Citation

Joosub N. BMJ Glob. Health 2019; 4(Suppl 10): e001353.

Affiliation

Department of Psychology, University of Johannesburg, Johannesburg, Gauteng, South Africa.

Copyright

(Copyright © 2019, BMJ Publishing Group)

DOI

10.1136/bmjgh-2018-001353

PMID

31799009

PMCID

PMC6861056

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.

© 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.

Language: en

Keywords

accessibility; acquired brain injury; healthcare interventions; neuropsychological rehabilitation; south africa