Health services coverage

Abstract

OBJECTIVE: According to the World Health Organization, estimates about 1,800,000 people lived with disability in Tehran. Against there is little evidence of physical access to rehabilitation facilities in Tehran. This study is aimed to assess the physical access to physical rehabilitation facilities in Tehran and compare it with the country. METHODS: This is a cross-sectional study conducted since January to April 2017. We used a master facilities list of rehabilitation facility that developed in Iran to collect the information. The samples of this study included all existing physical rehabilitation centers in Tehran province. Data analysis was done using the SPSSr version 21.0 (SPSS Inc., Chicago, IL). RESULTS: The results showed that rehabilitation facilities existed at different levels, including inpatient (10.51), outpatient (224.28), community based (36.72), and long-term care (4.96)/1,000,000 populations. Rehabilitation services are provided by rehabilitation professional including: Physical medicine and rehabilitation specialists (8.7), physiotherapists (132.89), occupational therapists (57.4), speech therapists (42.11), and audiologists (48.84) (in 1,000,000 populations). CONCLUSION: Tehran needs to increase the physical access to rehabilitation facilities and compared with country was disproportionate physical access to facilities in most cases. It is necessary to establish an interdisciplinary referral system between different rehabilitation providers.

The Effect of COVID-19 Pandemic on Households’ Utilization of Rehabilitation Services: National Evidence from Iran Health System

“…Rehabilitation services are concentrated in urban areas and people who live in urban settings are more likely to have better geographical access to such services. Also, studies show that there is an inequitable distribution of rehabilitation services in Iran so that the rate of physiotherapy offices in Tehran was 105.55 per 1,000,000 population while this rate for the whole country was about 48.90 per 1,000,000 population [ 32 ]. Also, we should note that the community-based rehabilitation (CBR) program is the main approach to identifying people with disabilities (PWDs) in rural settings, training families, and providing assistive devices and social support in Iran.…”

Aktueller Stand und Herausforderungen der neurologischen Rehabilitation in Nigeria

“…In den meisten Fällen werden neurologische Rehabilitationsdienste nur in den Krankenhäusern in den städtischen Gebieten angeboten, sodass diejenigen in den ländlichen Gebieten, die keine solchen Dienste haben, ausgeschlossen bleiben. Dies ist auch in vielen anderen Ländern der Fall [33,34]. Allerdings können Bemühungen um die Bereitstellung häuslicher Rehabilitationsdienste zur Lösung solcher Probleme beitragen [35,36].…”