Reply To: Discussion Forum 3

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In my country, rehabilitation services are available in different locations. Those services are mostly physical therapy and prosthetic and orthotic services. Physiotherapy services are included in more than 40 hospitals and clinics and more than 20 outpatients centers. Most of them are concentrated in the urban area. Some programs deliver community based rehabilitation for children with disability but are very few. Prosthetic and orthotic services are very few and are all delivered in outpatients centers. The interdisciplinary principle is used in some few outpatient centers, but is not comprehended by other health workers. Those available rehabilitation services seem to be isolated in their functioning though many of them are integrated into hospitals and clinics. Other rehabilitation services are not available. A national mental health program have recently started the integration of psychological care into all levels of the health system care with a concentration at the community level.