Poster Presentation Asia Pacific Stroke Conference 2024

Current practice of stroke rehabilitation services in Indonesia: an organisational survey (#353)

Yudi Hardianto 1 2 , Tara Purvis 1 , Michele Callisaya 3 4 , Elizabeth Lynch 5 , Richard I Lindley 6 7 , Dominique A Cadilhac 1 8
  1. Stroke and Ageing Research, Department of Medicine, School of Clinical Sciences, Monash University, Clayton, VIC, Australia
  2. Department of Physiotherapy, Faculty of Nursing, Hasanuddin University, Makassar, South Sulawesi, Indonesia
  3. Peninsula Clinical School, Central Clinical School, Monash University, Frankston, VIC, Australia
  4. Menzies Institute for Medical Research, University of Tasmania, Hobart, TAS, Australia
  5. College of Nursing and Health Sciences, Flinders University, Bedford Park, SA, Australia
  6. The George Institute for Global Health, Barangaroo, NSW, Australia
  7. University of Sydney, Camperdown, NSW, Australia
  8. Florey Institute of Neuroscience and Mental Health, Melbourne, VIC, Australia

Background/Aims

Stroke is the leading cause of disability in low-resource settings, including Indonesia. It is unclear what rehabilitation services exist in Indonesia for stroke. We aimed to describe hospital-based stroke rehabilitation services in Indonesia.

Methods 

Self-administered online survey (closed and free-text responses) distributed to medical and physiotherapy professionals at hospitals that provide rehabilitation services through networks of the Angels Initiative Indonesia and the Indonesian Physiotherapy Association (June – December 2023). Data were descriptively analysed.

Results 

In total, 86 surveys were completed (143 were commenced), all coming from acute hospitals offering rehabilitation services, with representation from all seven regions of Indonesia. Overall, 80% of the hospitals offered general outpatient rehabilitation services, and 50% provided rehabilitation for both inpatients (acute setting) and outpatients. Most rehabilitation services had rehabilitation physicians (84%) and physiotherapists (100%), with a third having occupational therapists (34%) or speech and language therapists (37%). The rehabilitation assessment was conducted by rehabilitation physicians in most hospitals (83%). Approximately 17% of hospitals reportedly provide daily active therapy sessions and 14% offer active therapy sessions for more than 1 hour per session. Training for family caregivers was provided by 88% of hospitals, with patient information at discharge provided in over half (55%) of hospitals. Post-discharge follow-up was limited, with 39% of hospitals providing referrals to community health services for ongoing rehabilitation.

Conclusion 

This is the first summary of the services available for stroke rehabilitation in Indonesian hospitals. Findings provide a basis for improving evidence-based therapy for stroke rehabilitation services in Indonesia.