	No	3	20	12	80	0,005

[1] Corresponding author: Jéssyka Chaves Da Silva Universidade Estadual da Paraíba - Campina Grande, PB, Brasil E-mail: jessykachavessilva@gmail.com

Brasil

Brasil

ACCESSIBILITY TO BASIC HEALTH UNITS FOR PEOPLE WITH PHYSICAL DISABILITIES

ABSTRACT

Objective:

Method:

Results:

Conclusion: