Abstract Details

Title Challenges Faced in Semi Urban & Rural Rehabilitation Center: A single Center Prospective Study from India

Topic Global Health and Neuroepidemiology

Presentation(s) P2 - Poster Session 2 (5:30 PM-6:30 PM)

Poster/Presentation
Number 7-048

Objective

Challenges faced while working in predominantly rural area specially in developing countries are different. We present here experience from a rehabilitation center based in resource poor drought prone area in India.

Background Resource poor areas face different challenges so different ways needed to suit needs of local population.

Design/Methods This data is derived from single neuro-rehabilitation center baseed at Latur,India.This area is highly drought prone and faced one of the worst droughts in India of recent times. The center serves predominantly to low socio-economical and rural population. The data presented here is prospectively collected from 31 March 2014 to 31 June 2017

Results

During the study period there were 2550 patients who availed services at the center. 60% were male patients .More than 65% people who were treated were from rural areas. Average distance people had traveled to reach the rehab center was approx 50 km which takes approximately 2 to3 hrs of one way travel time .Patients presented more for regional pain syndromes. Cervical and lumbar radiculopathy were most common syndrome 27.45% 26%. vertigo 11.37%,Neuropraxic syndrome 8.39%,stroke 3.9%.Many of patients believe that their problems are due to curse of God

Conclusions

Working in neuro-rehabilitation center in rural setups have different challenges than to work in metropolitan areas. Due to misconceptions about rehab services & highly irregular followup,outcomes many times remain sub optimal.Many times people just attend one session and did not turn up for followup due to distances and specially due to one day loss of wages. Pain is more common reason to attend the services. Pain is more common due to working in farm and bringing water from long distances in heavy water utensils. Mostly female patients didn’t attempt exercise/stretching sessions. Many non-scientific local ways to treat and superstitions also causes hurdles in therapy which also need to address as part of therapy.

Authors/Disclosures
Devashish D. Ruikar, MD (Shree Neurocare Center) PRESENTER	Dr. Ruikar has nothing to disclose.
Sachin M. Kokane	No disclosure on file
Devashish D. Ruikar, MD (Shree Neurocare Center)	Dr. Ruikar has nothing to disclose.

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