Profile of Individual Functioning With the Use of ICF for Persons With Disabilities With the Consequences of Brain Stroke in the Kyrgyz Republic

Abstract

Ratification of the Convention on the Rights of Persons with Disabilities in Kyrgyzstan in March 2019 has encouraged the country to explore the possibilities of multidisciplinary tools to assess the needs and strengths of an individual. The International Classification of Functioning, Disability and Health (ICF) is such a recognized tool. ICF allows to have complete information on any individual using a system for coding the level of disability. Further, this assessment of an individual's needs and strengths becomes the basis for rehabilitation programs for individuals with disabilities. The purpose of this study is to examine the relationship between the profile of individual functioning compiled according to ICF and medical rehabilitation programs for brain strokes using the 2020 data of certain medical and social expert commissions (MSEC) of the Kyrgyz Republic as an example, followed by the preparation of recommendations for the development of medical rehabilitation system for brain strokes. Each of the selected individual with disability was given an adapted profile of individual functioning with domains corresponding to brain strokes. Analysis of the profiles showed the possibility of using a single tool in the usual practice of the health system and medical and social examination for a more detailed assessment of functioning impairments and environmental conditions of an individual, which allowed to re-orient the rehabilitation goals. Authors revealed insufficient rehabilitation resources in Kyrgyzstan, including the availability of medical personnel and medicines with evidence-based effectiveness. Analysis of the findings allowed the authors to present recommendations for the development of a medical rehabilitation system for brain stroke in the Kyrgyz Republic.