Factors Influencing the Implementation of Rehabilitation Policy, Strategies and Planning in the Northern Districts of the West Bank: A cross sectional study
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Background Effective policy, strategies and planning realization is essential in achieving rehabilitation system at the national level. The providers of rehabilitation services, must be know the factors influencing the implementation of rehabilitation policy, strategies and planning in the northern districts of the West Bank to improve and develop the rehabilitation system at the national level that meets the needs of the patients. Objectives: To determine the factors that affects the implementation of rehabilitation policy, strategies and planning in the Northern districts of the West Bank. Methods: A cross sectional study (Nablus, Jenin, Tubas, Tulkarm, Qalqiliya, and Salfit,) of the West Bank in Palestine. The study population Consisted of (85) providers who represented the institutions providing rehabilitation services in the northern districts of the West Bank. Exploratory descriptive design utilizing a structured questionnaire designed by the researcher and reviewed by 3 advisors with a research background was utilized. The questionnaire consisted of (15) sections, and parts: The first section was related to socio demographic variables. Sections two was related to the most common types of rehabilitation services. The other sections was related to the level of factors influencing the implementation of rehabilitation policy, strategies and planning covered these topics, quality and quantity of rehabilitation services, size of rehabilitation services, financial matters, human resources, administrative system, patient- referring system, national policies and rehabilitation policies, legislation, laws, and rehabilitation system, the most serious problems facing the development of rehabilitation services, the top priority rehabilitation needs, the most suggestions that appropriate and necessary for the develop rehabilitation policies, and the most appropriate and needed to improve the quality of rehabilitation services. Analysis: Data was collected through face-to-face interviews. The analysis of the data revealed that the private sector provides (50.6%) of the total rehabilitation services in the northern West Bank, (69.4%) of the rehabilitation centers are located in cities. • A physiotherapy service is the most rehabilitation service provided in the north districts (87.1%). • Quality of rehabilitation facilities, goods and services must be scientifically and rehabilitation appropriate and of good quality (93.4%). • The size of rehabilitation services should be distributed according the needs (90.6%). • The budget for rehabilitation services should be part of the regular budgets of relevant ministries (89.6%). • Policies, laws and plans are relevant to the Palestinian reality (51.8%). • Cooperation and coordination between institutions is essential to improve rehabilitation (90.2%). • The rehabilitation policy should be comprehensive and Nation-wide (94.2%). • Distribution of rehabilitation centers in Palestine is just and appropriate (43.8%). • Rehabilitation system factor came in the first rank with very high mean of response (4.34). • The top priority to develop rehabilitation services is re-evaluating the rehabilitation system where the mean of response was (4.06). Conclusion: The connection between factor (5) (Administrative system), factor (3) (Financial matters) and factor (8) (Legislation and laws) was the third main factor contributing to explain (82.6 %) of factors influencing the implementation of rehabilitation policy, strategies and planning in the northern districts of the West Bank.