How local context influences access to neuropsychological rehabilitation after acquired brain injury in South Africa.

Content Provider	Europe PMC
Author	Joosub, Noorjehan
Copyright Year	2019
Abstract	The numbers of acquired brain injury (ABI) survivors in South Africa are increasing; however, facilities to provide neuropsychological rehabilitation are limited due to a lack of healthcare resources. The updated International Classification of Health, Functioning, and Disability (ICF) from the WHO emphasises how the context of an impairment influences the patient’s activity limitations and participation restrictions. This analysis examined South African contextual influences on the accessibility, quality and efficiency of neuropsychological rehabilitation interventions after ABI in South Africa. Three main contextual influences were identified, namely, socioeconomic disparities, sociocultural influences and discharge to underprepared communities. Systems thinking and inclusive models of healthcare are needed in low-income and middle-income countries, such as South Africa, where resource constraints necessitate creative and ecological forms of rehabilitation interventions after ABI. Contextual influences are vital to consider when designing neuropsychological rehabilitation interventions in order to improve the accessibility and relevance of these interventions and to ensure the effective utilisation of scarce healthcare resources.
Journal	BMJ Global Health
Volume Number	4
PubMed Central reference number	PMC6861056
Issue Number	suppl 10
PubMed reference number	31799009
e-ISSN	20597908
DOI	10.1136/bmjgh-2018-001353
Language	English
Publisher	BMJ Publishing Group
Publisher Date	2019-11-06
Publisher Place	BMA House, Tavistock Square, London, WC1H 9JR
Access Restriction	Open
Rights License	This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/. © Author(s) (or their employer(s)) 2019. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.
Subject Keyword	neuropsychological rehabilitation acquired brain injury south africa healthcare interventions accessibility
Content Type	Text
Resource Type	Article
Subject	Health Policy Public Health, Environmental and Occupational Health