The prevalence of co-morbidities in patients  on HAART referred for physiotherapy in three  public hospitals in KwaZulu-Natal, South Africa: a short report

Mahraj, S. S.; Ranjiah, P.

doi:10.4102/sajp.v66i3.245

Cited by 2 publications

(2 citation statements)

References 11 publications

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“…Securing the mental wellbeing of healthcare professionals who deliver health services for patients with COVID-19 disease results in considerable mental stress, leading to high levels of anxiety and post-traumatic stress disorders, especially among nurses (43). Currently, the impact of HIV/AIDS and tuberculosis has placed an additional burden on public health therapists within an over-burdened and under-resourced public health system with health professionals also experiencing an overwhelming fear for their health by getting infected or spreading the infection to their family members (44,45).…”

Section: Discussionmentioning

confidence: 99%

Assessment of challenges inhibiting effective delivery of health care services among frontline Professional health workers during COVID 19 Lock down in Nigeria

Awolola¹,

Maharaj²

2023

REJHS

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Section: Discussionmentioning

confidence: 99%

Assessment of challenges inhibiting effective delivery of health care services among frontline Professional health workers during COVID 19 Lock down in Nigeria

Awolola¹,

Maharaj²

2023

REJHS

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“…Thus, in South African clinical and policy contexts, considering HIV separately from other common conditions requiring rehabilitation may be artificial, as HIV is often the underlying pathology for other conditions. These include musculoskeletal pain and trauma (such as amputations due to vascular impairments), stroke, DM2, neonatal disorders and hearing loss [ 9 , 52 – 54 ]. While it appears as if the current proportionate condition contribution to total YLDs will remain stable, biological and clinical knowledge about potential interactive effects between co-existing conditions is important for health system design.…”

Section: Discussionmentioning

confidence: 99%

Towards a needs-based design of the physical rehabilitation workforce in South Africa: trend analysis [1990–2017] and a 5-year forecasting for the most impactful health conditions based on global burden of disease estimates

et al. 2021

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Background Rehabilitation can improve function in many people with chronic health conditions. It is important to consider priority conditions requiring rehabilitation, so it can be realistically positioned and costed in national health financing systems like South Africa (SA)‘s proposed National Health Insurance (NHI). This paper describes temporal trends of top-ranked conditions on years lived with disability (YLDs) rates in SA, for which physical rehabilitation can ameliorate associated disability. Methods This study is a systematic synthesis of publicly available Global Burden of Disease (GBD) 2017 estimates. The top 11 conditions contributing most to YLDs and for which evidence-based rehabilitation interventions exist were identified. Age-standardized rates per 100,000 and YLDs counts were extracted from 1990 to 2017. Significance of changes in temporal trends was determined using Mann-Kendall trend tests. Best-fit rates of yearly changes were calculated per condition, using GBD estimates (2012–2017), and extrapolated (by imposing the best-fit regression line onto results for each subsequent predicted year) as forecasts (2018–2022). Results Trends for YLDs counts per condition year (1990–2017) and forecasted values (2018–2022) showed an overall steady increase for all conditions, except HIV and respiratory conditions. YLDs counts almost doubled from 1990 to 2017, with a 17% predicted increase from 2017 to 2022. The proportionate contribution to YLDs counts reduced over time for all conditions, except HIV. Although age-standardized YLDs rates appear relatively stable over the analyzed periods for all conditions (except HIV, respiratory conditions and type 2 diabetes), trend changes in YLDs rates over 28 years were significant for all conditions, except neonatal (p = 0.855), hearing loss (p = 0.100) and musculoskeletal conditions (p = 0.300). Significant trend decreases were apparent for 4/9 conditions, implying that another 5/9 conditions showed trend increases over 28 years. Predicted all-age prevalence in 2022 suggests relatively large increases for cardiovascular disease and heart failure, and burns, while relative decreases are predicted for fractures and dislocations, stroke, and musculoskeletal conditions. Conclusion Rehabilitation needs in SA are potentially massive and unmet, highlighting the need for innovative and context-specific rehabilitation that considers current local needs and projected changes. These findings should be considered when designing the NHI and other schemes in SA to ensure human and financial resources are deployed efficiently.

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The prevalence of co-morbidities in patients on HAART referred for physiotherapy in three public hospitals in KwaZulu-Natal, South Africa: a short report

Cited by 2 publications

References 11 publications

Assessment of challenges inhibiting effective delivery of health care services among frontline Professional health workers during COVID 19 Lock down in Nigeria

Assessment of challenges inhibiting effective delivery of health care services among frontline Professional health workers during COVID 19 Lock down in Nigeria

Towards a needs-based design of the physical rehabilitation workforce in South Africa: trend analysis [1990–2017] and a 5-year forecasting for the most impactful health conditions based on global burden of disease estimates

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