PhD Defence: Anna Boisgillot

Towards inclusive health systems in low-and middle-income countries: assessment of current and potential coverage of physical and functional rehabilitation care for people with disabilities

Jury

Martine AUDIBERT, Directrice de Recherche émérite, CNRS-Université Clermont Auvergne
Jacky MATHONNAT, Professeur émérite, Université Clermont Auvergne
Samira GUENNIF, Maître de conférences-HDR, Université Paris XIII
Bruno VENTELOU, Directeur de Recherche, CNRS-Aix-Marseille Université
Hapsatou TOURE, Economiste, World Health Organization
 

Summary of Thesis

Access to rehabilitation care is one of the most important health strategies in line with promotion, prevention, treatment, and palliative care within the international community. This thesis fits into the economic literature on the inclusion of rehabilitation care in low-and middle-income countries (LMICs). The aim is to provide an assessment of current and potential coverage of physical and functional rehabilitation care for persons with disabilities with the final objective to contribute to more inclusive health systems in LMICs for the most vulnerable people. The chapter 1 is a situational analysis of physical and functional rehabilitation in LMICs. The second chapter focuses on the analysis of rehabilitation in Cambodia, while the third one provides some inputs from Rwanda’s perspective. These two countries have been studied to concretely understand how physical and functional rehabilitation services are financed, managed and covered by state and non-state actors. Overall, the thesis underlined that every country has a different starting point for the inclusion of rehabilitation in the universal health coverage (UHC). The aim for all LMICs, committed to the UHC, is to make access to quality, affordable health and rehabilitation care a reality for all people. However, the process to reach this objective is difficult to answer for most countries, but certain pathwayscan ensure success.
 

Keywords

Cambodia; governance; health financing; health systems; inclusion; low-and middle-income countries; persons with disabilities; rehabilitation; Rwanda; social protection; sustainable development goals; universal health coverage

theses.fr/en/s181612