Global Rehabilitation Needs and Barriers

Global Rehabilitation Needs

  • Global estimates based on the Global Burden of Disease Study 2019 indicate a significant need for rehabilitation.

  • Leading health conditions requiring rehabilitation include low back pain, fractures, other injuries, hearing loss, and vision loss.

  • A substantial percentage of Years Lived with Disability (YLDs) globally could benefit from physical rehabilitation.

Benefits of Rehabilitation in Low- and Middle-Income Countries (LMIC)

  • Improves functional outcomes for individuals.

  • Helps avoid costly hospitalization and reduces hospital length of stay.

  • Supports individuals' participation in education, employment, and promotes independence.

Cultural Understanding of Disability and Rehabilitation

  • Cultural perspectives deeply embed how disability is understood and addressed.

  • Disability is broadly conceptualized as a function of the interaction between a person and their environment.

  • Sociopolitical factors (religion, language, political/institutional factors, social roles, multi-culturalism) influence perceptions of disability.

  • The concept of "disability" is socially constructed, contingent on societal features, economic systems, culture, and language.

Barriers to Rehabilitation Services

Limited Workforce Capacity

  • In LMIC, there are fewer than 1010 skilled rehabilitation practitioners per 11 million population.

  • The need for rehabilitation is largely unmet, with over 50%50\% of people in some LMIC not receiving required services.

Poor Referral Systems

  • Primary Care Physicians (PCP) commonly under-refer patients to rehabilitation services.

  • Improvements are needed in referral processes, awareness of available services, and partnerships between PCPs and rehabilitation specialists.

Limited Access to Assistive Products

  • Only 11 in 1010 people in need have access to assistive products.

  • Countries with the highest prevalence of disability-related health conditions often have the lowest supply of health workers skilled in assistive technology provision.