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Users of rehabilitation services in 14 countries and territories affected by conflict, 1988-2018.

ABSTRACT: Objective:To analyse the demographic and clinical characteristics of people attending physical rehabilitation centres run or supported by the International Committee of the Red Cross in countries and territories affected by conflict. Methods:Of 150 such rehabilitation centres worldwide, 38 use an electronic patient management system. We invited all 38 centres to participate. We extracted de-identified data from 1988 to 2018 and categorized them by sex, age, country or territory and reason for using rehabilitation services. Findings:Thirty-one of the 38 rehabilitation centres in 14 countries and territories participated. We included data for 287?274 individuals. Of people using rehabilitation services, 61.6% (176?949/287?274) were in Afghanistan, followed by 15.7% (44?959/287?274) in Cambodia. Seven places had over 9000 service users each (Afghanistan, Cambodia, Gaza Strip, Iraq, Myanmar, Somalia and Sudan). Overall, 72.6% (208?515/287?274) of service users were male. In eight countries, more than half of the users were of working age (18-59 years). Amputation was the most common reason for using rehabilitation services; 33.3% (95?574/287?274) of users were people with amputations, followed by 13.7% (39?446/287?274) with cerebral palsy. The male predominance was greater in the population aged 18-34 years (83.1%; 71?441/85?997) and in people with amputations (88.6%; 84?717/95?574) but was evident across all places, age groups and health conditions. Conclusion:The considerably lower attendance of females at the rehabilitation centres highlights the need to understand the factors that affect the accessibility and acceptability of rehabilitation for women and girls in conflict settings.

SUBMITTER: Barth CA

PROVIDER: S-EPMC7463199 | biostudies-literature | 2020 Sep

REPOSITORIES: biostudies-literature

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Users of rehabilitation services in 14 countries and territories affected by conflict, 1988-2018.

Barth Cornelia A CA Wladis Andreas A Blake Catherine C Bhandarkar Prashant P O'Sullivan Cliona C

Bulletin of the World Health Organization 20200708 9

<h4>Objective</h4>To analyse the demographic and clinical characteristics of people attending physical rehabilitation centres run or supported by the International Committee of the Red Cross in countries and territories affected by conflict.<h4>Methods</h4>Of 150 such rehabilitation centres worldwide, 38 use an electronic patient management system. We invited all 38 centres to participate. We extracted de-identified data from 1988 to 2018 and categorized them by sex, age, country or territory an ...[more]

PMID: 33012860

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Project description:BackgroundLittle is known about the patterns of development assistance (DA) for each component of reproductive, maternal, newborn, child and adolescent health (RMNCAH) in conflict-affected countries nor about the DA allocation in relation to the burden of disease.MethodsWe tracked DA to RMNCAH in general and to each of its four components: reproductive health (RH), maternal and newborn health (MNH), child health (CH) and adolescent health (AH), in 25 conflict-affected countries between 2003 and 2017. We compared DA and disability-adjusted life years (DALYs) for each component. Using keyword searching and funding allocation methods, we produced two sets of estimates: DA primarily targeting RMNCAH (lower bound) and DA both primarily and partially for RMNCAH or DA not explicitly targeting RMNCAH but benefiting it (upper bound).FindingsBetween 2003 and 2017, we identified 46 833 projects among the 25 countries that targeted RMNCAH. During the study period, DA to RMNCAH increased by seven-fold from $0.5 billion to $3.6 billion, with a slowdown since 2013. Cumulatively, RH received the largest proportion of DA to RMNCAH (50%) with 84% of its funding earmarked for HIV/AIDS, which contributed to less than 6% of the total RMNCAH-related DALYs. AH received 3% of the DA-RMNCAH but contributed 15% to the RMNCAH-related DALYs. Non-communicable diseases caused more than one-third of the DALYs among adolescents, but received only 3% of DA to AH. RMNCAH-inclusive estimates showed consistent results.ConclusionWhile there was a substantial increase in funding to RMNCAH in conflict-affected countries over the period of study, some health issues with high disease burden (eg, AH and non-communicable diseases) received a disproportionately small portion of aid for RMNCAH. We recommend that donors increase investment to RMNCAH in conflict-affected countries, particularly in areas where the burden of disease or the potential benefit of investment is likely to be high.

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Dataset Information

Users of rehabilitation services in 14 countries and territories affected by conflict, 1988-2018.

Publications

Users of rehabilitation services in 14 countries and territories affected by conflict, 1988-2018.

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