Evidence of Community Health Workers’ delivery of Physical Rehabilitation Services in sub-Saharan Africa: A Scoping Review

Author:

Mapulanga Miriam1,Kgarosi Kabelo2,Maluleke Kuhlula3,Hlongwa Mbuzeleni1,Dlungwane Thembelihle1

Affiliation:

1. Department of Public Health Medicine, School of Nursing and Public Health, University of KwaZulu-Natal, 2nd Floor George Campbell Building

2. Department of Library Services, Faculty of Health Sciences, University of Pretoria

3. School of Health Systems and Public Health, Faculty of Health Sciences, University of Pretoria

Abstract

Abstract

Objectives: The objective of this scoping review was to map the evidence and scope of physical rehabilitation services delivered by Community Health Workers (CHWs) in SSA. Design: A scoping review Methods: We conducted a comprehensive search of PubMed, Scopus, Cochrane Central and databases within the EBSCOhost platform. We also searched other literature sources including reference lists, conference presentations and publications on organisational websites such as WHO, Ministries of Health, and Non-Governmental Organisations in SSA. Studies from January 1978 to June 2023. The screening was conducted by two reviewers and was guided by the inclusion and exclusion criteria. Thematic analysis of data was done Results: A total of 6996 articles were identified by our search criteria for title screening. Twenty studies met our inclusion criteria. Evidence was found in seven countries namely; South Africa, Malawi, Uganda, Ethiopia, Eritrea, Mauritius and Namibia. Assessments, Case management and patient care, Education, Community liaison and support, Health systems linkage and administration were part of the CHWs' scope of practice. Conclusion: The review presented evidence of CHWs providing physical rehabilitation services from seven countries. The review showed assessments, case management and patient care, education, community liaison and support, health systems linkage and administration as part of the CHWs' scope of practice.

Publisher

Research Square Platform LLC

Reference72 articles.

1. World Health Organization. (2023). Rehabilitation. https://www.who.int/news-room/fact-sheets/detail/rehabilitation [Accessed April 3, 2023].

2. World Health Organization. (2019). FACTSHEET Sustainable Development Goals: health targets REHABILITATION. Denmark

3. Mills JA, Marks E, Reynolds T, Cieza A. Rehabilitation: essential along the continuum of care. Disease Control Priorities: Improving Health and Reducing Poverty. 3rd edition. 2017 Nov 27.

4. Global estimates of the need for rehabilitation based on the Global Burden of Disease study 2019: a systematic analysis for the Global Burden of Disease Study 2019;Cieza A;The Lancet

5. World Health Organization. Rehabilitation in health systems. World Health Organization; 2017.

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