Physiotherapy in Madagascar: current challenges and opportunities for development
Rattachement africain : Madagascar, gb. Niveau de preuve : code pays fourni par la source.
Le résumé fourni par la source
PURPOSE: World Health Organisation's data show that low and middle-income countries have a higher prevalence of disabilities. Madagascar is the ninth poorest country in the world. This report aims to analyse the current difficulties faced by physiotherapists and physicians working in the hospital setting, and offer recommendations for how healthcare services can develop in the future. MATERIALS AND METHODS: Data were collected over the course of 3 months in the form of observational logs, interviews, and questionnaires. Interpreters were used in all interviews, and written questionnaires were translated from English to Malagasy. RESULTS: Thematic analysis of all data collected was completed with key themes emerging: difficult working conditions, including high patient volume and limited staff capacity or treatment space; limited recognition of physiotherapy as a profession, with no autonomy for physiotherapy staff; the low standard of clinical reasoning skills being used in practice; and variable levels of clinical competence, with little evidence of active continuing professional development or appropriate training specific to the needs of clinicians. CONCLUSIONS: The current practice of physiotherapy in Madagascar mirrors the challenge in low-income settings. This study highlights the ongoing needs of the profession, including increasing clinical reasoning skills, updating the physiotherapy curriculum, and further development of multidisciplinary teamwork.IMPLICATIONS FOR REHABILITATIONThere are approximately 300 physiotherapists in Madagascar serving 25.5 million people in a low-income country with a high prevalence of disability.Developing the core training skills of physiotherapists in areas such as clinical reasoning skills, improved multidisciplinary team working, and access to research will allow physiotherapists to deliver a higher level of patient-centred care focused on rehabilitation.Upskilling physiotherapists and improving rehabilitation standards will result in improved functioning and quality of life for people with disabilities.Developments in multidisciplinary team communication and working will lead to interprofessional respect, improved quality of work, and a focus on patient-centred care.
Ce résumé expose les affirmations des auteurs. BNTIC ne l’interprète pas comme une validation indépendante des résultats.
Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- Physiotherapy in Madagascar: current challenges and opportunities for development
- Date Crossref
- 21/12/2020
- Éditeur
- Informa UK Limited
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
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Association Vahatra Madagascar (code pays fourni par la source)Institution
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University of Leeds pays non établi dans la noticeUniversité ou école supérieure
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Leeds Teaching Hospitals NHS Trust Department of Physiotherapy pays non établi dans la noticeÉtablissement de santé
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NIHR Leeds Musculoskeletal Biomedical Research Unit pays non établi dans la noticeOrganisme public
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Leeds Beckett University pays non établi dans la noticeUniversité ou école supérieure
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Hôpital Joseph Ravoahangy Andrianavalona Department of Rehabilitation Antananarivo, Madagascar (pays nommé en fin d’affiliation)Établissement de santé
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Faculty of Medicine and Health pays non établi dans la noticeUniversité ou école supérieure
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School of Physiotherapy pays non établi dans la noticeUniversité ou école supérieure
Association Vahatra (Madagascar), University of Leeds et Department of Physiotherapy — Leeds Teaching Hospitals NHS Trust, avec 5 autres affiliations. Pays d’affiliation : Madagascar.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.