The UNICEF/Washington Group Child Functioning Module-Accuracy, Inter-Rater Reliability and Cut-Off Level for Disability Disaggregation of Fiji's Education Management Information System.

摘要: This paper explores the validity (sensitivity and specificity) of different cut-off levels UNICEF/Washington Group Child Functioning Module (CFM) inter-rater reliability between teachers parents as proxy respondents, for disaggregating Fiji's education management information system (EMIS) by disability. The method used was a cross-sectional diagnostic accuracy study comparing CFM items to standard clinical assessments 472 primary school aged students in Fiji. Whilst previous domain-specific results showed "good" "excellent" domains seeing, hearing, walking speaking, newer analysis shows only "fair" "poor" cognitive (learning, remembering focusing attention) overall (area under Receiver Operating Characteristic curve: 0.763 parent responses, 0.786 teacher responses). Severe impairments are reported relatively evenly across response categories "some difficulty", "a lot difficulty" "cannot do at all". Most moderate difficulty". provides core component data required EMIS However, choice level mixture impairment severity challenges. alone is not accurate enough determine funding eligibility. For identifying children with disabilities, should be part broader collection including learning support needs undertaking eligibility verification visits.