In Mongolia

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1. What evidence do I have (or need) to identify those factors and levels posing the greatest barriers to rehabilitation in my population?
Currently, there is not enough statistical information. However, from a practical point of view, insufficient finance, lack of accessibility, and lack of human resources and infrastructure are the biggest barriers.
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 specialist in trauma rehabilitation, I see a lot of work to be done to make rehabilitation after spinal cord injury and scoliosis more accessible.
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?
Prevalence studies should be conducted to clarify underlying causes and other influencing factors before implementing interventions. Accordingly, after defining the intervention, an RCT study will be conducted to test the intervention. Implementation analysis will be done during implementation. Finally, cohort or long-term studies can be used to assess consistency.
4. what factors related to implementation do I need to consider when considering potential interventions?
As I mentioned before, insufficient finance, lack of accessibility, and lack of human resources and infrastructure are the biggest barriers. But the most important one will be sustainability. Because it tends to stop the intervention when the funding stops. Therefore, it is very important that we involve the government in our activities before the end of the duration of the project, and that long-term sustainable financing is settled by law and related policy.
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?
In our country, the tendency to discriminate based on appearance and clothing has been observed recently. There is a tendency to treat people who are well-dressed and well-dressed more friendly and courteous. However this has not been confirmed by any research.

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