Malawi’s Physiotherapists: Implications for Clinical Faculty Development in Resource-Limited Regions of the World

Peterson, Cathryn A.; Hargis, Jace; Nesbit, Casey

doi:10.1097/00001416-201301000-00015

Cited by 3 publications

(4 citation statements)

References 29 publications

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“…In the Netherlands, 26 adult rehabilitation centres served a population of 16 million people and every university and general hospital offered outpatient rehabilitation services16. In contrast, Malawi has a population of over 15 million with only one adult rehabilitation centre7,41. The centre is challenged to meet the increased demand for rehabilitation services41.…”

Section: Discussionmentioning

confidence: 99%

“…In Africa, limited healthcare services and personal preferences for traditional remedies have resulted in the under-reporting of stroke-related illnesses5,6. However the sub-Saharan Africa is still known for its high burden of disease despite having the lowest density of healthcare providers and institutions7. Globally, 60% of stroke patients acquire permanent disabilities and experience limitations in terms of mobility, vision, voice, speech, swallowing and sexual function8.…”

Section: Introductionmentioning

confidence: 99%

“…The underlying challenges have neither been described nor documented in Blantyre, Malawi. It is unlikely that the challenges are the same as those experienced in high income or neighbouring countries because in contrast with most developed and neighbouring countries which have well developed rehabilitation services, Malawi is a low income country with underdeveloped health facilities including only one medical rehabilitation centre in Blantyre city while no rehabilitation services are available in district hospitals7,16–19. Therefore, the focus of this study was to explore the challenges and experiences of stroke patients and their spouses in Blantyre, Malawi.…”

Section: Introductionmentioning

confidence: 99%

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The challenges and experiences of stroke patients and their spouses in Blantyre, Malawi

et al. 2019

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Stroke is the second major cause of death and disability worldwide. Most stroke survivors experience various challenges due to physical and mental impairments which increase the burden on spouses during care. The broad aim of this study was to explore the challenges and experiences of stroke patients and their spouses during and after rehabilitation at the Rehabilitation Centre in Blantyre, Malawi. Methods This was a qualitative exploratory study design. We conveniently selected 18 participants. Half of the population comprised patients and the other half spouses. Data were collected through in-depth interviews and focus group discussions and were analysed using thematic content analysis. Results Stroke patients were found to be challenged by lack of mobility and failure to perform basic functional activities such as walking and feeding using the affected hand, which resulted in sudden dependence on the spouse for basic self-care and daily activities. In consequence, spouses were burdened by care-giving responsibilities while, on the other hand, most participants had limited access to rehabilitation and health services at the grassroots level. Moreover, congestion and lack of privacy were shown to exist at the Kachere Rehabilitation Centre due to inadequate space. Conclusion This study has managed to show some of the problems that stroke patients and spouses experience during and after rehabilitation. There is a need for early and adequate intervention to address functional limitations and facilitate return to work. Spouses should be made to understand the condition of their partner and educated regarding possible implications of the same. In addition, social and psychological support should form an inseparable part of the therapy. Stroke support groups and association could be considered as a way of enhancing social support and awareness.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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The challenges and experiences of stroke patients and their spouses in Blantyre, Malawi

et al. 2019

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“…4 Peterson, Hargis, and Nesbit conducted research in Malawi under a multiple-month 2011 Fulbright grant, but no other physical therapists were identified in the scholarly literature. 5 …”

Section: Discussionmentioning

confidence: 99%

Fulbright project focuses on rehabilitation technician education and physiotherapy practice at the Kachere Rehabilitation Centre in Malawi

Glickman

2017

Mal. Med. J

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IntroductionOver a 3-year period, a US Fulbright Program Scholar (FPS) had developed a successful working relationship with the leaders of Kachere Rehabilitation Centre (KRC) in Blantyre, Malawi, through interprofessional projects. 1These collaborations led to the development of a 6-week Fulbright Specialist Project (FSP) that focused specifically on the needs of the Medical Rehabilitation College's (MRC) faculty, administrators, and students. With a paucity of formally trained rehabilitation professionals in Malawi, particularly those qualified to mentor and teach entry-level learners, there are significant demands to upgrade clinical and academic services, with sustainability strategies leading to their greater autonomy. The main purposes of the overall FSP were the following: 1) To broaden the skills of rehabilitation technician faculty, administrators, and adjunct clinicians; 2) To offer ideas, strategies, and materials for particular elements of rehabilitation technician education; 3) To provide comments, questions, and suggestions on the formal MRC curricular documents; 4) To advise leaders on teaching, management, and consultation techniques; 5) To establish networks for future collaborations; 6) To identify pressing related needs and means to begin addressing them; and 7) To identify lessons learned that could apply to other scholars and potential collaborators.

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Proposed Guidelines for International Clinical Education in US-Based Physical Therapist Education Programs: Results of a Focus Group and Delphi Study

Pechak

Black

2014

Physical Therapy

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Malawi’s Physiotherapists: Implications for Clinical Faculty Development in Resource-Limited Regions of the World

Cited by 3 publications

References 29 publications

The challenges and experiences of stroke patients and their spouses in Blantyre, Malawi

The challenges and experiences of stroke patients and their spouses in Blantyre, Malawi

Fulbright project focuses on rehabilitation technician education and physiotherapy practice at the Kachere Rehabilitation Centre in Malawi

Proposed Guidelines for International Clinical Education in US-Based Physical Therapist Education Programs: Results of a Focus Group and Delphi Study

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