Physiotherapy Services in Bahrain: Are We Ready to Deal with a Disaster?

Abstract

Background: Mitigating disaster-related disability by medical response is well established, and physiotherapy has been considered in the medium- to longterm care plan of the affected people. Purpose: To explore the sufficiency of the physiotherapy services in the Kingdom of Bahrain to meet the demands and needs of
the population health and during a disaster, and to examine the relationship between the currently specialized physiotherapists (PTs) and their ability to cope with the cases associated with a disaster. Methods: Public data from three different governmental entities were analyzed regarding the population demographics and the number and specialties of the PTs. A market survey was conducted to collect data about the specializations needs. Results: There are 1.7 PTs for every 10,000 persons, and only 8% of the licensed PTs are specialized in orthopedics, neurology and pediatrics. About 30% of the PT workforce are non-Bahraini. Conclusion: The number of PTs per 10,000 persons in Bahrain is below the world’s average, and the current specializations of the licensed PTs may be insufficient to handle the complex cases of a disaster.



Keywords: Physiotherapy, Rehabilitation, Disaster Response, Medical Response, Resilient Health Care

References
[1] Amatya, B., Galea, M., Li, J., & Khan, F. (2017). Medical rehabilitation in disaster relief: Towards a new perspective. J Rehabil Med, 49(8), 620-628. doi: 10.2340/16501977- 2250


[2] Birch, S., Kephart, G., Tomblin-Murphy, G., O’Brien-Pallas, L., Alder, R., & MacKenzie, A. (2007). Human Resources Planning and the Production of Health: A NeedsBased Analytical Framework. Canadian Public Policy, 33(Supplement 1), S1-S16. doi: 10.3138/9R62-Q0V1-L188-1406


[3] CSB. (2015). About CSB. Civil Service Bureau (CSB). Retrieved 22 September, 2018, from https://www.csb.gov.bh/en/civil-service-bureau/about-csb.html.


[4] DREF. (2018). Disaster Relief Emergency Fund (DREF). International Federation of Red Cross and Red Crescent Societies (IFRC). Retrieved 21 September, 2018, from https://media.ifrc.org/ifrc/dref/.


[5] Economics, T. (2017, 21 September 2018). Bahrain GDP per Capita. IECONOMICS INC. Retrieved 20 September 2018, from https://tradingeconomics.com/bahrain/gdpper-capita.


[6] Eldar, R., & Jelić, M. (2003). The association of rehabilitation and war. Disability and Rehabilitation, 25(18), 1019-1023. doi: 10.1080/0963828031000137739


[7] Fritz, H. M., Blount, C. D., Albusaidi, F. B., & Al-Harthy, A. H. M. (2010). Cyclone Gonu storm surge in Oman. Estuarine, Coastal and Shelf Science, 86(1), 102-106. doi: https: //doi.org/10.1016/j.ecss.2009.10.019


[8] IGA. (2002). Constitution of the Kingdom of Bahrain. Information & eGovernment Authority (IGA). http://www.wipo.int/edocs/lexdocs/laws/en/bh/bh020en.pdf.


[9] IGA. (2017). Bahrain in Figures. Information & eGovernment Authority (IGA). http: //www.iga.gov.bh/Media/Pdf-Section/Bahrain_in_figures_Booklet.pdf.

`
[10] Jesus, T. S., Koh, G., Landry, M., Ong, P. H., Lopes, A. M., Green, P. L., & Hoenig, H. (2016). Finding the ”Right-Size” Physical Therapy Workforce: International Perspective Across 4 Countries. Phys Ther, 96(10), 1597-1609. doi: 10.2522/ptj.20160014


[11] Khan, F., Amatya, B., Gosney, J., Rathore, F. A., & Burkle, F. M. (2015). Medical Rehabilitation in Natural Disasters: A Review. Archives of Physical Medicine and Rehabilitation, 96(9), 1709-1727. doi: https://doi.org/10.1016/j.apmr.2015.02.007


[12] Landry, M. D., Hack, L. M., Coulson, E., Freburger, J., Johnson, M. P., Katz, R., . . . Goldstein, M. (2016). Workforce Projections 2010-2020: Annual Supply and Demand Forecasting Models for Physical Therapists Across the United States. Phys Ther, 96(1), 71-80. doi: 10.2522/ptj.20150010


[13] Lange, S., & Vollmer, S. (2017). The effect of economic development on population health: a review of the empirical evidence. British Medical Bulletin, 121(1), 47-60. doi: 10.1093/bmb/ldw052


[14] MOH. (2016a). Census and Demographic Statistics. Bahrain: Health Information Directorate. Ministry of Health (MOH). Retrieved from https://www.moh.gov.bh/ Content/Files/Publications/statistics/HS2015/hs2015_e.htm.


[15] MOH. (2016b). Human Resources. Bahrain: Health Information Directorate. Ministry of Health (MOH). Retrieved from https://www.moh.gov.bh/Content/Files/ Publications/statistics/HS2015/hs2015_e.htm.


[16] MOH. (2016c). Primary Health Care. Bahrain: Health Information Directorate. Ministry of Health (MOH). Retrieved from https://www.moh.gov.bh/Content/Files/ Publications/statistics/HS2015/hs2015_e.htm.


[17] MOH. (2016d). Salmaniya Medical Complex. Bahrain: Health Information Directorate. Ministry of Health (MOH). Retrieved from https://www.moh.gov.bh/ Content/Files/Publications/statistics/HS2015/hs2015_e.htm.


[18] MOH. (2016e). Summary Statistics. Bahrain: Health Information Directorate. Ministry of Health (MOH). Retrieved from https://www.moh.gov.bh/Content/Files/ Publications/statistics/HS2015/hs2015_e.htm.


[19] MOH. (2018). Ministry of Health Background. Ministry of Health (MOH). 2018, from https://www.moh.gov.bh/Ministry.


[20] MOI. (2016). National Center for Disaster Management Crisis (NCDMC). Ministry of Interior (MOI). Retrieved 21 September, 2018, from https://www.gdcd.gov.bh/ about-gdcd/national-center-for-disaster-management-crisis/.


[21] Moore, J. H., Goffar, S. L., Teyhen, D. S., Pendergrass, T. L., Childs, J. D., & Ficke, J. R. (2013). The Role of US Military Physical Therapists During Recent Combat Campaigns. Phys Ther, 93(9), 1268-1275. doi: 10.2522/ptj.20120136


[22] NHRA. (2013). Overview of NHRA. National Health Regulatory Authority (NHRA). Retrieved 22 September, 2018, from http://www.nhra.bh/SitePages/View. aspx?PageId=4.


[23] NHRA. (2016). Healthcare Professionals Allied List. National Health Regulatory Authority (NHRA). Retrieved 10 February, 2018, from http://www.nhra.bh/ SitePages/View.aspx?PageId=83.


[24] NPA. (2015). The Role of Physical Therapists in the Medical Response Team Following a Natural Disaster: Our Experience in Nepal. Journal of Orthopaedic & Sports Physical Therapy, 45(9), 644-646. doi: 10.2519/jospt.2015.0108


[25] Pallister, J. S., McCausland, W. A., Jónsson, S., Lu, Z., Zahran, H. M., Hadidy, S. E., . . . Moufti, M. R. H. (2010). Broad accommodation of rift-related extension recorded by dyke intrusion in Saudi Arabia. Nature Geoscience, 3, 705. doi: 10.1038/ngeo966


[26] https://www.nature.com/articles/ngeo966#supplementary-information


[27] Rathore, F. A., Gosney, J. E., Reinhardt, J. D., Haig, A. J., Li, J., & DeLisa, J. A. (2012). Medical Rehabilitation After Natural Disasters: Why, When, and How? Archives of Physical Medicine and Rehabilitation, 93(10), 1875-1881. doi: https://doi.org/10. 1016/j.apmr.2012.05.018


[28] Reinhardt, J. D., Li, J., Gosney, J., Rathore, F. A., Haig, A. J., Marx, M., . . . Rehabilitation Medicine’s Sub-Committee on Rehabilitation Disaster, R. (2011). Disability and health-related rehabilitation in international disaster relief. Global Health Action, 4, 10.3402/gha.v3404i3400.7191. doi: 10.3402/gha.v4i0.7191


[29] Shaik, A., & Shemjaz, A. (2014). The rise of physical therapy: A history in footsteps. Archives of Medicine and Health Sciences, 2(2), 257-260. doi: 10.4103/2321- 4848.144367


[30] Sran, M. M., & Murphy, S. (2009). Postgraduate physiotherapy training: interest and perceived barriers to participation in a clinical master’s degree programme. Physiother Can, 61(4), 234-243. doi: 10.3138/physio.61.4.234


[31] Subyani, A. M. (2011). Hydrologic behavior and flood probability for selected arid basins in Makkah area, western Saudi Arabia. Arabian Journal of Geosciences, 4(5- 6), 817-824.


[32] Vos, T., Flaxman, A. D., Naghavi, M., Lozano, R., Michaud, C., Ezzati, M., . . . Memish, Z. A. (2012). Years lived with disability (YLDs) for 1160 sequelae of 289 diseases and injuries 1990-2010: a systematic analysis for the Global Burden of Disease Study 2010. Lancet, 380(9859), 2163-2196. doi: 10.1016/s0140-6736(12)61729-2


[33] WCPT. (2013, 20 September 2018). Physical therapy: a global profile - Infographic 1. World Confedaration for Physical Therapy (WCPT). Retrieved 20 September, 2018, from https://create.piktochart.com/output/5379562-wcptdatainfographic1.


[34] WCPT. (2016). The Role of Physical Therapists in Disaster Management. World Confedaration for Physical Therapy (WCPT). Retrieved 21 September, 2018, from https://www.wcpt.org/sites/wcpt.org/files/files/resources/reports/ WCPT_DisasterManagementReport_FINAL_March2016.pdf.


[35] WCPT. (2017). Policy statement: Physical therapist practice specialisation. World Confederation for Physical Therapy (WCPT). Retrieved 20 September, 2018, from https://www.wcpt.org/policy/ps-specialisation.


[36] WHO. (2002). Disasters & Emergencies Definitions. Addis Ababa: World Health Organization (WHO). World Health Organization. Retrieved from http://apps.who. int/disasters/repo/7656.pdf.