Stroke rehabilitation in low-income and middle-income countries: a call to action

Lancet. 2020 Oct 31;396(10260):1452-1462. doi: 10.1016/S0140-6736(20)31313-1.


The WHO Rehabilitation 2030 agenda recognises the importance of rehabilitation in the value chain of quality health care. Developing and delivering cost-effective, equitable-access rehabilitation services to the right people at the right time is a challenge for health services globally. These challenges are amplified in low-income and middle-income countries (LMICs), in which the unmet need for rehabilitation and recovery treatments is high. In this Series paper, we outline what is happening more broadly as part of the WHO Rehabilitation 2030 agenda, then focus on the specific challenges to development and implementation of effective stroke rehabilitation services in LMICs. We use stroke rehabilitation clinical practice guidelines from both high-income countries and LMICs to highlight opportunities for rapid uptake of evidence-based practice. Finally, we call on educators and the stroke rehabilitation clinical, research, and not-for-profit communities to work in partnership for greater effect and to accelerate progress.

Publication types

  • Review

MeSH terms

  • Developing Countries
  • Evidence-Based Practice*
  • Guidelines as Topic
  • Humans
  • Self-Help Devices / supply & distribution
  • Stroke Rehabilitation / methods
  • Stroke Rehabilitation / standards*
  • World Health Organization