Challenges and barriers for implementation of the World Health Organization Global Disability Action Plan in low- and middle- income countries.
Identifieur interne : 001013 ( Main/Exploration ); précédent : 001012; suivant : 001014Challenges and barriers for implementation of the World Health Organization Global Disability Action Plan in low- and middle- income countries.
Auteurs : Fary Khan [Australie] ; Mayowa Ojo Owolabi ; Bhasker Amatya ; Talhatu Kolapo Hamzat ; Adesola Ogunniyi ; Helen Oshinowo ; Alaeldin Elmalik ; Mary P. GaleaSource :
- Journal of rehabilitation medicine [ 1651-2081 ] ; 2018.
Descripteurs français
- KwdFr :
- MESH :
- organisation et administration : Organisation mondiale de la santé.
- rééducation et réadaptation : Personnes handicapées.
- tendances : Pauvreté.
- économie : Santé mondiale.
- Humains, Revenu.
English descriptors
- KwdEn :
- MESH :
- economics : Global Health.
- organization & administration : World Health Organization.
- rehabilitation : Disabled Persons.
- trends : Poverty.
- Humans, Income.
Abstract
OBJECTIVE
To identify potential barriers and facilitators for implementation of the World Health Organization Global Disability Action Plan (GDAP) in Nigeria and compare these with other low- and middle-income countries.
METHODS
A rehabilitation team from the Royal Melbourne Hospital, Parkville, Australia, conducted intensive workshops at medical/academic institutions in Nigeria for healthcare professionals from various local Physical Medicine and Rehabilitation facilities. A modified Delphi method identified challenges for person with disability, using 3 GDAP objectives. Findings were compared with similar exercises in Madagascar, Pakistan and Mongolia.
RESULTS
Despite differences in the healthcare system and practice, the challenges reported in Nigeria were similar to those in other 3 low- and middle-income countries, at both macro (governmental/policymakers) and micro levels (community/social/individual). Common challenges identified were: limited knowledge of disability services, limited Physical Medicine and Rehabilitation workforce, guidelines and accreditation standards; coordination amongst healthcare sectors; social issues; data and research; legislation and political commitment. Common potential facilitators included: need for strong leadership; advocacy of disability-inclusive development; investment in infrastructure/human resources; coordination/partnerships in healthcare sector; and research.
CONCLUSION
Disability care is an emerging priority in low- and middle-income countries to address the needs of people with disability. The challenges identified in Nigeria are common to most low- and middle-income countries. The GDAP framework can facilitate access and strengthen Physical Medicine and Rehabilitation services.
DOI: 10.2340/16501977-2276
PubMed: 28980008
Affiliations:
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Galea</name></author></analytic><series><title level="j">Journal of rehabilitation medicine</title><idno type="eISSN">1651-2081</idno><imprint><date when="2018" type="published">2018</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Disabled Persons (rehabilitation)</term><term>Global Health (economics)</term><term>Humans (MeSH)</term><term>Income (MeSH)</term><term>Poverty (trends)</term><term>World Health Organization (organization & administration)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Humains (MeSH)</term><term>Organisation mondiale de la santé (organisation et administration)</term><term>Pauvreté (tendances)</term><term>Personnes handicapées (rééducation et réadaptation)</term><term>Revenu (MeSH)</term><term>Santé mondiale (économie)</term></keywords><keywords scheme="MESH" qualifier="economics" xml:lang="en"><term>Global Health</term></keywords><keywords scheme="MESH" qualifier="organisation et administration" xml:lang="fr"><term>Organisation mondiale de la santé</term></keywords><keywords scheme="MESH" qualifier="organization & administration" xml:lang="en"><term>World Health Organization</term></keywords><keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en"><term>Disabled Persons</term></keywords><keywords scheme="MESH" qualifier="rééducation et réadaptation" xml:lang="fr"><term>Personnes handicapées</term></keywords><keywords scheme="MESH" qualifier="tendances" xml:lang="fr"><term>Pauvreté</term></keywords><keywords scheme="MESH" qualifier="trends" xml:lang="en"><term>Poverty</term></keywords><keywords scheme="MESH" qualifier="économie" xml:lang="fr"><term>Santé mondiale</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Humans</term><term>Income</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Humains</term><term>Revenu</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>OBJECTIVE</b></p><p>To identify potential barriers and facilitators for implementation of the World Health Organization Global Disability Action Plan (GDAP) in Nigeria and compare these with other low- and middle-income countries.</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>A rehabilitation team from the Royal Melbourne Hospital, Parkville, Australia, conducted intensive workshops at medical/academic institutions in Nigeria for healthcare professionals from various local Physical Medicine and Rehabilitation facilities. A modified Delphi method identified challenges for person with disability, using 3 GDAP objectives. Findings were compared with similar exercises in Madagascar, Pakistan and Mongolia.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>Despite differences in the healthcare system and practice, the challenges reported in Nigeria were similar to those in other 3 low- and middle-income countries, at both macro (governmental/policymakers) and micro levels (community/social/individual). Common challenges identified were: limited knowledge of disability services, limited Physical Medicine and Rehabilitation workforce, guidelines and accreditation standards; coordination amongst healthcare sectors; social issues; data and research; legislation and political commitment. Common potential facilitators included: need for strong leadership; advocacy of disability-inclusive development; investment in infrastructure/human resources; coordination/partnerships in healthcare sector; and research.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSION</b></p><p>Disability care is an emerging priority in low- and middle-income countries to address the needs of people with disability. The challenges identified in Nigeria are common to most low- and middle-income countries. The GDAP framework can facilitate access and strengthen Physical Medicine and Rehabilitation services.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" IndexingMethod="Curated" Owner="NLM"><PMID Version="1">28980008</PMID><DateCompleted><Year>2018</Year><Month>06</Month><Day>01</Day></DateCompleted><DateRevised><Year>2018</Year><Month>12</Month><Day>02</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1651-2081</ISSN><JournalIssue CitedMedium="Internet"><Volume>50</Volume><Issue>4</Issue><PubDate><Year>2018</Year><Month>Apr</Month><Day>18</Day></PubDate></JournalIssue><Title>Journal of rehabilitation medicine</Title><ISOAbbreviation>J Rehabil Med</ISOAbbreviation></Journal><ArticleTitle>Challenges and barriers for implementation of the World Health Organization Global Disability Action Plan in low- and middle- income countries.</ArticleTitle><Pagination><MedlinePgn>367-376</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.2340/16501977-2276</ELocationID><Abstract><AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">To identify potential barriers and facilitators for implementation of the World Health Organization Global Disability Action Plan (GDAP) in Nigeria and compare these with other low- and middle-income countries.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">A rehabilitation team from the Royal Melbourne Hospital, Parkville, Australia, conducted intensive workshops at medical/academic institutions in Nigeria for healthcare professionals from various local Physical Medicine and Rehabilitation facilities. A modified Delphi method identified challenges for person with disability, using 3 GDAP objectives. Findings were compared with similar exercises in Madagascar, Pakistan and Mongolia.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Despite differences in the healthcare system and practice, the challenges reported in Nigeria were similar to those in other 3 low- and middle-income countries, at both macro (governmental/policymakers) and micro levels (community/social/individual). Common challenges identified were: limited knowledge of disability services, limited Physical Medicine and Rehabilitation workforce, guidelines and accreditation standards; coordination amongst healthcare sectors; social issues; data and research; legislation and political commitment. Common potential facilitators included: need for strong leadership; advocacy of disability-inclusive development; investment in infrastructure/human resources; coordination/partnerships in healthcare sector; and research.</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Disability care is an emerging priority in low- and middle-income countries to address the needs of people with disability. The challenges identified in Nigeria are common to most low- and middle-income countries. The GDAP framework can facilitate access and strengthen Physical Medicine and Rehabilitation services.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Khan</LastName><ForeName>Fary</ForeName><Initials>F</Initials><AffiliationInfo><Affiliation>Department of Rehabilitation Medicine, Royal Melbourne Hospital, 34-54 Poplar Road, Parkville, Melbourne, Victoria 3052, Australia. fary.khan@mh.org.au.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Owolabi</LastName><ForeName>Mayowa Ojo</ForeName><Initials>MO</Initials></Author><Author ValidYN="Y"><LastName>Amatya</LastName><ForeName>Bhasker</ForeName><Initials>B</Initials></Author><Author ValidYN="Y"><LastName>Hamzat</LastName><ForeName>Talhatu Kolapo</ForeName><Initials>TK</Initials></Author><Author ValidYN="Y"><LastName>Ogunniyi</LastName><ForeName>Adesola</ForeName><Initials>A</Initials></Author><Author ValidYN="Y"><LastName>Oshinowo</LastName><ForeName>Helen</ForeName><Initials>H</Initials></Author><Author ValidYN="Y"><LastName>Elmalik</LastName><ForeName>Alaeldin</ForeName><Initials>A</Initials></Author><Author ValidYN="Y"><LastName>Galea</LastName><ForeName>Mary P</ForeName><Initials>MP</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>Sweden</Country><MedlineTA>J Rehabil Med</MedlineTA><NlmUniqueID>101088169</NlmUniqueID><ISSNLinking>1650-1977</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D006233" MajorTopicYN="N">Disabled Persons</DescriptorName><QualifierName UI="Q000534" MajorTopicYN="Y">rehabilitation</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D014943" MajorTopicYN="N">Global Health</DescriptorName><QualifierName UI="Q000191" MajorTopicYN="Y">economics</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007182" MajorTopicYN="N">Income</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011203" MajorTopicYN="N">Poverty</DescriptorName><QualifierName UI="Q000639" MajorTopicYN="Y">trends</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D014944" MajorTopicYN="N">World Health Organization</DescriptorName><QualifierName UI="Q000458" MajorTopicYN="Y">organization & administration</QualifierName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="pubmed"><Year>2017</Year><Month>10</Month><Day>6</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2018</Year><Month>6</Month><Day>2</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2017</Year><Month>10</Month><Day>6</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">28980008</ArticleId><ArticleId IdType="doi">10.2340/16501977-2276</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Australie</li></country></list><tree><noCountry><name sortKey="Amatya, Bhasker" sort="Amatya, Bhasker" uniqKey="Amatya B" first="Bhasker" last="Amatya">Bhasker Amatya</name><name sortKey="Elmalik, Alaeldin" sort="Elmalik, Alaeldin" uniqKey="Elmalik A" first="Alaeldin" last="Elmalik">Alaeldin Elmalik</name><name sortKey="Galea, Mary P" sort="Galea, Mary P" uniqKey="Galea M" first="Mary P" last="Galea">Mary P. Galea</name><name sortKey="Hamzat, Talhatu Kolapo" sort="Hamzat, Talhatu Kolapo" uniqKey="Hamzat T" first="Talhatu Kolapo" last="Hamzat">Talhatu Kolapo Hamzat</name><name sortKey="Ogunniyi, Adesola" sort="Ogunniyi, Adesola" uniqKey="Ogunniyi A" first="Adesola" last="Ogunniyi">Adesola Ogunniyi</name><name sortKey="Oshinowo, Helen" sort="Oshinowo, Helen" uniqKey="Oshinowo H" first="Helen" last="Oshinowo">Helen Oshinowo</name><name sortKey="Owolabi, Mayowa Ojo" sort="Owolabi, Mayowa Ojo" uniqKey="Owolabi M" first="Mayowa Ojo" last="Owolabi">Mayowa Ojo Owolabi</name></noCountry><country name="Australie"><noRegion><name sortKey="Khan, Fary" sort="Khan, Fary" uniqKey="Khan F" first="Fary" last="Khan">Fary Khan</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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