Journal of Rehabilitation Medicine: Special Issue 50-4bokBW | Page 75

J Rehabil Med 2018; 50: 377–383 SPECIAL REPORT STRENGTHENING REHABILITATION SERVICES IN INDONESIA: A BRIEF SITUATION ANALYSIS Boya NUGRAHA, MS, PhD 1–3 , Garry Rahardian SETYONO, MD 1 , Irma Ruslina DEFI, MD, PhD 3 and Christoph GUTENBRUNNER, MD, PhD, FRCP 1 From the 1 Department of Rehabilitation Medicine, Hannover Medical School, Hannover, Germany, 2 Graduate Program Faculty of Medicine, Universitas Gadjah Mada, Yogyakarta and 3 Department of Physical Medicine and Rehabilitation, Faculty of Medicine, Universitas Padjadjaran/Hasan Sadikin General Hospital, Bandung, Indonesia People with disability (PWD) in Indonesia are often neglected by society. Improving their life situation towards full participation in society is crucial. As a health strategy, rehabilitation can improve func­tioning, quality of life and participa- tion in society. However, rehabilitation services in Indonesia need improvement. Making a situa- tion analysis of rehabilitation services and their provision in the country is a pre-requisite to ta- king any action towards improvement. This pa- per compiles available data related to disability and rehabilitation services in Indonesia, using the Rehabilitation Services Assessment Tool (RSAT) as a framework. Gaps in provision were analysed, resulting in the compilation of a list of generic recommendations to improve rehabi- litation services in the country. Indonesia faces many challenges in rehabilitation services, inclu- ding the health workforce and the provision of services. This situation analysis and list of gene- ric recommendations may be used in further dis- cussions with relevant stakeholders in the coun- try to develop a national strategy to strengthen rehabilitation services. Key words: rehabilitation service situation ana- lysis; rehabilitation advisory teams; national disa- bility; health and rehabilitation plan; rehabilitation services; rehabilitation professions. Accepted Feb 26, 2018; Epub ahead of print xx J Rehabil Med 2018; 50: 377–383 Correspondence address: Boya Nugraha, Department of Rehabilitation Medicine, Hannover Medical School, Carl-Neuberg-Str.1, DE-30625, Hannover, Germany. E- mail: [email protected] P eople with disability (PWD) in Indonesia are often neglected by society, as they are regarded as unproductive. Even before Indonesia signed the United Nations Convention on the Rights of People with Disability (UNCRPD) in 2007 (1) the Government of the Republic of In- donesia was concerned about the rights of PWD. Indonesia has many regulations accommodating and facilitating the rights of PWD (2). Four years after signing the UNCRPD, Indonesia ratified it (1). Following this ratification, many regulations have been revised to facilitate greater inclusive- ness of PWD into society, including in the fields of education, labour, transport and health. However, there remain unmet needs of PWD, which require further elucidation. Indonesia also adopted the World Health Orga- nization (WHO) Global Disability Action Plan 2014–2021: “Better health for all people with disability” (GDAP) during the World Health Assembly 2014. On this basis, several actions to improve health service provision for PWD need to be implemented, particularly at the level of health systems. However, before any action is taken, the current situation of rehabilitation services in the country must be analysed. The aim of this study is therefore to evaluate rehabilitation services at the level of health systems by collecting and analysing available data related to disability and rehabilitation services in Indonesia. The study used available methodology; the Rehabilitation Situation Assessment Tool (RSAT) (3). The re- sults were also used to identify gaps in the rehabi- litation services. Generic recommendations were generated as a proposed basis for strengthening rehabilitation services in the country. METHODS This was a retrospective review study using secon- dary data from existing publicly accessible informa- tion. Data were collected according to the RSAT framework (3); specifically the following sections: • general country information, public health indica- tors and health system information; • information on the assessment and epidemiology of disability; • information on disability policies and governme- ntal and non-governmental stakeholders; • information about (health-related) rehabilitation service capacity. Sources used to collect data were published WHO, This is an open access article under the CC BY-NC license. www.medicaljournals.se/jrm Journal Compilation © 2018 Foundation of Rehabilitation Information. ISSN 1650-1977 doi: 10.2340/16501977-2330