“It Is an Eye-Opener That There Is a Relationship between Rehabilitation and HIV”: Perspectives of Physiotherapists and Occupational Therapists in Kenya and Zambia on the Role of Rehabilitation with Adults and Children Living with HIV

Nixon, Stephanie; Cameron, Cathy; Mweshi, Margaret M.; Nkandu, Esther Munalula; Okidi, Carlius; Tattle, Stephen; Yates, Tammy

doi:10.3138/ptc.2015-42gh

Cited by 12 publications

(14 citation statements)

References 15 publications

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“…the disability) from those conditions might not have been addressed as much as its prevalence. For instance, children with complex health conditions and people with HIV/AIDs now increasingly survive in LMICs but with associated disabilities and rehabilitation needs often unmet [84,86,[96][97][98][99]. In this scenario, granting access to needed rehabilitation, especially in LMICs, is of utmost importance [24,85,87], and justified by the current YLDs data.…”

Section: Resultsmentioning

confidence: 99%

Global Need for Physical Rehabilitation: Systematic Analysis from the Global Burden of Disease Study 2017

Jesus

Landry

Hoenig

2019

Preprint

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Background: To inform global health policies and resources planning, this paper analyzes evolving trends in physical rehabilitation needs, using data on Years Lived with Disability (YLDs) from the Global Burden of Disease Study (GBD) 2017. Methods: Secondary analysis of how YLDs from conditions amenable to physical rehabilitation have evolved from 1990 to 2017, for the world and across countries of varying income levels. Linear regression analyses were used. Results: A 66.2% growth was found in estimated YLD Counts amenable to physical rehabilitation: a significant and linear growth of more than 5.1 billion YLDs per year (99%CI: 4.8–5.4; r2 = 0.99). Low-income countries more than doubled (111.5% growth) their YLD Counts amenable to physical rehabilitation since 1990. YLD Rates per 100,000 people and the percentage of YLDs amenable to physical rehabilitation also grew significantly over time, across locations (all p > 0.05). Finally, only in high-income countries Age-standardized YLD Rates significantly decreased (p < 0.01; r² = 0.86). Conclusions: Physical rehabilitation needs have been growing significantly in absolute, per-capita and in percentage of total YLDs, globally and across countries of varying income level. In absolute terms, growths were higher in lower income countries, wherein rehabilitation is under-resourced.

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Section: Resultsmentioning

confidence: 99%

Global Need for Physical Rehabilitation: Systematic Analysis from the Global Burden of Disease Study 2017

Jesus

Landry

Hoenig

2019

Preprint

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“…Small-scale qualitative studies have highlighted the positive impact of rehabilitation on patients with HIV/AIDs (13) and children with cerebral palsy (3, 14). However, larger scale longitudinal studies are necessary.…”

Section: Resultsmentioning

confidence: 99%

Constructing a Global Learning Partnership in Physiotherapy: An Ireland–Uganda Initiative

O’Sullivan

Kazibwe

Whitehouse

et al. 2017

Front. Public Health

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Background and aimThere is a strong correlation between disability and poverty and it is acknowledged that until disability issues are addressed, the goal of poverty reduction in low-income countries is unlikely to be achieved. Despite the high prevalence of disability in developing countries, there remains a significant shortage of rehabilitation professionals as highlighted by the WHO report, Human resources for Health (2006). The purpose of this project was to develop a collaborative and sustainable partnership to strengthen educational and research capacity in global health, disability, and rehabilitation between two physiotherapy schools; University College Dublin, Ireland, and Mbarara University of Science and Technology, Uganda. This article aims to describe the approach used and initial project outcomes.MethodsThis project involved a bilateral visit to both institutions by two members of staff of respective physiotherapy programs. These visits entailed stakeholder meetings, clinical site visits, and workshops to identify the priorities for the partnership and shape the collaboration going forward. Appreciative inquiry methodology was used during the workshops and the four-dimensional framework for curriculum development was used to guide analysis and underpin findings.FindingsThe key priorities identified were (i) development of joint global health learning initiative, (ii) to explore the possibility of postgraduate learning and research opportunities for Ugandan colleagues, and (iii) to develop joint clinical placements. The rationale and context and a plan of action is described.Discussion and conclusionThe project is ambitious and in order to be sustainable, the importance of long-term interinstitutional commitment and further funding cannot be ignored. This work provides a framework for other universities and institutions wishing to undertake similar activities. Such partnerships provide rich learning opportunities for students and health professionals and facilitate a deeper understanding of global health issues, social and cultural health determinants, and development of enhanced professional skills.

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“…The scope of physiotherapy practice in the rehabilitation of PLWH in the ART era is progressively being understood by physiotherapists in LMICs. [5,6] Randomised controlled trials in Southern Africa have proved the efficacy of physiotherapy on pain management, cardio-pulmonary fitness, strength, and QoL in PLWH. [7,8] However, the role of physiotherapy in health promotion and prevention in PLWH is not well understood.…”

Section: Introductionmentioning

confidence: 99%

“…[9] Scant evidence exists for physiotherapy interventions that reduce falls [10] or promote bone health [11,12] in PLWH and the role of physiotherapy for HIV at primary care is not clearly understood by the interdisciplinary team. [6] This may result in inappropriate, delayed or nonreferral of PLWH who may have benefited from physiotherapy; as well as physiotherapists being sidelined from HIV care policy-making dialogues. [13] Physiotherapists need to be aware of their scope of practice in primary HIV care, particularly falls and fracture prevention, before they can promote it among other health professionals and the community at large.…”

Section: Introductionmentioning

confidence: 99%

“…[13] Physiotherapists need to be aware of their scope of practice in primary HIV care, particularly falls and fracture prevention, before they can promote it among other health professionals and the community at large. [6] A knowledge gap exists regarding physiotherapists' awareness of falls and bone demineralisation in PLWH or falls prevention practices for this population, especially in sub-Saharan Africa where the greatest burden of HIV exists. [14] Studies regarding physiotherapists' knowledge, attitudes and practice patterns in falls prevention were among older adults of the general population, [15][16][17] and stroke patients.…”

Section: Introductionmentioning

confidence: 99%

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Physiotherapists’ Awareness of Risk of Bone Demineralisation and Falls in People Living with HIV and their Perceptions about Fall Risk Management: A Qualitative Study

Charumbira¹,

Berner²,

Louw³

2020

Preprint

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Background: Recent research has indicated a seemingly increased propensity for both falls and accelerated bone loss in people living with HIV (PLWH). Physiotherapists play a crucial role in optimising function and quality of life of PLWH through prevention of falls and reducing the harm that results. Aim: This study aimed to explore physiotherapists’ awareness of falls risk and accelerated bone demineralisation in PLWH and their perceptions about current falls prevention in the care of PLWH in selected regions of sub-Saharan Africa. Method: An interpretative exploratory qualitative research method with a phenomenological approach was employed to explore physiotherapists’ perceptions and experiences regarding bone health and falls in PLWH. In-depth semi-structured telephonic interviews were used to collect data from 21 physiotherapists working in primary HIV care. Transcribed interview data were coded in Atlas.ti.8 ® and analysed using inductive thematic analysis. Results: The primary study revealed a lack of awareness by physiotherapists of falls risk and bone demineralisation in PLWH. As such, physiotherapists did not link falls or fractures to HIV or antiretroviral therapy (ART) when they did observe such events during their general patient assessments. However, in retrospect, some physiotherapists were able to recognise risk factors linked to falls in those with HIV. Current services for falls prevention, as perceived by the physiotherapists, were sub-optimal. Conclusion: Physiotherapists may need to be more aware of the potential risk of falls and bone demineralisation in PLWH and routinely assess for these phenomena in both older and younger PLWH. Key words: Accidental falls, Bone mineral density, HIV, physiotherapists, sub-Saharan Africa

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“It Is an Eye-Opener That There Is a Relationship between Rehabilitation and HIV”: Perspectives of Physiotherapists and Occupational Therapists in Kenya and Zambia on the Role of Rehabilitation with Adults and Children Living with HIV

Cited by 12 publications

References 15 publications

Global Need for Physical Rehabilitation: Systematic Analysis from the Global Burden of Disease Study 2017

Global Need for Physical Rehabilitation: Systematic Analysis from the Global Burden of Disease Study 2017

Constructing a Global Learning Partnership in Physiotherapy: An Ireland–Uganda Initiative

Physiotherapists’ Awareness of Risk of Bone Demineralisation and Falls in People Living with HIV and their Perceptions about Fall Risk Management: A Qualitative Study

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