PMID- 34919448
OWN - NLM
STAT- MEDLINE
DCOM- 20221227
LR  - 20230117
IS  - 1464-5165 (Electronic)
IS  - 0963-8288 (Linking)
VI  - 44
IP  - 25
DP  - 2022 Dec
TI  - Access to rehabilitation services for road traffic injury patients in Namibia.
PG  - 7985-7992
LID - 10.1080/09638288.2021.2008521 [doi]
AB  - PURPOSE: Road traffic injuries (RTIs) are a major public health issue worldwide. 
      The importance of physical rehabilitation following RTI is well documented. 
      However, globally there has been very little research on the accessibility of 
      rehabilitation services following road injury. Namibia is one of the five African 
      countries with a fuel tax levy fund (Motor Vehicle Accident Fund, MVAF), a system 
      of case managers, medical care, and case management system for coordination of 
      long-term care. MATERIALS AND METHODS: We investigated the availability of 
      physical rehabilitation services to RTI injured in Namibia, through interviews 
      with RTI patients and health care workers. RESULTS: Unlike the few other studies 
      done in Sub-Saharan Africa (SSA), most RTI injured individuals in Namibia report 
      they are able to access some rehabilitation following injury. In large measure, 
      this is due to the effective MVAF system which they felt ensures follow up care 
      for many after having an RTI. However, we found that access to rehabilitation is 
      skewed in favour of those living in Windhoek and other urban areas compared with 
      those in non-urban areas. CONCLUSIONS: The MVAF model seems to enhance access to 
      rehabilitation and is a model which could be replicated in other SSA countries 
      and other low and middle income countries.Implications for rehabilitationRoad 
      traffic injuries (RTIs) are a major global public health challenge with over 1.2 
      million people killed and a high burden of disability and Namibia is one of the 
      worst affected countries globally.There is lack of knowledge on the availability 
      to physical rehabilitation following road injury in Namibia.Our study shows the 
      Motor Vehicle Accident Fund (MVAF) model seems to enhance access to 
      rehabilitation and is a model which could be replicated in Sub-Saharan Africa and 
      other low and middle income countries.
FAU - Chatukuta, Mitchel
AU  - Chatukuta M
AD  - Research Department of Epidemiology and Public Health, University College London 
      (UCL), London, UK.
FAU - Groce, Nora
AU  - Groce N
AD  - Research Department of Epidemiology and Public Health, University College London 
      (UCL), London, UK.
FAU - Mindell, Jennifer S
AU  - Mindell JS
AD  - Research Department of Epidemiology and Public Health, University College London 
      (UCL), London, UK.
FAU - Kett, Maria
AU  - Kett M
AD  - Research Department of Epidemiology and Public Health, University College London 
      (UCL), London, UK.
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20211217
PL  - England
TA  - Disabil Rehabil
JT  - Disability and rehabilitation
JID - 9207179
SB  - IM
MH  - Humans
MH  - Namibia
MH  - Accidents, Traffic
MH  - Public Health
MH  - *Disabled Persons
MH  - Case Management
MH  - *Wounds and Injuries
OTO - NOTNLM
OT  - Road traffic injuries (RTIs)
OT  - disability
OT  - health care workers (HCWs)
OT  - public health approach
OT  - rehabilitation
EDAT- 2021/12/18 06:00
MHDA- 2022/12/28 06:00
CRDT- 2021/12/17 17:13
PHST- 2021/12/18 06:00 [pubmed]
PHST- 2022/12/28 06:00 [medline]
PHST- 2021/12/17 17:13 [entrez]
AID - 10.1080/09638288.2021.2008521 [doi]
PST - ppublish
SO  - Disabil Rehabil. 2022 Dec;44(25):7985-7992. doi: 10.1080/09638288.2021.2008521. 
      Epub 2021 Dec 17.