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Rehabilitation Capacity in South Africa—A Situational Analysis

Author

Listed:
  • Quinette A. Louw

    (Division of Physiotherapy, Department of Health and Rehabilitation Sciences, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town 7500, Western Cape, South Africa)

  • Thandi Conradie

    (Division of Physiotherapy, Department of Health and Rehabilitation Sciences, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town 7500, Western Cape, South Africa)

  • Nolubeko Xuma-Soyizwapi

    (Rehabilitation Services, Department of Health, Bhisho 5200, Eastern Cape, South Africa)

  • Megan Davis-Ferguson

    (Disabilities and Rehabilitation, Western Cape Department of Health, Cape Town 8000, Western Cape, South Africa)

  • Janine White

    (Western Cape Rehabilitation Centre, Western Cape Department of Health, Cape Town 7789, Western Cape, South Africa)

  • Marie Stols

    (Therapeutic and Rehabilitation Services, Limpopo Department of Health, Polokwane 0700, Limpopo, South Africa)

  • Andronica Masipa

    (Therapeutic and Rehabilitation Services, Limpopo Department of Health, Polokwane 0700, Limpopo, South Africa)

  • Pringle Mhlabane

    (Rehabilitation and Disability Services, Mpumalanga Department of Health, Nelspruit 1200, Mpumalanga, South Africa)

  • Lungisile Mdaka

    (Rehabilitation and Disability Services, Mpumalanga Department of Health, Nelspruit 1200, Mpumalanga, South Africa)

  • Claudina Manzini

    (Rehabilitation and Disability Services, Mpumalanga Department of Health, Nelspruit 1200, Mpumalanga, South Africa)

  • Ivy Kekana

    (Rehabilitation and Disability Services, Mpumalanga Department of Health, Nelspruit 1200, Mpumalanga, South Africa)

  • Marike Schutte

    (Rehabilitation and Disability Services, Mpumalanga Department of Health, Nelspruit 1200, Mpumalanga, South Africa)

  • Simon Rabothata

    (Rehabilitation Service, Gauteng Department of Health, Pretoria 2001, Gauteng, South Africa)

  • Pauline Kleinitz

    (Sensory Functions, Disability and Rehabilitation Unit, Department for Noncommunicable Diseases, World Health Organization, 1211 Geneva 27, Switzerland)

Abstract

Rehabilitation in South Africa (SA) operates independently of major health services and reforms, despite the increasing rehabilitation need. With the introduction of National Health Insurance (NHI), SA is facing another major health reform. Evidence is needed on the current SA rehabilitation situation, regarding shortcomings, opportunities, and priority strategic strengthening actions. We aimed to describe the current rehabilitation capacity in the SA public health sector, which serves the majority and most vulnerable South Africans. A cross-sectional survey was conducted in five provinces, using the World Health Organisation’s Template for Rehabilitation Information Collection (TRIC). Participants were purposively selected for their insights and experiences of rehabilitation in specific government departments, health sectors, organisations, and/or services. TRIC responses were analysed descriptively. Participants explained how timely and effective rehabilitation produced long-term health, social, and economic benefits. Positive initiatives were reported for rehabilitation data collection, service design, and innovation. Challenges included inadequacies in human resources, the integration of rehabilitation at primary care, guidelines, and specialised long-term care facilities. The continuity of care across levels of care was sub-optimal due to inefficient referral systems. Promoting and improving rehabilitation nationally requires concerted, innovative, collaborative, and integrated efforts from multiple stakeholders within, and outside, the health system.

Suggested Citation

  • Quinette A. Louw & Thandi Conradie & Nolubeko Xuma-Soyizwapi & Megan Davis-Ferguson & Janine White & Marie Stols & Andronica Masipa & Pringle Mhlabane & Lungisile Mdaka & Claudina Manzini & Ivy Kekana, 2023. "Rehabilitation Capacity in South Africa—A Situational Analysis," IJERPH, MDPI, vol. 20(4), pages 1-22, February.
    • Handle: RePEc:gam:jijerp:v:20:y:2023:i:4:p:3579-:d:1071881
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    References listed on IDEAS

    as
    1. Boya Nugraha & Klejda Tani & Christoph Gutenbrunner, 2020. "Rehabilitation Service Assessment and Workforce Capacity Building in Albania—A Civil Society Approach," IJERPH, MDPI, vol. 17(19), pages 1-12, October.
    2. Deborah J Schofield & Emily J Callander & Rupendra N Shrestha & Megan E Passey & Richard Percival & Simon J Kelly, 2013. "Multiple Chronic Health Conditions and Their Link with Labour Force Participation and Economic Status," PLOS ONE, Public Library of Science, vol. 8(11), pages 1-1, November.
    3. Government of India, 2017. "National Health Policy 2017," Working Papers id:11664, eSocialSciences.
    4. Thandi Conradie & Karina Berner & Quinette Louw, 2022. "Describing the Rehabilitation Workforce Capacity in the Public Sector of Three Rural Provinces in South Africa: A Cross-Sectional Study," IJERPH, MDPI, vol. 19(19), pages 1-19, September.
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