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Physiotherapy in Madagascar: current challenges and opportunities for development.

Randrianaivo Rovaniaina Sarobidy¹, Claire McIvor^2,3, Philomena Commons⁴

¹Department of Rehabilitation, Hôpital Joseph Ravoahangy Andrianavalona, Antananarivo, Madagascar.

Disability and Rehabilitation

|December 21, 2020

Summary

This summary is machine-generated.

Physiotherapy in Madagascar faces challenges due to difficult working conditions and limited professional recognition. Improving clinical reasoning and training is crucial for better rehabilitation outcomes and patient quality of life.

Keywords:

Inservice training Madagascar physical therapy specialty professional education rehabilitation staff development

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Area of Science:

Global Health
Rehabilitation Medicine
Health Systems Strengthening

Background:

Low and middle-income countries exhibit higher disability prevalence.
Madagascar ranks as the ninth poorest nation globally.
Healthcare access and quality are significant challenges in resource-limited settings.

Purpose of the Study:

Analyze current difficulties faced by physiotherapists and physicians in Madagascar's hospital settings.
Provide recommendations for the future development of healthcare services.
Assess the state of physiotherapy practice in a low-income country context.

Main Methods:

Data collection over 3 months using observational logs, interviews, and questionnaires.
Utilized interpreters for all interviews.
Translated written questionnaires from English to Malagasy.

Main Results:

Key themes included difficult working conditions (high patient volume, limited space/staff).
Physiotherapy lacks professional recognition and autonomy.
Low standards in clinical reasoning, variable competence, and limited professional development were observed.

Conclusions:

Physiotherapy practice in Madagascar reflects challenges in low-income settings.
Essential needs include enhancing clinical reasoning, updating curricula, and improving multidisciplinary teamwork.
Upskilling physiotherapists will improve patient-centered rehabilitation, functioning, and quality of life.