Resources search

Anticipated Barriers to Implementation of Community-Based Rehabilitation in Ribeirão Preto, Brazil

FIORATI, Regina Celia
CARRETTA, Regina Y Dakuzaku
JOAQUIM, Karine Pereira
PLACERES, Aline Ferreira
JESUS, Tiago Silva
2018

Expand view

Purpose: Disability is a global health and a global development concern. To address both issues, a community-based rehabilitation (CBR) approach is increasingly recommended to meet a spectrum of needs, especially for people with disabilities. It is first necessary to understand the perceptions of local, frontline providers, in order to design effective measures for implementing CBR programmes. This paper aimed to understand the conceptions of Primary Healthcare Providers (PHPs) - serving a sub-urban, socially-vulnerable territory in Brazil - about: 1) disability, 2) rehabilitation, and 3) the possible local implementation of a CBR strategy, including any anticipated barriers.

 

Method: Cross-sectional, exploratory qualitative research was based on focus groups conducted between 2013 and 2016. It involved a total of 78 PHPs serving the western region of the Ribeirão Preto municipality in São Paulo, Brazil. Data analysis was based on Habermas’ critical hermeneutics approach.

 

Results: PHPs understood disability mostly within the biomedical paradigm. Similarly, the predominant conception of rehabilitation was focussed on enabling individuals’ capacity, more than their environment. For local CBR implementation, the barriers that were anticipated were: 1) difficulties in managing and running action across sectors, and 2) the broader socio-political environment that hardly empowers civil society and is affected by power differentials.

 

Conclusion and Implications: While local PHPs identified important CBR implementation barriers which are contextual in nature, the predominant conceptions of disability and rehabilitation (i.e., biomedical, impairments-based) also act as a barrier. Contextual and cognitive barriers must both be addressed when envisioning a local CBR implementation

T@lemed : a telehealth case study project based on ultrasound images

DELAZARI BINOTTO, Alécio Pedro
SACHPAZIDIS, Ilias
SOARES TORRES, Márcio
et al
2005

Expand view

The growth of wired and wireless Internet (including communication via satellite) in Brazil and the recent advance of image compression methods allows rapid tele-consultation based on medical images. One of the most challenging problems in telemedicine is the real-time tele-consultation in case of emergency. In this brief paper, the ongoing T@lemed Project in the Brazilian State of Rio Grande do Sul is described and preliminary results from the first month of operation are presented

Spatial patterns of leprosy in an urban area of central Brazil

MARTELLI, C M T
et al
1995

Expand view

Reported is the spatial variation of leprosy in an urban area of Brazil and its correlation with socioeconomic indicators. From November 1991 to October 1992 a total of 752 newly diagnosed leprosy patients who were attending all outpatient clinics in Golania city, central Brazil, were indentified. A database of leprosy cases was set up linking patients' addresses to 64 urban districts. Leprosy cases were detected in 86 of the districts and three risk strata were identified. The highest risk area for leprosy was in the outskirts of the city and detection rates increased on moving from more developed to poorer areas. The risk of detecting leprosy cases was 5.3-fold greater (95CL: 3.8-7.4) in the outskirst of the town than in the central zone.
Discussed are the methodological issues related to leprosy case ascertainment, completeness and reliability of information, and the interpretation of the spatial distribution of leprosy per unti area. High lighted also are the lack of deprosy control activities in primary health care units and the usefulness of geographical analysis in planning health services.

E-bulletin