What We Can Learn from Developing Countries: The Community Based Rehabilitation Model

1996 ◽  
Vol 15 (3) ◽  
pp. 3-9
Author(s):  
Alana M. Zambone ◽  
Stephanie Cox Suarez
Keyword(s):  
Developing Countries ◽  
Community Based ◽  
Community Based Rehabilitation ◽  
Rehabilitation Model ◽  
Rehabilitation Needs ◽  
The U.S

This article challenges the notion that we have much to learn from developing countries as well as much to offer to them. The article describes the philosophy, model and services of Community-Based Rehabilitation (CBR) as one example of what developing countries have to offer us. We discuss parallels between the CBR model and strategies used in the U.S. to meet education and rehabilitation needs and illuminate CBR practices from which we can learn.

A Discussion on the Shifts and Changes in Community Based Rehabilitation in the Last Decade

1999 ◽  
Vol 13 (3) ◽  
pp. 185-189 ◽  
Author(s):  
Maya Thomas ◽  
M.J. Thomas
Keyword(s):  
Developing Countries ◽  
Family Members ◽  
Community Based ◽  
Community Based Rehabilitation ◽  
The World

In the 1970s and the early 1980s, community based rehabilitation was promoted by the world bodies as an approach that was suitable for developing countries with lim ited resources to provide wider coverage of services. A key element of this approach was the transfer of minimum rehabilitation skills and responsibility to minimally trained family members and other volunteers in the community. The last decade saw the growth of community based rehabilitation in many developing countries, along with changes and adjustments in the concepts and practices related to this field. This paper discusses the implications of the transitions over the last decade, for the plan ning of community based rehabilitation in India and the neighboring countries.

Community-based Rehabilitation Needs: Perceptions of Individuals with Brain Injury and Their Families in the Midwestern United States

2013 ◽  
Vol 19 (2) ◽  
pp. 155-163 ◽  
Author(s):  
Veronica I. Umeasiegbu ◽  
Brittany Waletich ◽  
Laura A. Whitten ◽  
Malachy Bishop
Keyword(s):  
Brain Injury ◽  
Family Involvement ◽  
Independent Living ◽  
Descriptive Analysis ◽  
Focus Group Interviews ◽  
Community Based ◽  
Community Based Rehabilitation ◽  
Group Interviews ◽  
Rehabilitation Needs ◽  
Age Range

This study investigated the rehabilitation and services needs, rehabilitation goals and barriers of individuals with brain injury (n = 81, males = 59%, females = 41%, age range 18 to 87), and their family members (n = 19; females = 75%, age range 18 to 65), (ethnicity = white = 89%). Data were collected using a survey instrument and focus group interviews. A descriptive analysis of the quantitative data was conducted, while content analysis was used to analyse the qualitative data. Results suggest that individuals with brain injury and their families experience many unmet needs across the domains of employment, independent living, financial resources and housing. Family involvement was found to be important to community participation after brain injury.

Utility of community-based rehabilitation in developing countries

2015 ◽  
Vol 1 (1) ◽  
pp. 30
Author(s):  
Saurabh Shrivastava ◽  
Prateek Shrivastava ◽  
Jegadeesh Ramasamy
Keyword(s):  
Developing Countries ◽  
Community Based ◽  
Community Based Rehabilitation

scholarly journals Exploring a physiotherapy well-being review to deliver community-based rehabilitation in patients with pulmonary hypertension

2019 ◽  
Vol 9 (4) ◽  
pp. 204589401988535 ◽  
Author(s):  
Carol Keen ◽  
Molly Hashmi-Greenwood ◽  
Janelle York ◽  
Iain J Armstrong ◽  
Karen Sage ◽  
...  
Keyword(s):  
Pulmonary Hypertension ◽  
Drug Therapy ◽  
Well Being ◽  
Community Based ◽  
Supervised Exercise ◽  
Community Based Rehabilitation ◽  
Targeted Drug ◽  
One Year ◽  
Chronic Thromboembolic Disease ◽  
Rehabilitation Needs

Background Highly structured, supervised exercise training has been shown to be beneficial in patients with pulmonary hypertension. Despite evidence of the effectiveness of community-based rehabilitation in other cardiopulmonary diseases, there are limited data in patients with pulmonary hypertension. Methods This prospective study evaluated the intervention of a physiotherapist well-being review in patients with pulmonary hypertension who had been established on targeted drug therapy for between 3 and 12 months. The intervention included a detailed consultation assessing functional, social and motivational status to identify individual patient rehabilitation goals and facilitate tailored referrals to community-based services. Results One hundred and thirty-eight patients (79% pulmonary arterial hypertension, 17% chronic thromboembolic disease), age 67 ± 14 years, diagnosed over a one year period were evaluated between July 2017 and January 2018. Fifty-two per cent of patients were referred to community-based pulmonary rehabilitation programmes, 19% received other forms of community rehabilitation, 17% were given exercise advice, 5% had an assessment of social support and 7% declined any intervention. At the end of the study, 32% of patients were undertaking independent exercise. Conclusion This study has identified that the majority of patients with pulmonary hypertension who are optimised on targeted drug therapy have rehabilitation needs. The use of a physiotherapy well-being review can identify this need and facilitate access to community-based rehabilitation. Further research is required to evaluate the efficacy of such interventions in pulmonary hypertension.

Thực trạng kiến thức của nhân viên phục hồi chức năng cộng đồng tại huyện Quỳnh Phụ, tỉnh Thái Bình năm 2020

2021 ◽  
Vol 05 (01) ◽  
pp. 95-103
Author(s):  
Thi Ha Nguyen ◽  
◽  
Thi Huong Giang Nguyen ◽  
Thi Hien Luong Nguyen ◽  
Mai Anh Nguyen ◽  
...  
Keyword(s):  
Task Performance ◽  
Rehabilitation Program ◽  
Community Based ◽  
Community Rehabilitation ◽  
Community Based Rehabilitation ◽  
The Disabled ◽  
Section Design ◽  
Rehabilitation Needs ◽  
And Task

Community-Based Rehabilitation Program (CBR) has been established as a strategy to improve access to rehabilitation services by maximizing the use of local resources, in which the main resource is community rehabilitation workers. The implementation of the functions and duties of community rehabilitation workers plays a very important role in performing the functions and tasks of the CBR program. Therefore, the study "Knowledge and task performance of community rehabilitation workers in Quynh Phu district, Thai Binh province in 2020" was conducted with the aim of: "Describing the current state of knowledge about task performance of community rehabilitation workers in Quynh Phu district, Thai Binh province by 2020”. Research method: Using cross section design on the sample selected by total 114 community rehabilitation workers in Quynh Phu district, Thai Binh province. Results: Average age of rehabilitation workers was 51.25 years old, mostly 87.7% female and be trained in primary-level health; There are 56.2% of community rehabilitation workers achieved the required knowledge in performing the tasks of a community rehabilitation worker. The percentage of the required knowledge achieved by detecting and reporting the condition of the disabled and assessing rehabilitation needs, implementing community-based rehabilitation for the disabled, and follow-up management accounts for 64.9%, 59.6%, and 81.5%, respectively. Conclusion: The percentage of workers with required knowledge about the task performance of rehabilitation workers is not high at 52.6%; of which, knowledge about follow-up management for the disabled make up the highest rate of 85.1%, the lowest rate is knowledge of implementing CBR for PWDs, accounting for 59.6%. Keywords: knowledge, rehabilitation workers, community, knowledge and task performance of community rehabilitation workers in Quynh Phu District, Thaibinh province, 2020

Community-Based Hearing Rehabilitation: Implementation and Outcome Evaluation

2017 ◽  
Vol 2 (17) ◽  
pp. 83-95
Author(s):  
Spoorthi Thammaiah ◽  
Vinaya Manchaiah ◽  
Vijayalakshmi Easwar ◽  
Rajalakshmi Krishna ◽  
Bradley McPherson
Keyword(s):  
Rural Areas ◽  
Outcome Evaluation ◽  
Intervention Programs ◽  
Community Based ◽  
Future Directions ◽  
Persons With Disabilities ◽  
Hearing Rehabilitation ◽  
Governmental Organization ◽  
Community Based Rehabilitation ◽  
Rehabilitation Needs

Community-based rehabilitation (CBR) is a program designed to support persons with disabilities living in remote and rural areas. CBR primarily aims to provide required rehabilitation services to financially deprived persons with disabilities living in communities with limited access to such services. Today, globally, many organizations adhere to this approach to serve the rehabilitation needs of various disabilities. Recently, the CBR approach has started gaining interest in the rehabilitation sector concerned with hearing disabilities. This paper provides a general framework for the implementation and outcome evaluation of community-based hearing rehabilitation (CBHR) programs. The entire process is discussed with support of an existing CBHR program in India implemented by a non-governmental organization (NGO), Audiology India (AI). In addition, the paper highlights several of the challenges involved in such work and also explores future directions for CBHR-based intervention programs.

Organization of services

2019 ◽  
pp. 47-62
Author(s):  
Manoj Sivan ◽  
Margaret Phillips ◽  
Ian Baguley ◽  
Melissa Nott
Keyword(s):  
Developing Countries ◽  
Local Level ◽  
Inpatient Rehabilitation ◽  
Community Services ◽  
Rehabilitation Services ◽  
Community Based ◽  
Community Based Rehabilitation ◽  
Early Supported Discharge ◽  
Local Services

This chapter discusses the organization of rehabilitation services. It starts with the principles of comprehensive delivery and organization of services, and then outlines the merits and drawbacks of different systems. Regional services can offer a range of specialist outpatient resources that are not available on the local level. Local services should deliver all standard post-acute inpatient rehabilitation, and there may be an advantage to create a dedicated united working from a physical base. Early supported discharge services can bridge the gap between inpatient and community services, with outpatient and community services providing longer term rehabilitation. Finally, community-based rehabilitation in developing countries is discussed.

scholarly journals Evaluation of a community-based rehabilitation model for chronic schizophrenia in rural India

2003 ◽  
Vol 182 (1) ◽  
pp. 57-62 ◽  
Author(s):  
Sudipto Chatterjee ◽  
Vikram Patel ◽  
Achira Chatterjee ◽  
Helen A. Weiss
Keyword(s):  
Chronic Schizophrenia ◽  
Community Services ◽  
Resource Poor Setting ◽  
Model Of Care ◽  
Symptom Scale ◽  
Community Based ◽  
Community Based Rehabilitation ◽  
Resource Poor ◽  
Rehabilitation Model ◽  
Retention In Treatment

BackgroundThere are no community services for the majority of the estimated 10 million persons with schizophrenia in India. Community-based rehabilitation (CBR) is a model of care which has been widely used for physical disabilities in resource-poor settings.AimsTo compare CBR with out-patient care (OPC) for schizophrenia in a resource-poor setting in India.MethodA longitudinal study of outcome in patients with chronic schizophrenia contrasted CBR with OPC. Outcome measures were assessed using the Positive and Negative Symptom Scale and the modified WHO Disability Assessment Schedule at 12 months.ResultsAltogether, 207 participants entered the study, 127 in the CBR group and 80 in the OPC group. Among the 117 fully compliant participants the CBR model was more effective in reducing disability, especially in men. Within the CBR group, compliant participants had significantly better outcomes compared with partially compliant or non-complaint participants (P<0.001). Although the subjects in the CBR group were more socially disadvantaged, they had significantly better retention in treatment.ConclusionsThe CBR model is a feasible model of care for chronic schizophrenia in resource-poor settings.

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