TANZANIA- COGNITIVE TEST RESULTS QUESTIONS ON HEARING By. Ms. Albina Chuwa October, 2006

How was the Pre-test was Done Pre-test started in August/September 2006 We received a consultant from WG to assist us on the preparations of the Cognitive test We also received training and interview instructions from Miller – Washington Group expert.

How was the Pre-test was Done Recruitment of the Interviewers: –Four experienced Statistician from National Bureau of Statistics (NBS) did the interview Main stakeholder (Ministry of Health and Social Welfare) was first contacted to provide initial information about all institutions dealing people with disability

How was the Pre-test was Done Training: –Took 4 hours CD obtained from Miller was used together with inputs from consultant –Mock interview was done among trainees this was to ensure the questions understood well before carrying the actual pre-test

Selection of the Respondents A random purposive sample of 25 respondents were drawn from institutions dealing with people with disability and private households. For each interview, there were two recordings (Self-report and Proxy – report)

How was Data Collection Done Each interviewer was provided with enough questionnaire Consultant was observing the interview although the questionnaire was not translated into Kiswahili.

How was Data Collection Done Official letter from Director General and information about the whole pre-test was sent to respondents prior to the data collection Interpreter was used for two respondents with hearing impairment

How was Data Collection Done Data collections took about three days Each interview took about one hour. Much time was taken for those respondents who had hearing impairments.

Data Processing Data processing was done simultaneously with data collection Data entry was done using WG Format – EXCEL. Raw data was sent to WG

RESULTS Tanzania n=25 Self Report - Hearing PatternAidDisabilityMissed WordsFunctioning ProblemCase IdsTotal ANo 03,05,06,0 8,09,1 0,11,1 2,13,1 4,15,1 6,17,1 8,19,2 0,23,2 518 (72%) BNoYes 04,22,243 (12%) CNo YesNo 0 D Yes 01,02,07,2 14 (16%) ENoYesNoYes 0 FNoYes No 0 G Yes 0 HNoYesNo 0 IYesNoYes 0 J 0 K No 0 LYes NoYes 0 M No 0 NYesNo Yes 0 O NoYesNo 0 PYes No 0

Figure 1.1: Distribution of Self- Report by Pattern - Hearing

Tanzania n=25 Proxy Report - Hearing PatternAidDisabilityMissed WordsFunctioning ProblemCase IdsTotal ANo 03,04,05,08,09,10, 13,14, 15,17, 18,19, 20,23, 2516 (64%) BNoYes 06, 07,11, 124 (16%) CNo YesNo 0 D Yes 01,02,16,21,22,5 (20%) ENoYesNoYes 0 FNoYes No 0 G Yes 0 HNoYesNo 0 IYesNoYes 0 J 0 K No 0 LYes NoYes 0 M No 0 NYesNo Yes 0 O NoYesNo 0 PYes No 0

Figure 1.2: Distribution of Proxy- Report by Pattern - Hearing

Discussions Self – Report –Majority of the respondents reported no sign of impairment and reported no disability (72%) –Respondents showed clear impairment and reported disability (12%)

Self- report Respondents did not report disability but admits some functioning problems; and this accounted for four percent We have noted that pattern “D” many respondents reported conversation problems in the crowded room. This could happened to any person.

Discussion – Proxy -Report 64 percent of proxy-reporting showed pattern “A” that no sign of impairment and reports no disability. –While 16 percent of proxy-reporting showed clear impairment and reported disability.

Discussion – Proxy -Report 20 percent of proxy-reporting showed that respondents did not report disability but admits some functioning problems like conversation in the crowded room.

General Comments on the WG Core Questions Questions on hearing aid was not common in Tanzania. This type of questions could be captured if sample size was large enough. To read categories to respondents would tend to bias results. This would be applicable for a country where literacy rate is very high

General Comments on the WG Core Questions In Tanzania WG Core questions will be included in the Disability Pilot Survey that will be conducted in Tanzania 2006/07. The actual disability survey will be done after success of the pilot test.

Remembering and Concentration Questions Option of sometimes created confusions among respondents

END Thank you for listening