A Systematic Review of Access to Rehabilitation for People with Disabilities in Low- and Middle-Income Countries

摘要: Rehabilitation seeks to optimize functioning of people with impairments and includes a range specific health services-diagnosis, treatment, surgery, assistive devices, therapy. Evidence on access rehabilitation services for disabilities in low- middle-income countries (LMICs) is limited. A systematic review was conducted examine this depth. In February 2017, six databases were searched studies measuring among LMICs. Eligible measures included: use specialist services, adherence treatment. Two reviewers independently screened titles, abstracts, full texts. Data extracted by one reviewer checked second. Of 13,048 studies, 77 eligible inclusion. These covered broad geographic area. 17% measured hearing-specific services; 22% vision-specific; 31% physical impairment-specific; 44% mental impairment-specific services. further 35% any disability. diverse disability used across making comparability difficult. However, there some evidence that low disabilities. No clear patterns seen equity such as age, locality, socioeconomic status, or country income group due the limited number these indicators, used. Access highly variable poorly within review, but generally shown be low. Far better metrics are needed, including through clinical assessment, before we have true appreciation population level need coverage