Background: Literature indicates that access to rehabilitation services in South Africa is limited. Recent policy documents by the National Department of Health related to disability and rehabilitation propose the integration of occupational therapy services in primary healthcare (PHC). However, the implementation strategies concerning integration are not clear as there is inadequate evidence locally on the occupational therapy service provision in PHC even though there is growing evidence internationally.Purpose: This study sought to determine the services provided by occupational therapists in PHC and to explore the perceptions of the occupational therapists on the integration of occupational therapy services within the PHC reengineering streams of the National Health Insurance (NHI).Method: A two-phase explanatory sequential mixed method strategy was utilised in this study. A quantitative survey was sent to members of the occupational therapy professional association and an organisation of professionals providing rehabilitation services in rural communities. Qualitative data were then collected using semi-structured interviews with five therapists who completed the survey.Findings: Findings from this study showed there is increasing alignment of occupational therapy services in PHC with the communitybased rehabilitation (CBR), the Social Model, the International Classification of Functioning, Disability and Health (ICF), and the Medical Model using client self-management and case-management intervention approaches. The majority of occupational therapists are currently based in district hospitals (42%), community health centres (16%), community organisations (8%), and clinics (8%). Those working in the community indicated they work in a multidisciplinary team (MDT). They also use PHC service delivery models to manage people with disabilities (PWDs). Occupational therapists in PHC have a strong perception of their relevance in the PHC reengineering streams, despite the numerous barriers and few facilitators to the integration of occupational therapy services in the PHC reengineering streams of the NHI.Conclusion: The perception of the study participants is that occupational therapy service integration in the PHC reengineering streams will lead to improved healthcare. However, they are also of the opinion that integration will not happen without advocacy from occupational therapists or occupational therapy being adequately supported in PHC.✥ Anthony Jejelaye -Postgraduate student -conceptualisation and completion of project and article manuscript. ✥ Lebogang Maseko -supervisor of MSc project -helped with the conceptualisation and guidance for completion of project. ✥ Denise Franzsen -supervisor of MSc project -helped with the conceptualisation and guidance for completion of project.

Aim: The quality of care given by occupational therapists on sexual rehabilitation of persons with physical disabilities (PWDs) is influenced by their knowledge about, and attitude towards sexual rehabilitation. There is little information on the knowledge about, and attitude towards sexual rehabilitation of PWDs among OT practitioners in Nigeria. This study therefore assessed the knowledge and attitude of occupational therapy (OT) professionals and trainees about sexual rehabilitation of PWDs. Method: Using a purposive sampling technique, 73 OT professionals and trainees responded to this cross-sectional survey. Data obtained were analyzed using descriptive and inferential statistics. Significance level was set at 0.05. Results: The mean knowledge score for the OT trainees was 22.87±3.90 and 23.44±4.84 for OT professionals. Similarly, the mean score for attitude was 57.00±4.65 for OT trainees and 56.24±6.94 for OT professionals. Over 80% of the respondents had moderate knowledge about sexual rehabilitation while all the respondents had positive attitude towards sexual rehabilitation. Also, the attitude of OT professionals towards sexual rehabilitation of PWDs was significantly lower than that of the OT trainees (t=0.56; p-0.009) (Table-3). In addition, there was significant correlation between the knowledge and attitude of the respondents towards sexual rehabilitation of PWDs (ρ=0.26; p=0.025) (Table-4). Conclusion: In Nigeria, OT professionals and trainees demonstrated satisfactory knowledge and attitude about sexual rehabilitation of PWDs. Significant relationships exist between knowledge and attitude towards sexual rehabilitation of PWDs.

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