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Haile S.T.1
1ICRC, Physical Rehabilitation Program, Addis Ababa, Ethiopia
Background: The International Committee of the Red Cross Physical Rehabilitation Programme supports more than hundred physical rehabilitation centres worldwide and is in the process to develop tool to measure the quality of the services. Indeed, quality control ensures best outcomes at the beneficiary level. The PTTA's objectives are to evaluate the quality of physiotherapy services provided to the service users but, also to have an objective discussion with physiotherapy staff to reinforce our ongoing support. It has also helped to develop a better interdisciplinary approach to address the issues identified by this tool.
Purpose: ICRC has defined physiotherapy standards and is in the process to develop quality assessment tools in order to ensure that the Standards are discussed with partner organizations and in the process of being implemented. In low income countries, the practice often does not allow to use validated tools which prompted the ICRC to design a specific one.
Methods: The PTTA uses three methods to assess quality:
A service user (SU) file review (6 items), questions for the SU (6 items) and objective testing
(a combination of validated and non-validated outcome measures at all ICF levels), 9 items).
PTTA EPI Info V 7 data base analyses the data entered for all SUs. The PTTA has been used in Ethiopia for this survey from end of 2014to now.
Results: 214 beneficiaries from 7 ICRC supported PRCs were assessed; 200 (93.46%) adults and 130 (60.75%) males. Informed consent was documented for 59 (27.57%) SUs. For 38 SUs (17.76%) all relevant sections of the assessment are fully completed. 13 SUs (6.07%) had the treatment plan written including device prescription. 165 SUs (77.10%) expectation were met on completion of the rehabilitation service and 41 SUs (19.16%) expectation met in more or less/ average scale, whereas for the rest 8 SUs (3.74%) expectation were not met. The gait pattern analysis done and the result was very good for 48 SUs (22.43%): having an independent, efficient and functional gait. Physiotherapy services met fully the needs of 10 SUs (4.67%), averagely for 78 SUs (36.45) and only poorly for the remaining 126 (58.88%).
Conclusion(s): This first use of the PTTA proved to provide us with clear information about the physiotherapy services provided. This gave the team clear information about challenges, difficulties and areas of improvement (e.g. SU data record, progress recording); it also informed on training packages requested as well as information leaflets, etc. To our knowledge, this is the first tool within ICRC supported project to assess physiotherapy service provision.
Implications: This first pilot strongly recommends the use of quality measurement tools, such as the PTTA, as it has increased quality practice, both at the SU level (e.g. development of a leaflet to better inform the SU about the device and associated rehabilitation) and the professionals level (e.g. importance of informed consent understood and recognition of the use of SU records.
Funding acknowledgements: I would like to express my heartfelt gratitude for ICRC for sponsoring all cost related to this abstract.
Topic: Outcome measurement
Ethics approval: I dont know how say it but before collect the data we gave oral consent for every participants involved.
All authors, affiliations and abstracts have been published as submitted.
