{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,28]],"date-time":"2026-08-28T12:05:53Z","timestamp":1787918753152,"version":"build-2784847793"},"reference-count":49,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2025,4,21]],"date-time":"2025-04-21T00:00:00Z","timestamp":1745193600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000272","name":"National Institute for Health and Care Research","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000272","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Health Planning &amp; Management"],"published-print":{"date-parts":[[2025,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>This study aimed to illustrate the state of stroke care and rehabilitation in the Philippines through the perspectives of local government officials, policymakers, and organisational leaders. It sought to identify challenges, opportunities, and recommendations for improving stroke policies and services across different administrative levels.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Mixed\u2010methods approach involving a structured survey of 131 local government officials and in\u2010depth interviews with eight key stakeholders. Survey participants included Department of Health (DoH) officials, local chief executives, policymakers, Local Government Unit (LGU) employees, and representatives from non\u2010government agencies. Interviewees comprised leads and managers from the DoH and representatives from organisations including the Philippine Academy of Rehabilitation Medicine (PARM), Physicians for Peace Philippines, and the Philippine Council for Health Research and Development (PCHRD). Quantitative survey data were analysed using descriptive statistics and qualitative interview data were thematically analysed, then the two types of data were triangulated and organised by theme.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Findings revealed significant gaps in funding, healthcare infrastructure, and policy implementation. Challenges included inadequate facilities, lack of qualified staff, financial barriers, and regional disparities in service provision. Survey and interview participants emphasised the need for increased government support, comprehensive policies, and community\u2010based rehabilitation (CBR) programmes. Improving stroke survivors' quality of life was ranked as the most critical aspect of rehabilitation programmes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The study highlights the critical need for more equitable and accessible stroke care and rehabilitation in the Philippines. This can be facilitated by sustained government support, inter\u2010agency collaboration, community engagement, and the implementation of holistic, evidence\u2010based, and cost\u2010effective CBR initiatives.<\/jats:p><\/jats:sec>","DOI":"10.1002\/hpm.3939","type":"journal-article","created":{"date-parts":[[2025,4,21]],"date-time":"2025-04-21T23:49:25Z","timestamp":1745279365000},"page":"1033-1047","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["A Multi\u2010Sector Mixed Methods Study of Stroke Services in the Philippines: Insights From Government Officials and Organisational Leaders"],"prefix":"10.1002","volume":"40","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2215-5516","authenticated-orcid":false,"given":"Sarah","family":"Buckingham","sequence":"first","affiliation":[{"name":"Faculty of Health University of Plymouth  Plymouth UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"June Ann","family":"De Vera","sequence":"additional","affiliation":[{"name":"De La Salle Medical and Health Sciences Institute College of Medicine  Dasmari\u00f1as Philippines"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6222-9722","authenticated-orcid":false,"given":"Lorraine","family":"Faeldon","sequence":"additional","affiliation":[{"name":"De La Salle University \u2010 Evelyn D. Ang Institute of Biomedical Engineering and Health Technologies  Manila Philippines"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bridie","family":"Kent","sequence":"additional","affiliation":[{"name":"Faculty of Health University of Plymouth  Plymouth UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Angela","family":"Logan","sequence":"additional","affiliation":[{"name":"Faculty of Health University of Plymouth  Plymouth UK"},{"name":"Royal Devon University Healthcare NHS Foundation Trust  Exeter UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aira","family":"Ong","sequence":"additional","affiliation":[{"name":"Faculty of Health University of Plymouth  Plymouth UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nena Marie","family":"Santos","sequence":"additional","affiliation":[{"name":"De La Salle University \u2010 Evelyn D. 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