STRENGTHENING REHABILITATION AS A HEALTH CARE STRATEGY: A VIEW OF THE WORLD HEALTH ORGANIZATION
DOI:
https://doi.org/10.11603/1681-2786.2021.4.12853Keywords:
rehabilitation services, health care system, strengthening, WHO, medical careAbstract
Purpose: to analyze the views and approaches of the World Health Organization (WHO) to strengthen rehabilitation as a strategy of the health care system.
Materials and Methods. The method of system analysis, bibliosemantic and information-analytical methods were used during the research. The materials included published information sources and documents of the WHO.
Results. In the last decade, the WHO has paid considerable attention to the development of rehabilitation in health care systems. A number of documents with recommendations for the implementation, strengthening and financing of an effective system of rehabilitation services have been developed. WHO experts have elaborated a 4-stage process of strengthening the rehabilitation system, which includes situation assessment, strategic planning, development of monitoring and evaluation process, implementation of the strategic plan. To evaluate the results of rehabilitation in the STARS and FRAME systems, a chain of 4 components is used, which is typical for monitoring and evaluation of various programs, namely invested resources, direct results, intermediate results, final results. WHO has adapted the chain to the rehabilitation system, which allows for a qualitative and quantitative assessment of its potential and effectiveness. The concept of organization of rehabilitation aid and rehabilitation services by categories.
Conclusions. WHO has made recommendations for implementing, strengthening and financing an effective rehabilitation system. They should be used by countries in planning and implementing activities at the national and subnational levels.
References
World Health Organization. (2018). Access to rehabilitation in primary health care: an ongoing challenge. World Health Organization. Retrieved from: https://apps.who.int/iris/handle/10665/325522.
World Health Organization. (2021). Assistive technology capacity assessment (АТА-С): instruction manual. World Health Organization. Retrieved from: https://apps.who.int/iris/handle/10665/343615.
Bickenbach, J., Sabariego, C., & Stucki, G. (2021). Beneficiaries of Rehabilitation. Archives of physical medicine and rehabilitation, 102(3), 543-548. DOI https://doi.org/10.1016/j.apmr.2020.09.392.
World Health Organization. (2007). Everybody’s business: strengthening health systems to improve health outcomes: WHO’s framework for action. Retrieved from: https://apps.who.int/iris/handle/10665/43918.
Gimigliano, F., & Negrini, S. (2017). The World Health Organization “rehabilitation 2030: a call for action”. Eur. J. Phys. Rehabil. Med., 53(2), 155-168. DOI https://doi.org/10.23736/S1973-9087.17.04746-3.
World Health Organization. (2015). Global reference list of 100 core health indicators (No. WHO/HIS/HSI/2015.3). World Health Organization. Retrieved from: https://apps.who.int/iris/handle/10665/259951.
World Health Organization. (2014). Global status report on noncommunicable diseases 2014 (No. WHO/NMH/NVI/15.1). World Health Organization. Retrieved from: https://apps.who.int/iris/handle/10665/148114.
Kleinitz, P., Sabariego, C., & Cieza, A. (2021). Development of the WHO STARS: A tool for the Systematic Assessment of Rehabilitation Situation. Archives of Physical Medicine and Rehabilitation. DOI https://doi.org/10.1016/j.apmr.2021.04.025.
Kleinitz, P., Sabariego, C., & Cieza, A. (2021). WHO Systematic Assessment of Rehabilitation Situation (STARS): Results of the Field Testing in Jordan, Myanmar, Sri Lanka, Solomon Islands, Laos, Haiti, and Guyana. International Journal of Environmental Research and Public Health, 18(21), 11549. DOI https://doi.org/10.3390/ijerph182111549.
Krahn, G.L. (2011). WHO World Report on Disability: a review. Disability and Health Journal, 4(3), 141-142. DOI https://doi.org/10.1016/j.dhjo.2011.05.001.
Nugraha, B., Tani, K., & Gutenbrunner, C. (2020). Rehabilitation service assessment and workforce capacity building in Albania—A civil society approach. International Journal of Environmental Research and Public Health, 17(19), 7300. DOI https://doi.org/10.3390/ijerph17197300.
World Health Organization. (2015). People-centred and integrated health services: an overview of the evidence: interim report. World Health Organization. Retrieved from: https://apps.who.int/iris/handle/10665/155004.
World Health Organization. (2016). Priority Assistive Products List: Improving access to assistive technology for everyone, everywhere (No. WHO/EMP/PHI/2016.01). World Health Organization. Retrieved from: http://apps.who.int/iris/bitstream/handle/10665/207694/.
World Health Organization. (2019). Rehabilitation indicator menu: a tool accompanying the Framework for Rehabilitation Monitoring and Evaluation (FRAME). World Health Organization. Retrieved from: https://apps.who.int/iris/handle/10665/330955.
World Health Organization. (2019). Rehabilitation in health systems: guide for action. World Health Organization. Retrieved from: https://www.who.int/publications/i/item/9789241515986.
Stucki, G., Bickenbach, J., Gutenbrunner, C., & Melvin, J. (2018). Rehabilitation: the health strategy of the 21st century. Journal of Rehabilitation Medicine, 50(4), 309-316. DOI https://doi.org/10.2340/16501977-2200.
World Health Organization. (2019). Report of the Global conference on primary health care: from Alma-Ata towards universal health coverage and the Sustainable Development Goals. World Health Organization. Retrieved from: https://apps.who.int/iris/bitstream/handle/10665/330291/WHO-UHC-IHS-2019.62-eng.pdf.
Savigny, D.D., & Adam, T. (2009). Systems thinking for health systems strengthening. World Health Organization. Retrieved from: https://www.who.int/alliance-hpsr/resources/9789241563895/en/.
World Health Organization. (2021). Situation assessment of rehabilitation in Georgia, February 2020 (No. WHO/EURO: 2021-2393-42148-58068). World Health Organization. Regional Office for Europe. Retrieved from: https://apps.who.int/iris/handle/10665/341324.
Taylor, R., Zwisler, A.D., & Uddin, J. (2021). Global health-care systems must prioritise rehabilitation. Lancet, 396(10267), 1946-1947. DOI https://doi.org/10.1016/S0140-6736(20)32533-2.
World Health Organization. (2019).Template for rehabilitation information collection (TRIC): a tool accompanying the Systematic Assessment of Rehabilitation Situation (STARS). World Health Organization. Retrieved from: https://apps.who.int/iris/handle/10665/330956.
Gutenbrunner, C., Meyer, T., Melvin, J., & Stucki, G. (2011). Towards a conceptual description of Physical and Rehabilitation Medicine. Journal of Rehabilitation Medicine, 43(9), 760-764. DOI https://doi.org/10.2340/16501977-0866.
Meyer, T., Gutenbrunner, C., Bickenbach, J., Cieza, A., Melvin, J., & Stucki, G. (2011). Towards a conceptual description of rehabilitation as a health strategy. Journal of Rehabilitation Medicine, 43(9), 765-769. DOI https://doi.org/10.2340/16501977-0865.
World Health Organization. (2015). WHO global disability action plan 2014-2021: Better health for all people with disability. World Health Organization. Retrieved from: https://www.who.int/publications/i/item/who-global-disability-action-plan-2014-2021.
World Health Organization. (2015). WHO global strategy on people-centred and integrated health services: interim report (No. WHO/HIS/SDS/2015.6). World Health Organization. Retrieved from: https://apps.who.int/iris/handle/10665/155002.
WHO Health Systems Strengthening glossary. Retrieved from: https://www.who.int/healthsystems/ hss_glossary/en/.
World Health Organization. (2016). World health statistics 2016: monitoring health for the SDGs sustainable development goals. World Health Organization. Retrieved from: https://apps.who.int/iris/handle/10665/206498.
(2015). World Report on Ageing and Health. World Health Organization. Retrieved from: https://apps.who.int/iris/handle/10665/186463.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2022 Bulletin of Social Hygiene and Health Protection Organization of Ukraine
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish in this journal agree to the following terms:
1. The authors reserve the right to authorship of the work and pass the journal right of first publication of this work is licensed under a Creative Commons Attribution License, which allows others to freely distribute the work published with reference to the authors of the original work and the first publication of this magazine.
2. Authors are entitled to enter into a separate agreement on additional non-exclusive distribution of work in the form in which it was published in the magazine (eg work place in the electronic repository institution or publish monographs in part), provided that the reference to the first publication of this magazine.
3. Policy magazine allows and encourages authors placement on the Internet (eg, in storage facilities or on personal websites) manuscript of how to submit the manuscript to the editor and during his editorial processing, since it contributes to productive scientific discussion and positive impact on the efficiency and dynamics of citing published work (see. The Effect of Open Access).