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Rehabilitation research under fire

B Lagerkvist1

  • 1Pediatric Clinic, University Hospital, Uppsala, Sweden.

Scandinavian Journal of Social Medicine
|July 11, 1998
PubMed
Summary
This summary is machine-generated.

Disaster response research, following WHO guidelines, identified significant physical rehabilitation needs among war victims. A community-based rehabilitation approach proved effective, even amidst widespread infrastructure destruction and refugee crises.

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Area of Science:

  • Public Health
  • Disaster Medicine
  • Rehabilitation Science

Background:

  • Health sector catastrophes are frequent, necessitating structured research protocols.
  • A recent template for disaster response research provides a framework for effective interventions.
  • The World Health Organization (WHO) Rehabilitation of War Victims Project aimed to apply these principles in a real-world crisis.

Purpose of the Study:

  • To estimate the needs of war victims requiring physical rehabilitation.
  • To prioritize rehabilitation interventions based on disability severity.
  • To evaluate the effectiveness of a community-based rehabilitation (CBR) approach in a post-conflict setting.

Main Methods:

  • Applied WHO disaster response research principles to a project in former Yugoslavia.

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  • Assessed the prevalence of physical rehabilitation needs among war-wounded individuals.
  • Implemented and evaluated a community-based rehabilitation (CBR) model amidst destroyed infrastructure and refugee flows.

    • Main Results:

    • Approximately 30% of war-wounded individuals required physical rehabilitation.
    • A critical 5% with severe disabilities (amputations, spinal cord, traumatic brain injuries) received priority.
    • The CBR approach demonstrated satisfactory service delivery with high patient satisfaction, despite challenging circumstances.

    Conclusions:

    • Community-based rehabilitation (CBR) is a viable and effective model for war victims, even with limited resources and infrastructure.
    • Enhancing medical training for personnel significantly improved rehabilitation service delivery.
    • Ongoing research during disaster situations is crucial for informed decision-making and future aid efforts.