Reviews The Human Resources Challenge to Community Based Rehabilitation: The Need for a Scientific, Systematic and Coordinated Global Response (original) (raw)
Related papers
Disability, CBR & Inclusive Development, 2013
The World Report on Disability highlights some of the major challenges in the path to realisation of the rights of persons with disabilities as per the United Nations Convention. While the recently published guidelines on Community Based Rehabilitation show the way to address these challenges, effective implementation would require not only higher levels of investment in human resources, but also a significantly newer and different skill-set for the additional personnel. The authors suggest that a scientifically sophisticated, systematic and coordinated research programme, with global reach and participation, is needed for the establishment of a useful and robust evidence-base for Community Based Rehabilitation interventions. It is also suggested that the development of a new cadre of rehabilitation workers could be a key component of the programme, and could help to alleviate the extant crisis in human resources for health in many low-income countries.
Disability and community-based rehabilitation
Setting up Community Health Programmes in Low and Middle Income Settings
This chapter explains the causes, types, and importance of disability, and ways in which needs of those with disability can be met through community-based rehabilitation (CBR). It explains how any CBR programme should be based on the principles in the United Nations Convention on the Rights of Persons with Disabilities (UNCRPD). It introduces the World Health Organization (WHO) CBR framework that shows the essential components of a programme. The chapter describes ways to identify people with disability in the community, how to assess their needs, and the importance of linking with community stakeholders and local CBR workers. The chapter goes into detail about the six steps of implementing a CBR programme: screening and assessment, maximizing function, setting up support groups, advocacy, mainstream inclusion, and programme monitoring and evaluation.
The International Initiative for Impact Evaluation (3ie) is an international grant-making NGO promoting evidence-informed development policies and programmes. We are the global leader in funding, producing and synthesising high-quality evidence of what works, for whom, why and at what cost. We believe that better and policy-relevant evidence will make development more effective and improve people's lives. 3ie systematic reviews 3ie systematic reviews appraise and synthesise the available high-quality evidence on the effectiveness of social and economic development interventions in low-and middleincome countries. These reviews follow scientifically recognised review methods, and are peer-reviewed and quality assured according to internationally accepted standards. 3ie is providing leadership in demonstrating rigorous and innovative review methodologies, such as using theory-based approaches suited to inform policy and programming in the dynamic contexts and challenges of low-and middle-income countries. About this review Community-based rehabilitation for people with disabilities in low-and middle-income countries: a systematic review, was submitted in partial fulfilment of the requirements of grant SR3.1143 issued under Systematic Review Window 3. 3ie is publishing this report as received from the authors; it has been formatted to 3ie style. This review is available on the 3ie website. This review has also been published in the Campbell Collaboration Library and is available
Campbell Systematic Reviews, 2015
The International Initiative for Impact Evaluation (3ie) is an international grant-making NGO promoting evidence-informed development policies and programmes. We are the global leader in funding, producing and synthesising high-quality evidence of what works, for whom, why and at what cost. We believe that better and policy-relevant evidence will make development more effective and improve people's lives. 3ie systematic reviews 3ie systematic reviews appraise and synthesise the available high-quality evidence on the effectiveness of social and economic development interventions in low-and middleincome countries. These reviews follow scientifically recognised review methods, and are peer-reviewed and quality assured according to internationally accepted standards. 3ie is providing leadership in demonstrating rigorous and innovative review methodologies, such as using theory-based approaches suited to inform policy and programming in the dynamic contexts and challenges of low-and middle-income countries. About this review Community-based rehabilitation for people with disabilities in low-and middle-income countries: a systematic review, was submitted in partial fulfilment of the requirements of grant SR3.1143 issued under Systematic Review Window 3. 3ie is publishing this report as received from the authors; it has been formatted to 3ie style. This review is available on the 3ie website. This review has also been published in the Campbell Collaboration Library and is available
Community-based rehabilitation for people with disabilities
2016
Promoting handwashing and sanitation behaviour change in low-and middle-income countries A mixed-method systematic review June 2017 About 3ie The International Initiative for Impact Evaluation (3ie) is an international grant-making NGO promoting evidence-informed development policies and programmes. We are the global leader in funding, producing and synthesising high-quality evidence of what works, for whom, how, why and at what cost. We believe that using better and policy-relevant evidence helps to make development more effective and improve people's lives. 3ie systematic reviews 3ie systematic reviews appraise and synthesise the available high-quality evidence on the effectiveness of social and economic development interventions in low-and middle-income countries. These reviews follow scientifically recognised review methods, and are peerreviewed and quality assured according to internationally accepted standards. 3ie is providing leadership in demonstrating rigorous and innovative review methodologies, such as using theory-based approaches suited to inform policy and programming in the dynamic contexts and challenges of low-and middle-income countries. About this review Promoting handwashing and sanitation behaviour change in low-and middle-income countries: a mixed-method systematic review, was submitted in partial fulfilment of the requirements of grant SR8.1014 awarded under Systematic Review Window 8. This review is available on the 3ie website. 3ie is publishing this technical report as received from the authors; it has been formatted to 3ie style, however the tables and figures have not been reformatted. 3ie will also publish a brief and a summary report of this review, designed for use by decision makers, which is forthcoming. This review has also been published in the Campbell Collaboration Library and is available here.
Does community-based rehabilitation improve lives of people with disabilities?
2016
According to the World Health Organization (WHO), there are currently one billion people living with disabilities, of which 80 per cent live in low-and middle-income countries (L&MICs). Physical, intellectual, mental or sensory impairments affect people's active participation in society. Disabled people are often stigmatised, and lack social and economic opportunities, potentially leading them further into poverty. A focus on disability-related issues is therefore key for a holistic approach to international development with a human rights perspective. What is community-based rehabilitation? Community-based rehabilitation (CBR) is a WHO-endorsed strategy for rehabilitation, poverty reduction, equalisation of opportunities and social inclusion of people living with disabilities. Inspired by participatory development approaches, CBR is designed to work by including people with disabilities in existing services as well as by creating new interventions. CBR initiatives are delivered at the community level using local resources to ensure they are adapted to local needs and are cost-effective. Does community-based rehabilitation improve lives of people with disabilities? andy isaacson/dfat Main findings Impact of CBR on physical disabilities Home-based healthcare and rehabilitation and education interventions were effective for stroke survivors. Impact of CBR on mental disabilities Effective in lowering relapse and repeated hospitalisation among people with schizophrenia in China, India and South Africa. Significant improvement in the clinical status and quality of life for the caregivers of dementia patients. Livelihood and social inclusion outcomes Increased occupational activity among people living with schizophrenia. No encouraging results for social inclusion.
Approaches to Rehabilitation of People with Disabilities: A Review
1988
Traditional approaches to rehabilitation of disabled people have emphasised segregated institutional care, and have largely neglected the need both to integrate people with disabilities into their wider community, and for community attitudes themselves to be rehabilitated or changed to facilitate this integration. This paper reviews institutional and community gased strategies for rehabilitation, arguing the case for a community orientation but recognising some of the difficulties of implementing this effectively in developing countries.