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Contextualization of a physiotherapy clinical practice guideline for stroke rehabilitation in KenyaKingau, Naomi Wanjiru January 2018 (has links)
Philosophiae Doctor - PhD (Physiotherapy) / Stroke is the third leading cause of death and disability worldwide. Eighty five per cent of
strokes occur in developing countries, and it is estimated that the prevalence will increase
in future. Evidence based rehabilitation programs inherent in clinical practice guidelines
has the potential to improves functional activities, and participation. However Kenya
does not have this guideline. Most clinical guidelines are developed in the western world,
and reflect developed world healthcare systems and resources that are not always
appropriate to developing nations. Likewise, guidelines are costly to produce. Kenya
lacks the resources and the expertise for de novo guideline development. It is therefore
appropriate and cost effective to contextualise the available high quality
recommendations.
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