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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]

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