2023-09-19-世界卫生组织-Information_sheet_for_countries_2页_261kb

Basic Rehabilitation Package Clinical Resource Summary

Introduction

• What it is: The Basic Rehabilitation Package (BRP) Clinical Resource is a clinical tool by WHO for integrating rehabilitation into primary health care and low-resource settings.

Importance of Rehabilitation in Primary Health Care

• Growing global need due to aging population, noncommunicable diseases, conflicts, and injuries.
• Rehabilitation integrated into PHC improves accessibility and affordability of services.
• Prioritizes interventions to address resource limitations.

The Basic Rehabilitation Package (BRP)

• Outlines a limited set of prioritized, evidence-based interventions for rehabilitation in PHC.
• Focuses on low-cost, high-impact interventions deliverable by the existing PHC workforce.
• Provides a guide for health planners, including required resources like equipment and assistive products.
• Addresses rehabilitation through task-sharing and training existing PHC staff.

The Clinical Resource

• Supports clinical decision-making for rehabiliatation needs identification and intervention provision.
• Uses a decision-tree structure similar to other WHO tools (e.g., WHO PEN Package).
• Enables PHC workers to assess functioning difficulties and deliver basic interventions.
• Includes an implementation guide and training package for blended learning.

Purpose

• Overcomes resource constraints by training PHC workers to provide basic rehab interventions and refer to specialists when needed.
• Enhances access by making rehab services closer to patients and integrating into ongoing care.

Target Audience and Training

• Designed for PHC workers like doctors and nurses, with support from rehabilitation specialists.
• Training uses blended learning, online, and face-to-face methods through workshops or integrated programs.

Process for Providing Rehabilitation

• Step 1: Assess
  • Determine area of difficulty.
  • Rule out red flags.
  • Refer if specialist is accessible.
• Step 2: Deliver
  • Provide interventions including assistive products.
  • Re-assess and review progress.
• Step 3: Monitor
  • Monitor progress.
  • Discharge with referral if needed.

Implementation Details

• Training can be stand-alone or included in programs like WHO’s ICOPE or TAP.
• Contact: WHO Rehabilitation Programme for further information (rehabilitation@who.int).