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Original Research Open Access
Volume 6 | Issue 1 | DOI: https://doi.org/10.46439/rehabilitation.6.038

Nurses’ insights on challenges and strategies to enhance rehabilitation in rural primary care settings

  • 1Institute of Global Health Equity Research, University of Global Health Equity, Kigali, Rwanda
  • 2Institute of Global Health, University of Global Health Equity, Kigali, Rwanda
  • 3Campus Operation and community mobilization, University of Global Health Equity, Kigali, Rwanda
+ Affiliations - Affiliations

Corresponding Author

Emmanuel Ngwakongnwi, engwakongnwi@ughe.org

Received Date: July 11, 2025

Accepted Date: August 12, 2025

Abstract

Introduction: Rehabilitation is a fundamental healthcare component focusing on enhancing and restoring functional ability and quality of life for individuals experiencing physical, mental, cognitive, social, and psychological limitations. Rehabilitation helps individuals to maintain or regain independence, reduces long-term disability and improves community integration. In Rwanda, rehabilitation services are largely inaccessible in rural primary care (PC) settings, where the majority of persons with disabilities reside. This study explores nurses' insights on challenges and strategies to enhance rehabilitation in rural PC in Burera district, Northern Rwanda.

Methods: The study used a qualitative exploratory design to understand the challenges of rehabilitation services in PC. The study involved a focus group discussion (FGD) that used a semi-structured interview guide. Ten health centers’ nurses participated in the FGD conducted at University of Global Health Equity (UGHE), Butaro campus. The inclusion criteria were a minimum of one year working in outpatient service at the health center. Additionally, three follow-up individual interviews were conducted to validate information provided during FGD.

Results: The study identified challenges affecting rehabilitation services delivery and utilization, and strategies to enhance rehabilitation services at health centers. This included challenges faced by rural health centers such as limited access to rehabilitation services, inadequate resources and structural and social barriers. These challenges hinder access and utilization of rehabilitation services at health centers. Despite the challenges, nurses highlighted strategies to overcome the listed barriers, such as investment in rehabilitation services, an outreach model, and telerehabilitation, which should increase rehabilitation services at PC.

Conclusions: Primary healthcare settings in rural Rwanda face multifaceted barriers in providing rehabilitation services. Strengthening service delivery requires integrating rehabilitation into PC, training rehabilitation health personnel, improving infrastructure, and adopting innovative solutions like digital rehabilitation. These efforts will enhance access, reduce disparities, and promote the social inclusion of persons with disabilities in rural communities.

Keywords

Rehabilitation, Challenges, Strategies, Primary care, Nurses, Disability, Rwanda, Rural settings, Qualitative study

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