Article

OBJECTIVE: To identify potential barriers and facilitators for implementation of
the World Health Organization Global Disability Action Plan (GDAP) in Nigeria and
compare these with other low- and middle-income countries. METHODS: A
rehabilitation team from the Royal Melbourne Hospital, Parkville, Australia,
conducted intensive workshops at medical/academic institutions in Nigeria for
healthcare professionals from various local Physical Medicine and Rehabilitation
facilities. A modified Delphi method identified challenges for person with
disability, using 3 GDAP objectives. Findings were compared with similar
exercises in Madagascar, Pakistan and Mongolia. RESULTS: Despite differences in
the healthcare system and practice, the challenges reported in Nigeria were
similar to those in other 3 low- and middle-income countries, at both macro
(governmental/policymakers) and micro levels (community/social/individual).
Common challenges identified were: limited knowledge of disability services,
limited Physical Medicine and Rehabilitation workforce, guidelines and
accreditation standards; coordination amongst healthcare sectors; social issues;
data and research; legislation and political commitment. Common potential
facilitators included: need for strong leadership; advocacy of
disability-inclusive development; investment in infrastructure/human resources;
coordination/partnerships in healthcare sector; and research. CONCLUSION:
Disability care is an emerging priority in low- and middle-income countries to
address the needs of people with disability. The challenges identified in Nigeria
are common to most low- and middle-income countries. The GDAP framework can
facilitate access and strengthen Physical Medicine and Rehabilitation services.

Langue : ANGLAIS