Alarcos Cieza, MSc, MPH, PhD World Health Organization, Head Quarters ...€¦ · Alarcos Cieza,...
Transcript of Alarcos Cieza, MSc, MPH, PhD World Health Organization, Head Quarters ...€¦ · Alarcos Cieza,...
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Alarcos Cieza, MSc, MPH, PhD
World Health Organization, Head Quarters , Geneva
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Potential
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Goal
Attainment by all
peoples of the
highest possible
standard of health
WHO Head Quarters , Geneva
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Mortality
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Causes of death in the Philippines 1990-2017
Source: Institute for Health Metrics and Evaluation (IHME). GBD Compare. Seattle, WA, 2019. Available from http://vizhub.healthdata.org/gbd-compare.
1990
2017from 44.9% to 69.3%
Communicable, maternal,
neonatal and nutritional
diseases
from 45.5% in 1990
to 22.9%
from 9.6% in to
7.7%
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Source: Institute for Health Metrics and Evaluation (IHME). GBD Compare. Seattle, WA, 2019. Available from http://vizhub.healthdata.org/gbd-compare.
Rank of causes of death in the Philippines 1990-2017
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Morbidity
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Source: Institute for Health Metrics and Evaluation (IHME). GBD Compare. Seattle, WA, 2019. Available from http://vizhub.healthdata.org/gbd-compare.
Prevalence of health conditions in the Philippines 1990-2017
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Source: Institute for Health Metrics and Evaluation (IHME). GBD Compare. Seattle, WA, 2019. Available from http://vizhub.healthdata.org/gbd-compare.
Prevalence of health conditions in the Philippines 1990-2017
Low back pain Osteoarthritis
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Functioning
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What is functioning?
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Seeing
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Communicating
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Relationships
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Hand and arm use
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Eating
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Work
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Moving around
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Why should we bother
about functioning?
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Infectious
diseases
Ageing
NCD
Injuries
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Increasing number of people
are living with
limitations in functioning
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MORTALITY MORBIDITY FUNCTIONING
Infectious
diseases
Ageing
NCD
Injuries
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0
500
1000
1500
0 10 20 30 40 50 60 70 80 90 100
Functioning score
Fre
qu
en
cy
No Mild Moderate Severe
Functioning Continuum in Philippines
0
No limitations
100
Extreme limitations
0 10 20 30 40 50 60 70 80 90 100
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Goal
Attainment by all
peoples of the
highest possible
standard of health
WHO Head Quarters , Geneva
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PROMOTION
PREVENTION
TREATMENT
REHABILITATION
Public Health
StrategiesObjective
Health
Morbidity and Mortality
Functioning
Mortality - Mortality
Recovery
Disease control
?
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Potential
to have an impact at the
population at large
but ..
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UNMET
NEED
There are significant unmet needs for rehabilitation across
all world regions, and in some countries more than 50% of
people who require rehabilitation services do not receive
them.Kamenov K, Mills JA, Chatterji S, Cieza A. Needs and unmet needs for rehabilitation services: a scoping review. Disabil Rehabil. 2019 May;41(10):1227-1237
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What needs to happen?
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Integration
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Along the continuum of care
Acute Post-acute Long-term
Primary
Secondary
Tertiary
Community
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Primary Health Care
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Source: Institute for Health Metrics and Evaluation (IHME). GBD Compare. Seattle, WA, 2019. Available from http://vizhub.healthdata.org/gbd-compare.
Prevalence of health conditions in the Philippines 1990-2017
Low back pain Osteoarthritis
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Going beyond capacity
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Equity
Everyone who needs rehabilitation receives
quality services to optimize and maintain
their functioning in everyday life
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• Provision of high-quality, essential
services for
– Health promotion,
– Prevention,
– Treatment,
– Rehabilitation and
– palliation
according to need
• Protection from financial hardship 34
Universal Health Coverage
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Governanceand
leadership
Financing
Health information
system
Health workforce
Essential medicines
and AT Integrated
and equitable
rehabilitation
Strengthening the Health System
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• Functioning
• Integration of rehabilitation at all levels of
the health systems
• UHC and health system strengthening
• Technical tools
• Agree on actions to strengthen health
systems for rehabilitation in countries
• Commitments to move the agenda forward36
Agenda
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Alarcos Cieza, MSc, MPH, PhD
World Health Organization
Avenue Appia 20
1211 Geneva 27
Switzerland
Tel.: +41 22 791 1998
Fax: +41 22 791 4874
Email: [email protected]
Website: http://www.who.int/rehabilitation
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