COMMUNITY BASED REHABILITATION

1. Extension services and mobile
units
Extension services and mobile units
- HETA PATEL (R2)

2. Objectives
• To learn what is extension services and mobile
units
• Needs of extension services and mobile units
• Physiotherapy and mobile units

3. Barriers of health care services
• Inaccesible / unavailable health care services
• Lack of financial support
• Lack of transport
• Healthcare not a priority
• Lack of service co ordination
• Language barriers
• Chronic homelessness
• Unaware about the services at all

4. How mobile units can be helpful?

5. • Helps to provide services to the one who are
unable to come to the clinic
• Comfortable for the patients to have services at
their doorstep
• Helping to the elderly
• Promotes community based rehabilitation

6. Partial requirement
• The patient that has just had surgery and needs
or desires an early start on the rehab
process before they are safe to get in and out of
the house
• Patient needs evaluation for their home place for
review of environment or fall prevention
• The patient is a care taker of a child or any other
family member

7. Types of mobile units
• Recreational vehicle
• Truck
• Passenger van
• Bus
• Custom designed

8. Marketing of services
• Mouth to mouth publicity
• Pamphlets, advertisements, posters,
signs
• appearance/visibility of mobile unit
• media: radio, TV
• newsletter
• brochure
• marketing department

9. Obstacles in the programme
• Lack of financial capacity
• Vehicle/ equipment problem
• Clinical information management
• Staffing issues
• Insufficient space
• Patient follow up problem
• Parking issues
• Community access problems

10. Strategies to overcome obstacles
• Multi-tasking/cross-training staff, corporate
sponsorship, collaboration with community
partners
• Maintenance/repair schedule,
• Laptop, tablets
• Regular staff meetings, training, burnout
prevention
• Purchasing larger mobile unit
• cell phones to coordinate follow-up
appointments

12. Which all physiotherapy services can
be provided?
• Electrotherapy
• Suspension therapy
• Manual therapy