World Health Organization : Technical Report Series, No. 668: Disabiliiy Prevention and Rehabililalion

By J. J. Arvelo

Book Id: WPLBN0000173869
Format Type: PDF eBook:
File Size: 1.64 MB
Reproduction Date: 2005

Title:	World Health Organization : Technical Report Series, No. 668: Disabiliiy Prevention and Rehabililalion
Author:	J. J. Arvelo
Volume:
Language:	English
Subject:	Health., Public health, Wellness programs
Collections:	Medical Library Collection, World Health Collection
Historic Publication Date:
Publisher:	World Health Organization


Citation APA MLA Chicago J. Arvel, B. J. (n.d.). World Health Organization : Technical Report Series, No. 668. Retrieved from http://gutenberg.cc/

Description
Medical Reference Publication

Excerpt
1. INTRODUCTION The WHO Expert Committee on Disability Prevention and Rehabilitation met in Geneva from 17 to 23 February 1981. Dr D. Tejadade- Rivero, Assistant Director-General, opened the meeting on behalf of the Director-General. The meeting was being held in the International Year of Disabled Persons, and it should be regarded as an important part of WHO's contribution to the special efforts being made during that year to improve the lot of the disabled. Reviewing the two earlier reports of the Expert Committee on Medical Rehabilitation (1, 2), he recalled that they had made a valuable contribution to the establishment of rehabilitation as a natural and essential component of all health care. Since the last meeting of the Expert Committee on Medical Rehabilitation 12 years ago, changes in the priorities and policies of WHO had led to the adoption of a primary health care approach to the prevention of disability and the provision of rehabilitation. The two main questions before the Committee were how to provide rehabilitation within the context of community services, especially in relation to primary health care, and how to integrate rehabilitation into the national health care systems and other relevant sectors. The Committee was also requested to consider how disability could be prevented.

Table of Contents
CONTENTS Page 1. Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 2 . Definitions of various terms and concepts related to the disability process and rehabilitation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 2.1 The disability process . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 2.2 Disability prevention . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 2.3 Rehabilitation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 2.4 Community-based rehabilitation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 2.5 Social integration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 3 . Review of prevalence of disability. quality of life among the disabled. and future trends in prevalence . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 3.1 Prevalence of disability . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 3.2 Quality of life . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 3.3 Projections for the future . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12 4 . WHO strategies and approaches related to the disability problem ........... 12 4.1 General approach . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12 4.2 Specific strategies and approaches . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 5 . Prevention of disability . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 5.1 Disability prevention in developing countries . . . . . . . . . . . . . . . . . . . . . . . 14 5.2 Disability prevention in developed countries . . . . . . . . . . . . . . . . . . . . . . . 16 6 . Review of and recommendations for rehabilitation services in developed countries . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6.1 The scope of disability and rehabilitation . . . . . . . . . . . . . . . . . . . . . . . . . . 6.2 Reasons for providing rehabilitation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6.3 The impact of social and economic changes on the situation of the disabled . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6.4 Development of rehabilitation services . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6.5 Administrative problems . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6.6 Organization of rehabilitation services . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6.7 Manpower problems . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6.8 Problems related to rehabilitation technology . . . . . . . . . . . . . . . . . . . . . . 6.9 Community services . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 . Review of rehabilitation services in developing countries . . . . . . . . . . . . . . . . . . 25 7.1 Identification of the disability problem . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26 7.2 Policies and planning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26 7.3 Development of rehabilitation services . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27 7.4 Administrative problems . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27 7.5 Manpower problems . . . . . . . . . . .