1. Self-Care Question: Cognitive Testing Results 6 th Annual Mtg UN Washington Group on Disability Statistics Kampala, Uganda October 10-13, 2006

2. Self- Care Question Do you have difficulty with self-care, such as washing all over or dressing? No, no difficulty Yes, some difficulty Yes, a lot of difficulty Can not do at all

3. More detailed functioning questions By yourself and not using aids, do you have any difficulty… Reaching up over your head? Reaching out as if to shake someone’s hand? Using your fingers to button a shirt or dress? Putting on socks or stocking? Tying your shoelaces? Combing your hair? Feeding yourself Response categories: Yes/No

4. Pattern Responses Non-Problematic No disability (based on main question) and no functional problems Disability and at least three functional problems Problematic Disability, but no functional problems reported No disability, but three or more functional difficulties reported

5. Pattern Responses (continued) Borderline No disability (based on main question) but 1 or 2 functional problems reported Disability but 1 or 2 functional problems reported Why is this borderline and not problematic? Because 1 or 2 functional problems may or may not create a situation where a person has difficulty with self care – more of an issue because of Yes/No response categories

6. Overall Distribution of Answers by Disability Threshold Disability defined as ANY difficulty Non-Problematic – 81.0% Problematic – 9.5% Borderline – 9.5% Disability defined as “A lot” or “Cannot do” Non-Problematic – 80.5% Problematic – 11.1% Borderline – 8.4%

7. Lower Disability Threshold: problem responses (red) are younger, borderline (blue) are younger for “non-disabled” with 1 functional problem No. of funct. problemsNoneOneTwoThree or more Dis Not DisDisNot DisDisNot DisDisNot Dis Age <3042.750.539.151.241.542.938.045.2 30-6046.337.940.941.539.035.734.034.8 >6011.011.720.07.319.521.428.020.0 Primary Ed. or less15.011.727.126.722.915.825.023.2

8. No. of funct. problemsNoneOneTwoThree or more Dis Not DisDisNot DisDisNot DisDisNot Dis Age <3039.24051.828.653.735.736.468.7 30-6048.93542.957.129.335.745.519.4 >6011.9255.414.317.128.618.211.9 Higher Disability Threshold: problem responses (red) and borderline (blue) non-disabled tend to be older

9. Questions: Why do people ended up in the borderline and problem responses? -- because they belong there, because of ambiguity in the questions, some misinterpretation? For example, in the Vietnam report they mentioned that some people were confused by the self-care question because they weren't sure if it was asking if they ACTUALLY cared for themselves or if they had the ABILITY to. Or, the self-care question had two examples (washing and dressing) and some respondents weren't sure if the question meant ONLY those activities, and not necessarily things. Why might cross-country differences exist? Translation, interviewer training, sample selection, cultural differences, living conditions?