1. Impact of ICF in improving Knowledge, Attitudes and Behaviour regarding Interprofessional Practice among Health Professionals in Rwanda
Jean Baptiste Sagahutu

2. Introduction Good collaboration between HP can: Improved patient care.
Reduce medical errors
Assist in interpretation of health information
Improved patient care.
The ICF: potential framework to help HP provide a common language Better collaboration

3. Methodology Setting: Rwanda, district hospitals
CRCT was used to select Hospitals
2 Experimental and 2 Control
Targeted services: Medical, Surgical & Pediatric wards
Intervention:
2 Experimental Hospitals: In-service one day ICF training programme
2 Control Hospitals: A short talk and booklet on ICF.
Participants: Medical Doctors , Nurses, Physiotherapists, Social Workers, Nutritionists, Mental health nurse and/or Clinical psychologists + Patients’ records of discharged patients

4. Results A total of 203 HP participated (Exp=103;Cont=100)
Ranging from 50 to 53 in each hospital.
The mean age was 35.7 years (SD=8.29).
No significant difference in age btn 2 groups (p=.208).
No significant association between gender, profession, place of work and group.

5. Comparison of knowledge across professions

6. Comparison of attitudes across professions

7. Audit of scores of Experimental and Control group at different occasions

8. The items with greatest improvement at 2 months
ICF domain & IPP
 Items
Post-Pre difference (Experimental)
Post-Pre difference (Control)
Interprofessional Practice (IPP)
Case managed by different professionals 38
3.5
IPP
Health professional team identified
34.5
4.5
Health professionals treating the patient have documented 4
Discharge note 34
Referrals to other disciplines
27.5 3
Environmental Factors
Health condition managed in context 22 1
Referral to other services 21
-15
Participation Restriction
Occupation
20.7
-10.7
Activity Limitation
Impact of condition on functioning
18.5
Impairment
Impairment addressed
Preventive measures of recurrence of health condition or complications related to condition 18 -1
Personal Factors
Personal factors including mental and spiritual needs
16.5
6.5
Functioning addressed
Impact of environmental factors
14.5
Health condition and diagnosis
9.5
2.5
Health condition
Environmental factors addressed 6
Demographic information
Discharge date 9
Symptoms 7 5
Assessment of Impairment
5.5
11.5
Demographic Information
Marital status
3.6
Gender
-2.5
Address
Name
0.5
Age
Medical Aid/ No medical aid
Education
Admission Date
Record Number

9. Conclusion
The introduction of the ICF as the framework to inform IPP in Rwanda could result in the adaptation of the bio-psycho-social model and a more holistic approach to care.
It is, therefore, hoped that the findings of this study may contribute to improving health care delivery in Rwandan district hospitals and health system at large