Challenges and barriers for implementation of the World Health Organization Global Disability Action Plan in low- and middle- income countries

Authors

  • Fary Khan
  • Mayowa Owolabi
  • Bhasker Amatya
  • Talhatu Kolapo Hamzat
  • Adesola Ogunniyi
  • Helen Oshinowo
  • Alaeldin Elmalik
  • Mary P. Galea

DOI:

https://doi.org/10.2340/16501977-2276

Keywords:

Fary Khan, Mayowa Ojo Owolabi, Bhasker Amatya, Talhatu Kolapo Hamzat, Adesola Ogunniyi, Helen Oshinowo, Alaeldin Elmalik, Mary P. Galea

Abstract

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.

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Published

2017-09-05

How to Cite

Khan, F., Owolabi, M., Amatya, B., Hamzat, T. K., Ogunniyi, A., Oshinowo, H., Elmalik, A., & Galea, M. . P. (2017). Challenges and barriers for implementation of the World Health Organization Global Disability Action Plan in low- and middle- income countries. Journal of Rehabilitation Medicine, 50(4), 367–376. https://doi.org/10.2340/16501977-2276

Issue

Section

Special Report