O-209 Enhancing Occupational Health Services Through in-House Physiotherapy Services: A Case Study From a Zambian Mine Site

Background Occupational Health Doctors in Zambia have long faced challenges related to limited rehabilitation resources, impacting employee well-being and return-to-work outcomes. This presentation explores the transformative impact of integrating in-house rehabilitative physiotherapy services into our Occupational Health team, as witnessed from the viewpoint of Occupational Health Doctors. Initially intended to address chronic lower back pain cases and enhance return-to-work outcomes for injury on duty cases, our in-house physiotherapist’s role evolved significantly during the COVID-19 pandemic when the emphasis shifted and he also assisted with respiratory and physical deconditioning rehabilitation. Methods Our team of Occupational Health Doctors collaborates closely with our Occupational Health Physiotherapy team, managing a diverse range of cases, including vertigo, cardio-respiratory issues, musculoskeletal disorders, and peripheral neuropathy. We provide insights into the methods employed, including Functional Capacity Evaluations, Pain Management Programs, Work Conditioning, and Work Hardening, as well as the pivotal role these services play in our practice. Results We present a compelling case study, demonstrating how our collaborative approach between Occupational Health Doctors and the Physiotherapy team has facilitated effective cardio-respiratory rehabilitation and the phased return-to-work plan for an employee with Tuberculous Pericarditis, Pleural effusion, gout, and hypertension. Our presentation sheds light on the outcomes observed by Occupational Health Doctors. Discussion and Conclusion The integration of in-house rehabilitative services has revolutionized our approach to assessing fitness-for-duty in Zambia. This collaborative model empowers employees on their journey to optimal well-being, and it holds particular promise for regions with limited rehabilitative resources, offering transformative changes in employee health.