Health system challenges affecting rehabilitation services in South Africa

Morris, Linzette; Grimmer, Karen; Twizeyemariya, Astérie; Coetzee, Marisa; Leibbrandt, Dominique; Louw, Quinette

doi:10.1080/09638288.2019.1641851

Cited by 49 publications

(57 citation statements)

References 32 publications

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“…These included the need for rehabilitation leadership at governance, policy, and management level; investment in rehabilitation infrastructure; an emphasis on specialist rehabilitation training of health professionals; a focus on the development of community-based rehabilitation; and the need for raising knowledge and awareness [21]. More recently, Morris et al [22] considered the challenges of implementing the WHO 2030 Rehabilitation goals in South Africa using the WHO health system building block framework. They found a need for increases in rehabilitation workforce and financing, more access to medical technologies, and more leadership and support from those in governance roles [22].…”

Section: Discussionmentioning

confidence: 99%

“…More recently, Morris et al [22] considered the challenges of implementing the WHO 2030 Rehabilitation goals in South Africa using the WHO health system building block framework. They found a need for increases in rehabilitation workforce and financing, more access to medical technologies, and more leadership and support from those in governance roles [22].…”

Section: Discussionmentioning

confidence: 99%

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What would ‘upscaling’ involve? A qualitative study of international variation in stroke rehabilitation

Watkins

Levack

Rathore

et al. 2021

BMC Health Serv Res

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Background Demand for stroke rehabilitation is expected to grow dramatically; with the estimated prevalence of stroke survivors rising to 70 million worldwide by 2030. The World Health Organization’s (WHO) report - Rehabilitation 2030: A call for action – has introduced the objective of ‘upscaling’ rehabilitation globally to meet demand. This research explored what upscaling stroke rehabilitation might mean for health professionals from countries at different stages of economic development. Methods Qualitative descriptive study design using semi-structured interviews was employed. Purposively sampled, clinical leaders in stroke rehabilitation were recruited for interviews from low through to high-income countries. Results Twelve rehabilitation professionals (medicine, physical therapy, occupational therapy, and speech and language therapy) from high (United States of America, Germany, United Kingdom, United Arab Emirates, New Zealand), upper-middle (Colombia and Turkey), lower-middle (Vietnam, Pakistan, Ghana), and low-income countries (Nepal and Sierra Leone) were interviewed. Upscaling was seen as a necessity. Successful scaling up will require initiatives addressing: political governance and managerial leadership, increasing knowledge and awareness of the value of rehabilitation, financial support, workforce developments, physical space and infrastructure, and the development of community services and reintegration. Conclusion Although there have been many gains within the development of stroke rehabilitation internationally, further investment is required to ensure that this patient population group continues to receive the best quality services. For the WHO to be successful in implementing their objective to upscale rehabilitation, specific attention will need to be paid to political, professional, economic, and sociocultural issues at global and local levels.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

What would ‘upscaling’ involve? A qualitative study of international variation in stroke rehabilitation

Watkins

Levack

Rathore

et al. 2021

BMC Health Serv Res

View full text Add to dashboard Cite

show abstract

“…This means that there are 9 P/Os per million population. However, within provinces with a higher disability prevalence, many of these professionals service the private sector which only caters for 16% of the South African population [6]. This highlights the shift to and preference for working in private sector which depletes the public sector rehabilitation workforce.…”

Section: Discussionmentioning

confidence: 99%

“…Strengthening access to rehabilitation services includes addressing human resources which are a neglected component of health systems development and are often absent from national health sector plans or human resources for health (HRH) development strategies [ 2 , 4 – 6 ]. Rehabilitation services are provided by a diverse range of professional, technical, and mid-level workers located in the public, private and NGO sector.…”

Section: Introductionmentioning

confidence: 99%

Exploring national human resource profile and trends of Prosthetists/Orthotists in South Africa from 2002 to 2018

Mduzana

Tiwari

Ned

et al. 2020

Global Health Action

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“…A scoping review on services for children with disabilities in LMIC (Magnusson, Sweeney & Landry 2019 ) indicates the paucity of services and consequent impact on families. It is clear that access to rehabilitation services in Africa is a challenge (Morris et al 2019 ).…”

Section: Introductionmentioning

confidence: 99%

African families’ and caregivers’ experiences of raising a child with intellectual disability: A narrative synthesis of qualitative studies

Mkabile

Garrun

Shelton

et al. 2021

African Journal of Disability

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Health system challenges affecting rehabilitation services in South Africa

Cited by 49 publications

References 32 publications

What would ‘upscaling’ involve? A qualitative study of international variation in stroke rehabilitation

What would ‘upscaling’ involve? A qualitative study of international variation in stroke rehabilitation

Exploring national human resource profile and trends of Prosthetists/Orthotists in South Africa from 2002 to 2018

African families’ and caregivers’ experiences of raising a child with intellectual disability: A narrative synthesis of qualitative studies

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