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Lessons learned from health system rehabilitation preparedness and response for disasters in LMICs: a scoping review
Univ Lucerne, Switzerland.
Univ Lucerne, Switzerland.
Linköping University, Department of Behavioural Sciences and Learning, Disability Research Division. Linköping University, Faculty of Arts and Sciences.ORCID iD: 0000-0002-4170-2426
Univ Lucerne, Switzerland; Swiss Parapleg Res, Switzerland; Univ Lucerne, Switzerland.
2024 (English)In: BMC Public Health, E-ISSN 1471-2458, Vol. 24, no 1, article id 806Article in journal (Refereed) Published
Abstract [en]

IntroductionDisasters such as earthquakes, conflict, or landslides result in traumatic injuries creating surges in rehabilitation and assistive technology needs, exacerbating pre-existing unmet needs. Disasters frequently occur in countries where existing rehabilitation services are underdeveloped, hindering response to rehabilitation demand surge events.AimsThe primary aim of this scoping review is therefore to synthesize the evidence on rehabilitation and assistive technology preparedness and response of health systems in LMICs to the demand associated with disasters and conflict situations. A secondary aim was to summarize related recommendations identified in the gathered literature.MethodologyA scoping review was conducted using the Arksey and O'Malley framework to guide the methodological development. The results are reported in accordance with PRISMA-ScR. Four bibliographic databases were used: CINHAL, Cochrane, Pubmed, Scopus and. Key international organisations were also contacted. The search period was from 2010-2022. Eligible publications were categorized for analysis under the six World Health Organization health systems buildings blocks.ResultsThe findings of this scoping review suggest that rehabilitation is poorly integrated into health systems disaster preparedness and response in LMICs. Of the 27 studies included in the scoping review, 14 focused on service delivery, 6 on health workforce, 4 on health information systems and 3 on the leadership and governance building block. No study focused on financing nor assistive technology. This review found the most frequently referenced recommendations for actions that should be taken to develop rehabilitation services in disasters to be: the provision early and multi-professional rehabilitation, including the provision of assistive technology and psychological support, integrated community services; disaster response specific training for rehabilitation professionals; advocacy efforts to create awareness of the importance of rehabilitation in disasters; and the integration of rehabilitation into disaster preparedness and response plans.ConclusionFindings of this scoping review suggest that rehabilitation is poorly integrated into health systems disaster preparedness and response in LMIC's, largely due to low awareness of rehabilitation, undeveloped rehabilitation health systems and a lack of rehabilitation professionals, and disaster specific training for them. The paucity of available evidence hinders advocacy efforts for rehabilitation in disaster settings and limits the sharing of experiences and lessons learnt to improve rehabilitation preparedness and response. Advocacy efforts need to be expanded.

Place, publisher, year, edition, pages
BMC , 2024. Vol. 24, no 1, article id 806
Keywords [en]
Disasters; Health emergencies; Health systems; Preparedness; Rehabilitation
National Category
Social Sciences Interdisciplinary
Identifiers
URN: urn:nbn:se:liu:diva-202513DOI: 10.1186/s12889-024-17992-2ISI: 001185603900009PubMedID: 38486256OAI: oai:DiVA.org:liu-202513DiVA, id: diva2:1851909
Available from: 2024-04-16 Created: 2024-04-16 Last updated: 2024-04-16

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