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A systematic review and cross-sectional survey of rehabilitation resources for injury patients in the Kilimanjaro Region of Tanzania.
Zimmerman, Armand; Minnig, Mary Catherine; Meela, Joseph; Tupetz, Anna; Bettger, Janet Prvu; Vissoci, Joao Ricardo Nickenig; Staton, Catherine.
Afiliação
  • Zimmerman A; Duke Global Health Institute, Duke University, Durham, NC, USA.
  • Minnig MC; Duke Global Health Institute, Duke University, Durham, NC, USA.
  • Meela J; Kilimanjaro Christian Medical Centre, Moshi, Tanzania.
  • Tupetz A; Division of Emergency Medicine, Department of Surgery, Duke University School of Medicine, Durham, NC, USA.
  • Bettger JP; Duke Global Health Institute, Duke University, Durham, NC, USA.
  • Vissoci JRN; Duke Global Health Institute, Duke University, Durham, NC, USA.
  • Staton C; Division of Emergency Medicine, Department of Surgery, Duke University School of Medicine, Durham, NC, USA.
Disabil Rehabil ; 46(6): 1045-1052, 2024 Mar.
Article em En | MEDLINE | ID: mdl-36803149
PURPOSE: An estimated 10 million people across Tanzania have a condition that would benefit from rehabilitative care. However, access to rehabilitation remains inadequate to meet the needs of Tanzania's population. The goal of this study was to identify and characterize rehabilitation resources available to injury patients in the Kilimanjaro region of Tanzania. METHODS: We used two approaches to identify and characterize rehabilitation services. First, we conducted a systematic review of peer-reviewed and gray literature. Second, we administered a questionnaire to rehabilitation clinics identified through the systematic review as well as through staff at Kilimanjaro Christian Medical Centre. RESULTS: Our systematic review identified eleven organizations offering rehabilitation services. Eight of these organizations responded to our questionnaire. Seven of the surveyed organizations provide care to patients with spinal cord injuries, short term disability, or permanent movement disorders. Six offer diagnostic and treatment procedures to injured and disabled patients. Six offer homecare support. Two require no payment. Only three accept health insurance. None offer financial support. CONCLUSIONS: There is a sizable portfolio of health clinics offering rehabilitation services to injury patients in the Kilimanjaro region. However, there remains an ongoing need to connect more patients in the region to long-term rehabilitative care.IMPLICATIONS FOR REHABILITATIONInjury is a leading cause of death and disability worldwide and disproportionately affects populations in low- and middle-income countries (LMICs).Rehabilitation is an essential component of injury care, yet an estimated 50% of patients in LMICs who need rehabilitation do not receive it.This study offers insight into the availability and use of rehabilitative services in an LMIC with a substantial injury burden.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Traumatismos da Medula Espinal / Pessoas com Deficiência Tipo de estudo: Prevalence_studies / Systematic_reviews Limite: Humans País/Região como assunto: Africa Idioma: En Revista: Disabil Rehabil Assunto da revista: REABILITACAO Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Estados Unidos País de publicação: Reino Unido

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Traumatismos da Medula Espinal / Pessoas com Deficiência Tipo de estudo: Prevalence_studies / Systematic_reviews Limite: Humans País/Região como assunto: Africa Idioma: En Revista: Disabil Rehabil Assunto da revista: REABILITACAO Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Estados Unidos País de publicação: Reino Unido