Document Detail


The practice of physical and rehabilitation medicine in sub-Saharan Africa and Antarctica: a white paper or a black mark?
MedLine Citation:
PMID:  19479150     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
INTRODUCTION: The medical specialty of physical and rehabilitation medicine has had a proven impact on people with disabilities and on healthcare systems. Documents such as the White Book on Physical and Rehabilitation Medicine in Europe have been important in defining the scope of practice within various regions. However, in some regions the practice has not been well defined OBJECTIVE: To explore the practice of physical and rehabilitation medicine in Sub-Saharan Africa and Antarctica. METHODS: Medline searches, membership data searches, fax survey of medical schools, internet searches, and interviews with experts. RESULTS: The continents are dissimilar in terms of climate and government. However, both Antarctica and Sub-Saharan Africa have no physical and rehabilitation medicine training programs, no professional organizations, no specialty board requirements, and no practising physicians in the field. Since there are no known disabled children on Antarctica and adults are air-lifted to world-class healthcare, the consequences of this deficit are minimal there. However, the 788,000,000 permanent residents of Sub-Saharan Africa, including approximately 78 million people with disabilities, are left unserved. CONCLUSION: Antarctica is doing fine, but Africa is in a crisis. Local medical schools, hospitals doctors, and people with disabilities, along with foreign volunteers, aid groups, and policymakers can have an impact on the crisis. However, governments, specifically national ministries of health, are ultimately responsible for the health and well-being of their citizens.
Authors:
Andrew J Haig; Jonathan Im; Deji Adewole; Virginia Nelson; Brian Krabak
Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Journal of rehabilitation medicine : official journal of the UEMS European Board of Physical and Rehabilitation Medicine     Volume:  41     ISSN:  1651-2081     ISO Abbreviation:  J Rehabil Med     Publication Date:  2009 May 
Date Detail:
Created Date:  2009-05-29     Completed Date:  2009-06-04     Revised Date:  2010-02-18    
Medline Journal Info:
Nlm Unique ID:  101088169     Medline TA:  J Rehabil Med     Country:  Sweden    
Other Details:
Languages:  eng     Pagination:  401-5     Citation Subset:  IM    
Affiliation:
International Rehabilitation Forum, Ann Arbor, MI, USA. andyhaig@umich.edu
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MeSH Terms
Descriptor/Qualifier:
Adult
Africa South of the Sahara
Child
Developing Countries
Disabled Children / rehabilitation
Disabled Persons / rehabilitation
Health Policy
Humans
Physical Medicine* / education,  organization & administration
Rehabilitation* / education,  organization & administration
World Health Organization
Comments/Corrections
Comment In:
J Rehabil Med. 2010 Feb;42(2):187-8, author reply 188-9   [PMID:  20140418 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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