Мodern approaches to rehabilitation of disabled people in the light of the international classification of functioning, limitations of vital activity and health

Purpose of the study: using of the International Classification of Functioning, Disability and Health (ICF) in the field of rehabilitation and habilitation of disabled people for their maximum integration into society.

Materials and methods of research: The materials of the research a review of the literature, materials of the conference and other events aimed at revealing issues of the need to use the ICF in the field of medical and social rehabilitation, in addition, an analysis of the reporting form 07 was conducted - the annual statistical report of the State Institution “Medical and Social Expertise”

Research results: To assess the functioning of the medical and social rehabilitation model in the republic and analyze the activities of the existing structure of institutions and organizations involved in individual rehabilitation programs (IRP) within the framework of the ICF in 2021-2022, we surveyed 300 disabled people (Sughd - 100, Khatlon - 100 and DRS - 100 people, respectively) about their use of IRP. In the republic, specialists of the State Medical and Social Expertise Service fill out the Individual Rehabilitation Program (IRP) when undergoing examination, and according to the State Medical and Social Expertise Service, more than 25 thousand forms have been filled out from 2014 to 2020. However, their implementation in primary health care institutions and other structures is not carried out, and one of the reasons for the failure to implement this program is the lack of awareness of primary health care specialists in the gradual implementation of the IPR in light of the use of the ICF, as well as the lack of interest of the disabled people themselves in this program due to lack of awareness on this issue.

Conclusion: To implement the IPR, it is necessary to consider in detail the functional limitations of life activity associated with changes in health and functioning, which is possible when using the ICF as a classifier for describing impairments associated with disability. This issue requires the participation of not only medical specialists, but also representatives of other industries.

1. Law of the Republic of Tajikistan “On social protection of persons with disabilities”, December 29, 2010, No. 675

2. National program for the rehabilitation of disabled people for the period 2017-2020, Decree of the Government of the Republic of Tajikistan dated October 28, 2016, No. 455.

3. Report of the State Service for Medical and Social Expertise dated October 15, 2017, No. 6/418 “On the prevention of childhood disability.” Current analysis of the Ministry of Health and Social Protection of the Population of the Republic of Tajikistan for 2017.

4. Order of the Ministry of Health and Social Protection of the Population of the Republic of Tajikistan dated 07.06.2019. No 412 “On the individual rehabilitation program.”

5. Regulations on the State Service for Medical and Social Expertise, approved by the Decree of the Government of the Republic of Tajikistan dated December 2, 2008, No. 601 (as amended by the Decree of the Government of the Republic of Tajikistan dated 06.06.2014, No. 394, dated 12/31/2014, No 812).

6. Situational analysis: the state of the rehabilitation sector in the Republic of Tajikistan, Ministry of Health and Social Protection of the Population of the Republic of Tajikistan, World Health Organization, 2015.

7. World report on disability, World Health Organization, World Bank, 2011.