Rehabilitation in Madagascar: Challenges in implementing the World Health Organization Disability Action Plan.
Identifieur interne : 001B59 ( Main/Exploration ); précédent : 001B58; suivant : 001B60Rehabilitation in Madagascar: Challenges in implementing the World Health Organization Disability Action Plan.
Auteurs : Fary Khan [Australie] ; Bhasker Amatya ; Hasheem Mannan ; Frederick M. Burkle ; Mary P. GaleaSource :
- Journal of rehabilitation medicine [ 1651-2081 ] ; 2015.
Descripteurs français
- KwdFr :
- MESH :
- méthodes : Réadaptation.
- organisation et administration : Organisation mondiale de la santé.
- rééducation et réadaptation : Personnes handicapées.
- Accessibilité des services de santé, Humains, Madagascar, Promotion de la santé.
English descriptors
- KwdEn :
- MESH :
- methods : Rehabilitation.
- organization & administration : World Health Organization.
- rehabilitation : Disabled Persons.
- Health Promotion, Health Services Accessibility, Humans, Madagascar.
Abstract
OBJECTIVE
To provide an update on rehabilitation in Madagascar by using local knowledge to outline the potential barriers and facilitators for implementation of the World Health Organization (WHO) Disability Action Plan (DAP).
METHODS
A 14-day extensive workshop programme (September-October 2014) was held at the University Hospital Antananarivo and Antsirabe, with the Department of Health Madagascar, by rehabilitation staff from Royal Melbourne Hospital, Australia. Attendees were rehabilitation professionals (n=29) from 3 main rehabilitation facilities in Madagascar, who identified various challenges faced in service provision, education and attitudes/approaches to people with disabilities. Their responses and suggested barriers/facilitators were recorded following consensus agreement, using objectives listed in the DAP.
RESULTS
The barriers and facilitators outlined by participants in implementing the DAP objectives include: engagement of health professionals and institutions using a multi-sectoral approach, new partnerships, strategic collaboration, provision of technical assistance, future policy directions, and research and development. Other challenges for many basic policies included: access to rehabilitation services, geographical coverage, shortage of skilled work-force, limited info-technology systems; lack of care-models and facility/staff accreditation standards; limited health services infrastructure and "disconnect" between acute and community-based rehabilitation.
CONCLUSION
The DAP summary actions were useful planning tools to improve access, strengthen rehabilitation services and community-based rehabilitation, and collate data for outcome research.
DOI: 10.2340/16501977-1995
PubMed: 26132505
Affiliations:
Links toward previous steps (curation, corpus...)
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Burkle</name></author><author><name sortKey="Galea, Mary P" sort="Galea, Mary P" uniqKey="Galea M" first="Mary P" last="Galea">Mary P. 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Burkle</name></author><author><name sortKey="Galea, Mary P" sort="Galea, Mary P" uniqKey="Galea M" first="Mary P" last="Galea">Mary P. Galea</name></author></analytic><series><title level="j">Journal of rehabilitation medicine</title><idno type="eISSN">1651-2081</idno><imprint><date when="2015" type="published">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Disabled Persons (rehabilitation)</term><term>Health Promotion (MeSH)</term><term>Health Services Accessibility (MeSH)</term><term>Humans (MeSH)</term><term>Madagascar (MeSH)</term><term>Rehabilitation (methods)</term><term>World Health Organization (organization & administration)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Accessibilité des services de santé (MeSH)</term><term>Humains (MeSH)</term><term>Madagascar (MeSH)</term><term>Organisation mondiale de la santé (organisation et administration)</term><term>Personnes handicapées (rééducation et réadaptation)</term><term>Promotion de la santé (MeSH)</term><term>Réadaptation (méthodes)</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Rehabilitation</term></keywords><keywords scheme="MESH" qualifier="méthodes" xml:lang="fr"><term>Réadaptation</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" xml:lang="en"><term>Health Promotion</term><term>Health Services Accessibility</term><term>Humans</term><term>Madagascar</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Accessibilité des services de santé</term><term>Humains</term><term>Madagascar</term><term>Promotion de la santé</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>OBJECTIVE</b></p><p>To provide an update on rehabilitation in Madagascar by using local knowledge to outline the potential barriers and facilitators for implementation of the World Health Organization (WHO) Disability Action Plan (DAP).</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>A 14-day extensive workshop programme (September-October 2014) was held at the University Hospital Antananarivo and Antsirabe, with the Department of Health Madagascar, by rehabilitation staff from Royal Melbourne Hospital, Australia. Attendees were rehabilitation professionals (n=29) from 3 main rehabilitation facilities in Madagascar, who identified various challenges faced in service provision, education and attitudes/approaches to people with disabilities. Their responses and suggested barriers/facilitators were recorded following consensus agreement, using objectives listed in the DAP.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>The barriers and facilitators outlined by participants in implementing the DAP objectives include: engagement of health professionals and institutions using a multi-sectoral approach, new partnerships, strategic collaboration, provision of technical assistance, future policy directions, and research and development. Other challenges for many basic policies included: access to rehabilitation services, geographical coverage, shortage of skilled work-force, limited info-technology systems; lack of care-models and facility/staff accreditation standards; limited health services infrastructure and "disconnect" between acute and community-based rehabilitation.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSION</b></p><p>The DAP summary actions were useful planning tools to improve access, strengthen rehabilitation services and community-based rehabilitation, and collate data for outcome research.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" IndexingMethod="Curated" Owner="NLM"><PMID Version="1">26132505</PMID><DateCompleted><Year>2016</Year><Month>04</Month><Day>06</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>47</Volume><Issue>8</Issue><PubDate><Year>2015</Year><Month>Sep</Month></PubDate></JournalIssue><Title>Journal of rehabilitation medicine</Title><ISOAbbreviation>J Rehabil Med</ISOAbbreviation></Journal><ArticleTitle>Rehabilitation in Madagascar: Challenges in implementing the World Health Organization Disability Action Plan.</ArticleTitle><Pagination><MedlinePgn>688-96</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.2340/16501977-1995</ELocationID><Abstract><AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">To provide an update on rehabilitation in Madagascar by using local knowledge to outline the potential barriers and facilitators for implementation of the World Health Organization (WHO) Disability Action Plan (DAP).</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">A 14-day extensive workshop programme (September-October 2014) was held at the University Hospital Antananarivo and Antsirabe, with the Department of Health Madagascar, by rehabilitation staff from Royal Melbourne Hospital, Australia. Attendees were rehabilitation professionals (n=29) from 3 main rehabilitation facilities in Madagascar, who identified various challenges faced in service provision, education and attitudes/approaches to people with disabilities. Their responses and suggested barriers/facilitators were recorded following consensus agreement, using objectives listed in the DAP.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">The barriers and facilitators outlined by participants in implementing the DAP objectives include: engagement of health professionals and institutions using a multi-sectoral approach, new partnerships, strategic collaboration, provision of technical assistance, future policy directions, and research and development. Other challenges for many basic policies included: access to rehabilitation services, geographical coverage, shortage of skilled work-force, limited info-technology systems; lack of care-models and facility/staff accreditation standards; limited health services infrastructure and "disconnect" between acute and community-based rehabilitation.</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">The DAP summary actions were useful planning tools to improve access, strengthen rehabilitation services and community-based rehabilitation, and collate data for outcome research.</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 VIC 3052, Australia. fary.khan@mh.org.au.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Amatya</LastName><ForeName>Bhasker</ForeName><Initials>B</Initials></Author><Author ValidYN="Y"><LastName>Mannan</LastName><ForeName>Hasheem</ForeName><Initials>H</Initials></Author><Author ValidYN="Y"><LastName>Burkle</LastName><ForeName>Frederick M</ForeName><Initials>FM</Initials><Suffix>Jr</Suffix></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="N">rehabilitation</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006293" MajorTopicYN="N">Health Promotion</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006297" MajorTopicYN="N">Health Services Accessibility</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008270" MajorTopicYN="N">Madagascar</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012046" MajorTopicYN="N">Rehabilitation</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="Y">methods</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="entrez"><Year>2015</Year><Month>7</Month><Day>2</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2015</Year><Month>7</Month><Day>2</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2016</Year><Month>4</Month><Day>7</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">26132505</ArticleId><ArticleId IdType="doi">10.2340/16501977-1995</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="Burkle, Frederick M" sort="Burkle, Frederick M" uniqKey="Burkle F" first="Frederick M" last="Burkle">Frederick M. Burkle</name><name sortKey="Galea, Mary P" sort="Galea, Mary P" uniqKey="Galea M" first="Mary P" last="Galea">Mary P. Galea</name><name sortKey="Mannan, Hasheem" sort="Mannan, Hasheem" uniqKey="Mannan H" first="Hasheem" last="Mannan">Hasheem Mannan</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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