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Hospital rehabitation care pathways for people with physical disabilities in Benin

par Labat, Aline ;Godonou, Elie-Tino;Houinsou Hans, Iléri Mélina ;Assogba, Corneille Tolofon
Référence European Congress on Tropical Medicine and International Health (12: 28/09 - 01/10/2021: Virtual from Bergen Norway)
Publication Non publié, 2021-09-28

Communication à un colloque

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Résumé :

Objective: In low-income countries, people with physical disabilities (PPDs) face disparities in accessing and using rehabilitation care. They often have an non-optimal care pathway limiting their possible autonomy. The aim of this quantitative study is to analysis their care pathway from the onset of the disability.Method: A quantitative survey by questionnaire was conducted in 2019 among PPDs (Cerebral-palsy, Spinal cord injuries, Hemiplegia, Amputation, Poliomyelitis sequelae) who received rehabilitation care in a hospital in Benin. Results: Of the 207 PPDs who received rehabilitation care at hospital, only 60.9% (126) received information regarding the usefulness of rehabilitation care immediately after the onset of the disability. Among the immediately informed patients, 84.9% (107) immediately started rehabilitation care. The main reasons for delayed start were: late information (68.7%), need to see a "healer" before seeking formal care (7.3 %), unable to pay for care (16.7%), use of traditional care (10.4%). Only 66% (70) of the 107 PPDs who received the information and started immediately rehabilitation care, did not interrupt their care until the end of the treatment. For the one who interrupted, the reasons were: dissatisfaction on the quality of care (14.1%), distance (11.1%), non-appropriate means of transport (14.1%), lack of financial means to cover care (72.6%) and demotivation (14.1%). Finally, 71,0% of PPDs who received information and started care without delay declared being able to complete rehabilitation care until a full recovery or a sufficient autonomy increase (90.0% among those who never interrupted; 36.1% for those who had to interrupt care).Conclusion: This study shows that only 30.6% of PPDs have an optimal pathway, without delay to start, nor interruption and are able to finalize their care. It illustrates that access to rehabilitation care must be improved specially with the increase of NCDs and their consequences in terms of disabilities.