Abstract
Achieving Universal Health Coverage (UHC) is a World Health Organization (WHO) strategic
priority. UHC means “all people receive quality health services that meet their needs
without being exposed to financial hardship in paying for the services.” Rehabilitation
is among the services included in UHC. As part of the WHO Rehabilitation 2030 call
for action, WHO is developing its Package of Rehabilitation Interventions (PRI) to
support ministries of health in planning, budgeting, and integrating rehabilitation
interventions into health systems. The aim of this paper is to introduce and describe
the PRI and its methodology.
An advisory board composed of members from different WHO departments is overseeing
the project, which is led by the WHO Rehabilitation Programme in collaboration with
Cochrane Rehabilitation.
The development of the PRI is conducted in 6 steps: (1) selection of health conditions
(for which rehabilitation interventions will be included in the PRI) based on prevalences,
related levels of disability, and expert opinion; (2) identification of rehabilitation
interventions and related evidence for the selected health conditions from Clinical
Practice Guidelines and Cochrane Reviews; (3) expert agreement on the inclusion of
rehabilitation interventions in the PRI; (4) description of resources required for
the provision of selected interventions; (5) peer review process, and (6) production
of an open source web-based tool. Rehabilitation experts and consumers from all world
regions will collaborate in the different steps.
In developing the PRI, WHO is taking an important step toward strengthening rehabilitation
in health systems, thus enabling more people to benefit from rehabilitation.
Keywords
List of abbreviations:
AGREE II (Appraisal of Guidelines for Research and Evaluation), CPG (Clinical Practice Guideline), CSR (Cochrane Systematic Review), GBD (Global Burden of Disease), ICF (International Classification of Functioning, Disability and Health), PRI (Package of Rehabilitation Interventions), UHC (Universal Health Coverage), WHO (World Health Organization)To read this article in full you will need to make a payment
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References
- Making fair choices on the path to universal health coverage. World Health Organization, Geneva, Switzerland2014
- WHO Impact Framework.(Available at:)https://www.who.int/about/what-we-do/GPW13_WIF_White-Paper_English.pdf?ua=1Date: 2018Date accessed: April 1, 2019
- World report on disability. World Health Organization, Geneva, Switzerland2011
- A Systematic review of access to rehabilitation for people with disabilities in low- and middle-income countries.Int J Environ Res Public Health. 2018; 15
- Rehabilitation 2030 a call for action. Concept note. Geneva, Switzerland: World Health Organization.(Available at:)www.whi.int/disabilities/care/ConceptNite.pdf?ua=1Date accessed: May 3, 2019
- Rehabilitation 2030: A call for action. Geneva, Switzerland: World Health Organization.(Available at:)www.who.int/disabilities/care/rehab-2030/en/Date accessed: May 3, 2019
- Strengthening health systems to provide rehabilitation services.Bull World Health Organ. 2017; 95: 167
- Access, utilization, quality, and effective coverage: an integrated conceptual framework and measurement strategy.Soc Sci Med. 2005; : 97-109
- Health service coverage and its evaluation.Bull World Health Organ. 1978; : 295-303
- Cochrane Rehabilitation.(Available at:)https://rehabilitation.cochrane.orgDate accessed: April 1, 2019
- Global, regional, and national incidence, prevalence, and years lived with disability for 328 diseases and injuries for 195 countries, 1990-2016: a systematic analysis for the Global Burden of Disease Study 2016.Lancet. 2017; 390: 1211-1259
- Global Burden of Disease Study 2017 (GBD 2017) Disability Weights.(Available at:)www.ghdx.healthdata.org/record/ihme-data/gbd-2017-disability-weightsDate accessed: April 1, 2019
- The AGREE II Instrument [electronic version].(Available at:) (Accessed April 1, 2019)
- Cochrane physical and rehabilitation medicine: a new field to bridge between best evidence and the specific needs of our field.Arch Phys Med Rehabil. 2016; 97: 1226-1227
- One in 11 Cochrane reviews are on rehabilitation interventions, according to pragmatic inclusion criteria developed by Cochrane Rehabilitation.Arch Phys Med Rehabil. 2019 Mar 2; ([Epub ahead of print])
- The International Classification of Functioning, Disability and Health (ICF). World Health Organization, Geneva, Switzerland2001
- Refinements of the ICF Linking Rules to strengthen their potential for establishing comparability of health information.Disabil Rehabil. 2019; 41: 574-583
- Geneva, Switzerland: World Health Organization.(Available at:)www.who.int/classifications(ichi/en/Date accessed: April 1, 2019
- Rehabilitation 2030: a call for action. Meeting report. World Health Organization,
Geneva, Switzerland2019 (Available at:)https://www.who.int/disabilities/care/Rehab2030MeetingReport2.pdf?ua=1Date accessed: April 1, 2019
- Rehabilitation 2030: a call for action. The need to scale up rehabilitation. World Health Organization,
Geneva, Switzerland2017 (Available at:)www.who.int/disabilities/care/NeedToScaleUpRehab.pdf?ua=1Date accessed: April 1, 2019
- Building capacity in primary care rehabilitation clinical practice guidelines: a South African initiative.Health Res Policy Syst. 2018; 16: 96
- World Stroke Organization global stroke services guidelines and action plan.Int J Stroke. 2014; 9: 4-13
- Cardiac rehabilitation delivery model for low-resource settings: an international council of cardiovascular prevention and rehabilitation consensus statement.Prog Cardiovasc Dis. 2016; 59: 303-322
- The Global Spine Care Initiative: applying evidence-based guidelines on the non-invasive management of back and neck pain to low- and middle-income communities.Eur Spine J. 2018; 27: 851-860
- Global, regional, and national incidence, prevalence, and years lived with disability for 354 diseases and injuries for 195 countries and territories, 1990-2017: a systematic analysis for the Global Burden of Disease Study 2017.Lancet. 2018; 392: 1789-1858
- AGREE II: advancing guideline development, reporting and evaluation in health care.CMAJ. 2010; 182: E839-E842
- Global need for physical rehabilitation: systematic analysis from the Global Burden of Disease Study 2017.Int J Environ Res Public Health. 2019; 16: 980-999
Article Info
Publication History
Published online: June 14, 2019
Footnotes
Supported in part by the United States Agency for International Development .
Disclosures: none.
Identification
Copyright
© 2019 by the American Congress of Rehabilitation Medicine

