Department of Neurophysiotherapy, K. J. Somaiya College of Physiotherapy,
Mumbai, Maharashtra, India
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International evidence shows that people with disabilities have unmet health and rehabilitation needs, face barriers in accessing mainstream health-care services, and consequently have poor quality of life. This article provides a narrative overview of literature on neurorehabilitation in developing countries, especially from the perspective of India and highlights some of the challenges in rehabilitation within the context of neurological conditions. Several issues related to neurorehabilitation are discussed for a systematic approach to build horizontal health care systems that are sustainable and responsive; involvement of bilateral agencies using multi-sectorial approach, new partnerships, strategic collaboration; provision of technical assistance, research and development; and capacity-building for a strong interdisciplinary workforce. Other factors that need to be addressed include governance for strengthening health care systems through logistics, surveillance and service delivery; and adequate scaling. Enlisted here is also a list of comprehensive summary actions to tackle neurological disorder-related disability, and offers governments, policy-makers and other relevant stakeholders a blueprint for implementing recommendations of the World Disability Report and the Convention on the Rights of Persons with Disabilities, and facilitate social inclusion of persons with neurological conditions, in countries at all stages of development. This document is prepared for crystallizing the vision of neurorehabilitation for the future in the year 2025. The vision will reflect our aspirations, the full potentials of growth and development, and layout the efforts needed to fulfill this vision. This vision may in parallel serve to address the strategic implementation for other disability conditions. We hope it will facilitate increased cooperation and innovation and inspire commitment to preventing these debilitating disorders and providing the best possible care for people who suffer from them.