'I am what I am because of who we all are': international perspectives on rehabilitation: South Africa.
This article provides an overview of some of the important factors that impinge on people with cerebral palsy and their families, on medical and rehabilitation personnel, and on systems of healthcare and education in South Africa. Information is provided with regard to the national contextual variables that influence intervention in the country. The incidence of cerebral palsy is related to some of the more prominent aetiological variables including poverty, malaria, HIV/Aids and premature birth. Health care systems available for children with cerebral palsy are discussed, including the role of traditional healers. Access to education, training and care of children with cerebral palsy is described, including a brief history of specialized education in South Africa. An overview of the personnel, approaches and work contexts involved in rehabilitation highlights the unique nature of intervention in South Africa. The article concludes with recommendations for interventionists with reference to lessons that can be learned in terms of adapting skills and knowledge to local needs, in order to work successfully with children with cerebral palsy and to develop the resilience of their families. In addition, it is suggested that the definition of cerebral palsy needs to reflect the context in which the person lives.
Levin
Karen
K
Speech Pathology and Audiology, School of Human and Community Development, University of Witwatersrand, Johannesburg, South Africa. levink@umthombo.wits.ac.za
D002547:Cerebral Palsy / Q000534:rehabilitation*; D002648:Child; D003906:Developing Countries; D005190:Family; D006297:Health Services Accessibility; D006801:Humans; D038622:Internationality; D008519:Medicine, Traditional; D011203:Poverty; D012931:Social Environment; D013019:South Africa