1. What evidence do I have (or need) to identify those factors and levels posing the greatest barriers to rehabilitation in my population?

According to BMC Pulic Health publication 2019, a study on Prevalence and factors associated with utilization of rehabilitation services among people with physical disabilities in Kampala, Uganda. Utilization of rehabilitation services among people with physical disabilities in Kawempe division, Kampala, Uganda, Factors that were significantly associated with utilization of rehabilitation services among people with physical disabilities at multivariable logistic regression analysis included; age , socioeconomic status, education level and awareness of the population about the rehabilitation services
The study revealed a prevalence of 26.4% of the utilization rehabilitation services among people with physical disabilities in Kawempe division, Uganda. Factors that were significantly associated with utilization of rehabilitation services included; age, socioeconomic status, education level and awareness of the participants about the services. Therefore, the government and other relevant stake holders should increase sensitization and awareness of rehabilitation services, their benefits and facilities providing such services to people with physical disabilities, healthcare professionals and the general public.

Furthermore, in depth research is needed to get the up-to-date data on utilization of rehabilitation services basing on race, gender, culture, religion, economic status among others.

2. How does my own professional expertise and organizational access suggest where I might be most be effective in developing and launching an intervention?
As a medical social worker, I am most effective in developing and launching an intervention through, aiding and counselling persons with disability through obtaining AT benefits, coordinating resources to help PWDs, mentoring different stakeholders on how to offer respectful care to diverse populations and how to recognize and address their unconscious beliefs about various social groups.

3. What formative research might be needed to understand the precise intervention that would be most appropriate and impactful towards overcoming the challenges I identify?
The formative research I need would be based on needs assessment, ensuring leaders buy in the idea(religious and cultural, the political leaders), identifying priorities, then continuous monitoring and evaluation.

4. When considering potential interventions, what factors related to implementation do I need to consider?
I need to consider the cost implications, acceptability, perception from community, feasibility, fidelity, integration with other services on ground, political stability of an area, the sustainability of the program/intervention.

5. What implicit biases may be at work in my culture or context and how do those implicit biases impact an individual’s ability to access and benefit from rehabilitation?
Implicit biases means having unconscious negative attitude, mindset, behavior impacting on others in the society, in specific a certain social group. For example it can be towards a certain gender, race, religion, culture, economic status. This creates a barrier to benefiting from rehabilitation where people cannot access certain services due to biased policies, unequal resource distribution ,knowledge gap thus a barrier in benefitting from rehabilitation.