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Experiences accessing and using rehabilitation services for people with physical disabilities in Sierra Leone

Aenishänslin, Justine LU ; Amara, Abu and Magnusson, Lina LU orcid (2022) In Disability and Rehabilitation 44(1). p.34-43
Abstract

Purpose: To explore the experiences of persons with physical disabilities accessing and using rehabilitation services in Sierra Leone. Materials and methods: Interviews of 38 individuals with differing physical disabilities in three locations across Sierra Leone. An inductive approach was applied, and qualitative content analysis used. Results: Participants faced several barriers to accessing and using rehabilitation services. Six themes emerged: The initial and ongoing need for rehabilitation throughout life; challenges with the cost of rehabilitation and transportation to reach rehabilitation services; varied experiences with rehabilitation staff; coming to terms with disability and encountering stigma; the struggles without and... (More)

Purpose: To explore the experiences of persons with physical disabilities accessing and using rehabilitation services in Sierra Leone. Materials and methods: Interviews of 38 individuals with differing physical disabilities in three locations across Sierra Leone. An inductive approach was applied, and qualitative content analysis used. Results: Participants faced several barriers to accessing and using rehabilitation services. Six themes emerged: The initial and ongoing need for rehabilitation throughout life; challenges with the cost of rehabilitation and transportation to reach rehabilitation services; varied experiences with rehabilitation staff; coming to terms with disability and encountering stigma; the struggles without and opportunities with rehabilitation services; and limited knowledge and availability of rehabilitation services. Conclusions: There is a continued need to address the barriers associated with the affordability of rehabilitation through the financing of rehabilitation and transportation and exploring low-cost care delivery models. Rehabilitation services, assistive devices, and materials need to be available in existing rehabilitation centres. A national priority list is recommended to improve the availability and coordination of rehabilitation services. Improved knowledge about disability and rehabilitation services in the wider community is needed. Addressing discriminatory health beliefs and the stigma affecting people with disabilities through community interventions and health promotion is recommended. Implications for Rehabilitation: Financing for rehabilitation, transportation to services and low-cost delivery models of care areneeded to reduce financial barriers and increase affordability of access and use. Community interventions and health promotion can provide information about the utility and availability of rehabilitation services, while addressing health beliefs and stigma towards persons with disabilities. The availability of both rehabilitation services and information, that is relevant and accessible is required to facilitate improved access and use of rehabilitation services.

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Please use this url to cite or link to this publication:
author
; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Access, content analysis, physical disability, rehabilitation, Sierra Leone
in
Disability and Rehabilitation
volume
44
issue
1
pages
34 - 43
publisher
Taylor & Francis
external identifiers
  • scopus:85084314628
  • pmid:32352325
ISSN
0963-8288
DOI
10.1080/09638288.2020.1755375
language
English
LU publication?
yes
id
7f1f76cf-6433-4ef6-898f-23afd49ca881
date added to LUP
2020-06-15 09:53:18
date last changed
2024-06-12 14:58:49
@article{7f1f76cf-6433-4ef6-898f-23afd49ca881,
  abstract     = {{<p>Purpose: To explore the experiences of persons with physical disabilities accessing and using rehabilitation services in Sierra Leone. Materials and methods: Interviews of 38 individuals with differing physical disabilities in three locations across Sierra Leone. An inductive approach was applied, and qualitative content analysis used. Results: Participants faced several barriers to accessing and using rehabilitation services. Six themes emerged: The initial and ongoing need for rehabilitation throughout life; challenges with the cost of rehabilitation and transportation to reach rehabilitation services; varied experiences with rehabilitation staff; coming to terms with disability and encountering stigma; the struggles without and opportunities with rehabilitation services; and limited knowledge and availability of rehabilitation services. Conclusions: There is a continued need to address the barriers associated with the affordability of rehabilitation through the financing of rehabilitation and transportation and exploring low-cost care delivery models. Rehabilitation services, assistive devices, and materials need to be available in existing rehabilitation centres. A national priority list is recommended to improve the availability and coordination of rehabilitation services. Improved knowledge about disability and rehabilitation services in the wider community is needed. Addressing discriminatory health beliefs and the stigma affecting people with disabilities through community interventions and health promotion is recommended. Implications for Rehabilitation: Financing for rehabilitation, transportation to services and low-cost delivery models of care areneeded to reduce financial barriers and increase affordability of access and use. Community interventions and health promotion can provide information about the utility and availability of rehabilitation services, while addressing health beliefs and stigma towards persons with disabilities. The availability of both rehabilitation services and information, that is relevant and accessible is required to facilitate improved access and use of rehabilitation services.</p>}},
  author       = {{Aenishänslin, Justine and Amara, Abu and Magnusson, Lina}},
  issn         = {{0963-8288}},
  keywords     = {{Access; content analysis; physical disability; rehabilitation; Sierra Leone}},
  language     = {{eng}},
  number       = {{1}},
  pages        = {{34--43}},
  publisher    = {{Taylor & Francis}},
  series       = {{Disability and Rehabilitation}},
  title        = {{Experiences accessing and using rehabilitation services for people with physical disabilities in Sierra Leone}},
  url          = {{http://dx.doi.org/10.1080/09638288.2020.1755375}},
  doi          = {{10.1080/09638288.2020.1755375}},
  volume       = {{44}},
  year         = {{2022}},
}