Rehabilitation in Madagascar: Challenges in implementing the World Health Organization Disability Action Plan

Abstract

The DAP summary actions were useful planning tools to improve access, strengthen rehabilitation services and community-based rehabilitation, and collate data for outcome research.

Challenges and barriers for implementation of the World Health Organization Global Disability Action Plan in low- and middle- income countries

“…The authors (FK, MG), as a part of the Rehabilitation Flying Faculty from the Royal Melbourne Hospital (RMH) team, were invited as independent experts to run an organized 3day inten sive educational workshop programme by the College of Medi cine, University of Ibadan and Blossom Neurorehabilitation Centre, Ibadan, Nigeria (affiliated with the World Federation for Neurorehabilitation) (March 2017)). The team previously conducted similar workshops in Madagascar, Mongolia and Pakistan (16)(17)(18). Within the Nigerian programme, a 1day ex ercise concentrated solely on utilizing the GDAP framework to educate participants, build workforce capacity, develop PM&R standards and operational setup for PM&R services within the country.…”

“…Details of participants and methodology for the GDAP exerci ses in Madagascar, Mongolia and Pakistan have been described in previous reports (16)(17)(18).…”

“…However, it can be challenging for many LMICs and for the PM&R community, as it sets high standards requiring evidencebased rehabilitative care (15). The potential for successful implementation of GDAP is not clear, especially in LMICs, where pro vision of rehabilitations to PwD remains a challenge (7,(16)(17)(18). Our earlier reports highlight significant challenges in this area specifically in Madagascar (17), Mongolia (16) and Pakistan (18).…”

“…The potential for successful implementation of GDAP is not clear, especially in LMICs, where pro vision of rehabilitations to PwD remains a challenge (7,(16)(17)(18). Our earlier reports highlight significant challenges in this area specifically in Madagascar (17), Mongolia (16) and Pakistan (18). These reports were based on the data collected during organized workshopprogrammes in these countries to document challenges and strengths within the existing healthcare systems, corresponding with the established objectives listed in the GDAP.…”

Medical Rehabilitation in Natural Disasters in the Asia-Pacific Region: The Way Forward

“…Acute medical response in disaster settings focuses on saving lives and acute injuries get much of the attention, while rehabilitative needs are often neglected [2,14,22]. In many Asia-Pacific countries, disaster response plans and rehabilitation services are generally inadequate or absent [6].…”