Telerehabilitation In South Africa – Is There A Way Forward?

Authors

  • Maurice Mars Nelson R Mandela School of Medicine University of KwaZulu-Natal

DOI:

https://doi.org/10.5195/ijt.2011.6069

Abstract

South Africa, like the rest of sub-Saharan Africa, has a disproportionate burden of disease and a shortage of health professionals. Telemedicine has been identified as a possible way of overcoming part of the problem but telemedicine has not been widely adopted. In the public sector hospitals in South Africa which serve 82% of the population there are 2.5 physiotherapists and 2 occupational therapists per 100,000 people served. The extent of telerehabilitation in South Africa is unknown. A literature review of telerehabilitation found no papers from South Africa. A survey of the heads of university departments of physiotherapy, occupational therapy and speech and language pathology revealed limited knowledge of telerehabilitation. Telerehabilitation services are confined to follow-up of patients at some institutions by telephone, fax or email. There is need to raise awareness among therapists if telerehabilitation is to become a reality in South Africa.  Future actions are outlined.

  

Author Biography

Maurice Mars, Nelson R Mandela School of Medicine University of KwaZulu-Natal

Dr. Mars is President of the South African Telemedicine Association and  Professor and Head of the Dept of TeleHealth, Nelson R Mandela School of Medicine.

References

African Union. (2007). Africa health strategy: 2007-2015.

Armstrong, P. L., Lekezwa, B., & Siebrits, F. K. (2008). Poverty in South Africa: A profile based on recent household surveys. EconPapers, (4), 26. Retrieved from http://EconPapers.repec.org/RePEc:sza:wpaper:wpapers52

Cell-Life. (2011). Cell Life. from http://www.cell-life.org/

Committee A. (2005). World Health Assembly eHealth Resolution (WHA 58.28).

Corr, P. (1998). Teleradiology in KwaZulu-Natal. A pilot project. S.Afr.Med.J., 88(1), 48-49.

Gulube, S. M., & Wynchank, S. (2002). The national telemedicine system in South Africa--an overview and progress report. S.Afr.Med.J., 92(7), 513-515.

Health Systems Trust. (2011). Health Systems Trust - Health Statistics. from http://www.hst.org.za/healthstats/index.php

International Telecommunications Union. (2011). Key Global Telecom Indicators for the World Telecommunication Service Sector. from http://www.itu.int/ITU-D/ict/statistics/at_glance/KeyTelecom.html

Jithoo, R., Govender, P. V., Corr, P., & Nathoo, N. (2003). Telemedicine and neurosurgery: experience of a regional unit based in South Africa. J.Telemed.Telecare, 9(2), 63-66.

Kekana, M., Noe, P., & Mkhize, B. (2010). The practice of telemedicine and challenges to the regulatory authorities. South African Journal of Bioethics and the Law, 3(1), 33-37.

Mars, M. (2007). Telemedicine in KwaZulu-Natal, South Africa: from failure to cautious optimism. Journal of Telemedicine and Telecare, 13(Suppl 3), 57-59.

Mars, M. (2009). Tele-education in an African country Global telemedicine and ehealth updates (Vol. 2, pp. 332-335). Luxembourg: LuxExpo.

Mars, M., & Jack, C. (2010). Why is telemedicine a challenge to the regulators? South African Journal of Bioethics and the Law, 3(2), 55-58.

Mars, M., & Scott, R. E. (2010). Global e-health policy: a work in progress. Health Affairs, 29(2), 1-8.

Minwatts Marketing Group. (2011). Internet usage statistics for Africa. from http://www.internetworldstats.com/stats1.htm

Molefi, M. (2006). A Primary Health Care Telemedicine Workstation. Retrieved from http://www.medetel.lu/download/2006/parallel_sessions/presentation/0407/Molefi.pdf

Nepad. (2009). The new partnership for Africa’s development (NEPAD) health strategy. Initial programme of action. from http://www.chr.up.ac.za/undp/regional/docs/nepad5.pdf

Ontario Hospital Association. (2011). Health systems facts and figures. Retrieved 31 March 2011

Simpill. (2011). Simpill. from http://www.simpill.com/thesimplesolution.html

South Africa Info. (2011). Health care in South Africa. from http://www.safrica.info/about/health/health.htm

Statistics South Africa. (2010). Mid-year population estimates 2010. Pretoria.

United Nations Department of Economic and Social Affairs. (2010). World Urbanization Prospects: the 2009 Revision Population Database. [http://esa.un.org/wup2009/unup].

United Nations Department of Economic Social Affairs Population Division. (2009). World population prospects. The 2008 revision highlights. New York: United Nations.

United Nations Development Program. (2010). Human Development Report 2010 (Vol. 20). New York: Palgrave Macmillan.

World Bank. (2011). World Development Indicators. from http://www.google.com/publicdata?ds=wb-wdi&met=ny_gdp_mktp_cd&idim=country:ZAF&dl=en&hl=en&q=gdp+south+africa

World Confederation of Physical Therapists. (2011). from http://www.wcpt.org/africa

World Federation of Occupational Therapists. (2011). from http://www.wfot.org/

World Health Organization. (2006a). Building foundations for eHealth. Report of the WHO Global Observatory for eHealth. Geneva: WHO Press.

World Health Organization. (2006b). World health report 2006: working together for health. Geneva: WHO Press.

World Health Organization. (2010). World health statistics 2010: WHO Press.

World Health Organization African Region. (2011). eHealth solutions in the African region: current context and perspectives. AFR/RC60/R3. Retrieved from http://www.google.co.za/#hl=en&safe=off&biw=689&bih=539&q=eHealth+solutions+in+teh+African+Region&aq=o&aqi=&aql=&oq=&fp=6104ee3752daf963

Published

2011-05-24

How to Cite

Mars, M. (2011). Telerehabilitation In South Africa – Is There A Way Forward?. International Journal of Telerehabilitation, 3(1). https://doi.org/10.5195/ijt.2011.6069

Issue

Section

Country Report