Rehabilitation and primary care treatment guidelines, South Africa

dc.contributor.authorConradie, Thandien_ZA
dc.contributor.authorCharumbira, Mariaen_ZA
dc.contributor.authorBezuidenhout, Marykeen_ZA
dc.contributor.authorLeong, Trudyen_ZA
dc.contributor.authorLouw, Quinetteen_ZA
dc.date.accessioned2024-09-12T10:33:51Z
dc.date.available2024-09-12T10:33:51Z
dc.date.issued2022-08-22en_ZA
dc.descriptionThe original publication is available at: https://www.ncbi.nlm.nih.goven_ZA
dc.description.abstractThe World Health Organization recognizes rehabilitation as an essential component of universal health coverage (UHC). In many countries, UHC builds on a standard benefits package of services that is informed by the country’s essential medicines list, standard treatment guidelines and primary health care essential laboratory list. In South Africa, primary health care is largely provided and managed by primary health-care nurses and medical officers in accordance with primary health care standard treatment guidelines. However, rehabilitation is mostly excluded from these guidelines. This paper describes the 10-year process that led to rehabilitation referral recommendations being considered for inclusion in South Africa’s primary health care standard treatment guidelines. There were five key events: (i) a breakthrough moment; (ii) producing a scientific evidence synthesis and formulating recommendations; (iii) presenting recommendations to the national essential medicines list committee; (iv) mapping rehabilitation recommendations onto relevant treatment guideline sections; and (v) submitting revised recommendations to the committee for final consideration. The main lesson learnt is that, by working together, rehabilitation professionals can be of sufficient number to make a difference, improve service delivery and increase referrals to rehabilitation from primary health care. A remaining challenge is the lack of a rehabilitation representative on the national essential medicines list committee, which could hamper understanding of rehabilitation and of the complexities of the supporting evidence.en_ZA
dc.description.urihttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9589395/pdf/BLT.22.288337.pdfen_ZA
dc.format.extent10 pagesen_ZA
dc.identifier.citationConradie, T.et al., 2022. Rehabilitation and primary care treatment guidelines, South Africa. Bull World Health Organ. 100(11): 689–698 pages. doi.10.2471/BLT.22.288337en_ZA
dc.identifier.doi10.2471/BLT.22.288337en_ZA
dc.identifier.issn0042-9686 (print)en_ZA
dc.identifier.issn1564-0604 (print)en_ZA
dc.identifier.urihttps://scholar.sun.ac.za/handle/10019.1/131131
dc.language.isoen
dc.publisherWorld Health Organizationen_ZA
dc.rights.holderAuthors retain copyrighten_ZA
dc.titleRehabilitation and primary care treatment guidelines, South Africaen_ZA
dc.typeArticleen_ZA
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