11 | Care in Low and Middle-Resource Countries

Challenges to Comprehensive Care in a Middle-Income Country

The World Health Organization (WHO) estimates that 80 percent of people with disabilities live in developing countries. In fact disability rates are disproportionally higher in lower than in higher-resource countries.1 2

Read more: General Introduction

Healthcare Provision After Injury

Mr. Dee, a 41-year old farmer, lived and worked in a rural area of Northern Thailand. A fall resulted in a spinal cord injury (SCI) that had a drastic impact on his life and livelihood.

Read more: Mr. Dee's Story

Interviewing Mr. Dee

Mr. Dee and the rehabilitation team began the assessment of his functioning status by identifying problems and needs as seen from his own perspective as well as from the perspective of the health professionals on his rehabilitation team. For the health professionals' perspective, a list of ICF categories was used as a guide.

Read more: Assessment

Moving Around Using Equipment

Every intervention target that was determined during the assessment phase was allocated to corresponding member(s) of the rehabilitation team during the assignment phase of the Rehab-Cycle®. The respective team member was responsible for addressing the intervention targets with specific interventions during the intervention phase.

Read more: Assignment and Intervention

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After about six weeks of rehabilitative interventions, Mr. Dee's functioning was re-evaluated to see how well he had progressed.

Read more: Evaluation

Living Situation in Rural Thailand

The case study of Mr. Dee highlights some strengths and limitations of spinal cord injury (SCI) rehabilitation in low and middle-resource countries.

Read more: Discussion

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