Community based rehabilitation: Does it really improve the level of productivity among persons with physical disabilities?

Work ◽  
2015 ◽  
Vol 50 (3) ◽  
pp. 395-401 ◽  
Author(s):  
Moniruzzaman ◽  
Palash Chandra Saha ◽  
Md. Monjurul Habib
Author(s):  
Vindya Vimani Senadheera ◽  
Kavinda Tharani Malwanage ◽  
Sithravelayuthan Mayooran ◽  
Abdul Majeed Mohomad Rikas ◽  
Agampodi Liyanage Indrajith Prasanna

Background: Physiotherapists have long been recognized as important providers of services for people with disability. In Sri Lanka the concept of community physiotherapy has not emerged yet. The present study aimed to identify the need for ‘community physiotherapy service’ in Kandy district, Sri Lanka. Methods: A community service projection community based rehabilitation, of three years was conducted by the department of physiotherapy, faculty of allied health sciences, University of Peradeniya, Sri Lanka in 2017-2019 in collaboration with department of social service and social welfare of Kandy district secretariat, Sri Lanka.Results: One hundred and seventy participants with physical disabilities were included in the study 94 (55.29%) were males (mean age; 33.57 (SD ±23.17) and 76 (44.71%) were females (mean age; 33.14 (SD ±24.98). The pediatric population was 41.76% (N=71) followed by 38.82% of adults (N=66) and 19.41% of elderly patients (N=33) of the total population. The highest number of PWD had pediatric conditions (39.41%), followed by musculoskeletal (31.76%), neurological (15.88%), geriatric (8.82%) and cardio-respiratory (4.12%) conditions. The majority (55.88%) of all the people with disabilities who visited the clinics were in need for further physiotherapy consultation and follow up.Conclusions: In Kandy district of Sri Lanka alone, number of people with physical disabilities who are in need of continuous physiotherapy follow ups is high compared to services already available. Conducting a successful community-based rehabilitation program in Sri Lanka as a whole, require having a specialized health care practitioner to the primary health care team; ‘a community physiotherapist’.


2020 ◽  
Author(s):  
Tomasz Tasiemski ◽  
Maciej Wilski ◽  
Piotr Urbański

Abstract Background. Access to health services was found to be a major problem for over half of persons with disabilities in Morocco. This has created the need to increase opportunities for community-based rehabilitation activities in this country.The aim of this study was to assess wheelchairs skills of persons with physical disabilities attending the first Wheelchair Skills and Empowerment Camp in Morocco, and their satisfaction with the manual wheelchairs available during the camp activities. Methods. 19 persons (13 male and 6 female) with physical disabilities took part in the project. Mean years since injury or illness was 24 years. The following measures have been used: the Queensland Evaluation of Wheelchair Skills test, and the Quebec User Evaluation of Satisfaction with assistive Technology. Results. Study participants improved their overall wheelchair mobility skills (p=0.002; d=0.20), especially the ability to ascend and descend a ramp (p=0.012; d=0.67). The participants were significantly larger satisfied with the new provided wheelchairs in comparison to their own wheelchairs with regard to five of the satisfaction items i.e. ease in adjusting (p=0.011; d=0.96), safety and security (p=0.014; d=0.97), durability (p=0.037; d=0.81), ease to use (p=0.045; d=0.87), and comfort (p=0.006; d=1.03). Conclusions. Findings of this study suggest that there is a need for structured wheelchair skills training and better-quality wheelchairs for persons with physical disabilities in Morocco. The study also confirmed that community peer-based programmes in low-resource countries can play an important role in rehabilitation in persons with physical disabilities, even many years since their injury or illness.


2019 ◽  
Vol 18 (1) ◽  
Author(s):  
Arif Setiadi

Capacity Building adalah proses peningkatan kemampuan pengurus Rehabilitasi Berbasis Masyarakat (RBM) dalam memberikan pelayanan kepada penyandang disabilitas, sehingga penyandang disabilitas dapat mengakses pelayanan yang dibutuhkan. Tujuan penelitian ini adalah untuk mengkaji tentang Capacity Building Pengurus Rehabilitasi Berbasis Masyarakat dalam Pelayanan terhadap Penyandang Disabilitas di Kelurahan Babakan Ciparay Kecamatan Babakan Ciparay Kota Bandung. Metode penelitian yang digunakan adalah kualitatif dengan design action research. Sumber yang digunakan adalah sumber data primer dan sumber data sekunder. Adapun teknik pengumpulan data yang digunakan adalah wawancara mendalam, observasi partisipatif, studi dokumentasi, dan Penilaian Kapasitas. Teknik pemeriksaan data yang digunakan yaitu uji kepercayaan, uji keteralihan, uji ketergantungan dan uji kepastian. Selanjutnya hasil penelitian ini di analisis menggunakan teknik analisis kualitatif. Hasil penelitian ini menunjukkan bahwa capacity building terhadap pengurus RBM Kelurahan Babakan Ciparay membawa perubahan dalam memberikan pelayanan kepada penyandang disabilitas. Capacity Building pengurus RBM tersebut berdampak pada pelayanan terhadap penyandang disabilitas menjadi lebih komprehensif dan berbasis metode serta teknik pekerjaan sosial.  Keywords: Capacity Building, Community-Based Rehabilitation, Persons With Disabilities


2001 ◽  
Vol 57 (4) ◽  
pp. 4-8
Author(s):  
P. Struthers

This paper describes a situation analysis of the rehabilitation personnel, employed by the state and non-governmental organisations, and the services available for people with disabilities in one health district in Cape Town. The recurrent cost of employing the rehabilitation personnel is analysed to determine how funding is allocated within the district. The results indicate that most expenditure on personnel is at two state institutions in the district, with 76% of the expenditure at the regional psychiatric hospital and its residential facility for people with a profound intellectual disability. The balance - 24% of expenditure - is the cost of employing rehabilitation personnel who provide a district level service. Seventy percent of this district level expenditure is at one special school that accepts 6% of children with disabilities in the district. A high percentage of intellectually disabled children and adults, with or without physical disabilities, do not have access to rehabilitation. There is minimal expenditure on employing rehabilitation personnel at the community heath centre. The only expenditure on community based rehabilitation is provided by the non-governmental organisation. The study demonstrates the inequitable distribution of funding for rehabilitation services within one relatively well-resourced health district and makes recommendations to facilitate change.


2011 ◽  
Vol 63 (4) ◽  
pp. 445-452 ◽  
Author(s):  
Euson Yeung ◽  
Robert Balogh ◽  
Donald Cole ◽  
Djenana Jalovcic ◽  
Michel D. Landry

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