scholarly journals The experiences and challenges faced by rehabilitation community service therapists within the South African Primary Healthcare health system

2017 ◽  
Vol 6 ◽  
Author(s):  
Lieketseng Ned ◽  
Lizahn Cloete ◽  
Gubela Mji

Background: Twenty-two years after the promulgation of a plethora of progressive health policies since 1994, the South African public health system reflects a number of stumbling blocks regarding implementation. Rehabilitation professionals are not sufficiently equipped nor allowed the opportunity to comprehensively implement Primary Healthcare (PHC) from a bottom-up approach, thus engaging communities. Training on addressing social health determinants and their impact on ill-health and health outcomes is inadequate. The inadequate understanding of the advocacy role that rehabilitation professionals could play in addressing social health determinants remains a challenge in healthcare. Rehabilitation, a pillar of PHC, remains poorly understood in terms of its role within the health system.Aim: We argue for rehabilitation as a vehicle for addressing social determinants of health with community service practitioners playing a critical role in addressing the inequities within the healthcare package.Setting: The article reflects the opportunities and challenges faced by rehabilitation community service therapists in the delivery of rehabilitation services in a rural area of the Eastern Cape province of South Africa.Methods: A single case study from the perspective of a researcher was used to explore the experience and reflection of the first author during her community service as an occupational therapist.Results: The case study highlights some existing gaps within the delivery of rehabilitation services in the rural Eastern Cape. A community service package with a specific approach towards addressing social determinants of health for persons with disability at a community level is suggested.Conclusion: Advocating for a rehabilitation service package to shift to community-based levels is critical. It is envisaged that a community-based approach will facilitate an understanding of the barriers faced by persons with disabilities as constituting disability, thus facilitating learning about the disabling consequences of the rural environment coupled with the system as experienced by persons with disabilities.

1970 ◽  
Vol 5 (01) ◽  
pp. 60-67
Author(s):  
Christoph Gutenbrunner ◽  
Boya Nugraha, MS, PhD

This comment aims to give a contribution to the debate about the best way to implement rehabilitationservices and, in particular, how specialist in Physical and Rehabilitation Medicine (PRM) define its rolein rehabilitation services in general and in Community Based Rehabilitation (CBR). The paper discussesthe use of the team rehabilitation and the definitions of CBR. A differentiated model of rehabilitationservices according to the phase of the disease and the intensity of service provision is developed. Theterm rehabilitation nowadays is used in two different ways: Rehabilitation as a health strategy or a set ofmeasures. The term CBR also is used in a dual way on the one hand describing a policy or managementstrategy or on the other hand describing the provision of “basic” rehabilitation services which is offered atthe community level. It is important to differentiate between acute, post-acute rehabilitation and long-termrehabilitation services to understand the need of different types of rehabilitation services. Additionally a5-level model of the intensity of rehabilitation services covers rehabilitation that is delivered by families,peers, neighbours, and others to highly specialized rehabilitation services, e.g. for acute rehabilitation orrehabilitation for severely affected patients. In comprehensive rehabilitation service, including CBR, the roleof PRM specialists is described in three ways: PRM deliver rehabilitation services, PRM act as an advisorand coordinator or PRM act as a trainer.Keywords: Rehabilitation definition, community based rehabilitation, rehabilitation services, Physical and Rehabilitation Medicine


2021 ◽  
Vol 34 (1) ◽  
pp. 28-32
Author(s):  
Tshepiso Jonathan SETOKOE ◽  

This article investigates the viability of community-based tourism (CBT) in support of socio-economic development and poverty alleviation through a case study in Nqileni Village, Eastern Cape Province in South Africa. This was done through data solicited using a qualitative research approach amongst residents of Nqileni village in the Eastern Cape Province of South Africa. The data collected was then analysed using NVivo system, version 11, which provided substance to the research through the creation of a comprehensive observation report. The results indicated a positive view of members of the community relating to the contribution of CBT to community development (socio-economics) and poverty alleviation.


2016 ◽  
Vol 16 (1) ◽  
pp. 89
Author(s):  
Rustam Ibrahim

Abstract: When boarding schools are faced with community service, some of them are not willing to accept it. Survey of BPPM Maslakul Huda Islamic School, in collaboration with the P3M Jakarta concluded that three (25%) of the 12 pesantrens in Central Java do not receive community service. It is an irony, because pesantren was born and raised from the public. One of pesantrens that was born from community service is PP DawarBoyolali. PP Dawar proved that pesantren had a great contribution to the community. This study wanted to uncover the devotion PP Dawar to community, both in religious and economic empowerment, as well as the main reason of PP Dawar in performing community service. The method used in this study was a qualitative research method using case study design. Based on the research, it was found that PP Dawar was a community-based boarding school which had done community services by performing routine religious activities such as routine verses recitation, recitals of Qur’an for the orphans, and also serving  the demand of societies that need Islamic teachers and religion teachers graduating from PP. DawarBoyolali. PP Dawar also helped the economy of the surrounding communities, by providing cheap labors, helping traditional broom and cracker home industry, and organizing donations to 500 orphans. The ideas or thoughts underlying PP Dawar’sdevotion are a sense of sincerity, an implementation on the religious science, a spirit of self-reliance, and a promotion for PP Dawar Boyolali itself. الملخص: عندما تُوجّه البسانترينات إلى وجود الخدمة الإجتماعية، كان بعضها لم يقبلها. دلّت الدراسة المسحية التي قام بها BPPM بسانترين "مسلك الهدى " بالاشتراك مع P3M جاكرتا على أن 3 أو (%25) من 12 بسانترين في أنحاء جاوة الوسطى لم تقبل الخدمة الإجتماعية. وهذا مؤسف، لأن بسانترين هو مؤسسة تربوية توّلدت وتطوّرت في المجتمع. ومن البسانترينات الذي تولّد من المجتمع هو معهد "داوار " بويولالي جاوة الوسطى. دلّ هذا المعهد على أن بسانترين له دور فعّال واسهام كبير في المجتمع . سيكشف هذا البحث عن الخدمة الإجتماعية التي قام بها هذا المعهد في المجال الديني ومجال ترقية الجانب الإقتصادي والأسباب الدافعة له في القيام بهذه الخدمة. سلك هذا البحث منهج البحث الكيفي بنوع دراسة حالة. دلّت نتائج البحث على أن معهد " داوار " هو البسانترين المؤسس على المجتمع ويقوم بالخدمة الإجتماعية في شكل المحاضرات الدينية المكثّفة، والمحاضرات الدينية في مناسبة " Yatiman”   وإرسال الدعاة والأساتذة للجهات المحتاجة إليهم وهم متخرّجو معهد "داوار" نفسه. ولهذا المعهد اسهام اقتصادي في المجتمع المحيط به بإعداد العمّال بأجرة رخيصة (صناعة منزلية) كصناعة المكنسات والأطعمة الإندونيسية وكفالة الأيتام (  500يتيم ) . والأسس الفكرية لهذه الخدمة – التي قام بها المعهد داوار - هي الإخلاص ونشر العلوم الدينية وروح الإعتماد على النفس والدعايات والتعريف بالمعهد.   Abstrak: Ketika pesantren dihadapkan dengan pengabdian masyarakat, beberapa pesantren belum dapat menerima. Survey BPPM Pesantren Maslakul Huda, bekerja sama dengan P3M Jakarta menyimpulkan bahwa 3 (25%) dari 12 pesantren se-Jawa Tengah tidak menerima pengabdian masyarakat. Sungguh ironis, karena pesantren merupakan pendidikan yang lahir dan besar dari masyarakat. Salah satu pesantren yang lahir dari pengabdian masyarakat adalah PP Dawar Boyolali, PP Dawar membuktikan bahwa peran pesantren sangat besar dalam berkontribusi di tengah masyarakat. Penelitian ini ingin mengungkap pengabdian PP Dawar, baik dalam keagamaan maupun pemberdayaan ekonomi, serta alasan utama PP Dawar melakukan pengabdian pada masyarakat. Metode yang digunakan dalam penelitian ini adalah metode penelitian kualitatif dengan menggunakan rancangan studi kasus. Berdasarkan penelitian, ditemukan bukti bahwa PP Dawar adalah pesantren berbasis masyarakat, yaitu dengan melaksanakan pengabdian keagamaan seperti pengajian rutin, pengajian yatiman, juga melayani permintaan masyarakat yang membutuhkan ustadz atau guru agama lulusan PP Dawar Boyolali. PP Dawarjuga ikut membantu ekonomi masyarakat sekitar, yaitu menyediakan tenaga murah, membantu home industry pembuatan sapu, krupuk, dan menyelenggarakan santunan 500 anak yatim. Pemikiran yang mendasari Pengabdian PP Dawar adalah rasa keikhlasan, mengamalkan ilmu agama, semangat kemandirian, dan promosi bagi PP Dawar Boyolali. 


Author(s):  
Mellony Graven

In this paper, I argue that the establishment of after-school mathematics clubs in early grades holds rich potential for supporting the development of increasingly participatory and sensemaking maths learning dispositions. Within the South African Numeracy Chair project, lead by the author, multiple after-school mathematics clubs have been set up for learners in Grades 3–6 across Eastern Cape schools. These clubs are a complementary initiative to teacher development, aimed at improving low levels of numeracy learning across the majority of schools in the province. Two sources of data, learner interviews and teacher questionnaires, from one case study club, are shared in this article to illuminate the potential such clubs hold in developing increasingly participatory mathematics learning dispositions.


Author(s):  
Francisco Ibáñez-Carrasco ◽  
Catherine Worthington ◽  
Sean Rourke ◽  
Colin Hastings

(1) Background: Although HIV has not diminished in importance in Canada, the field of HIV research remains small, and the graduate students who decide to pursue careers within it feel isolated and uncertain about their professional skills and opportunities. Universities Without Walls (UWW) was created in 2009 to help redress these shortcomings. This paper presents a case study of UWW, a non-credit training program for emerging HIV researchers in Canada. In particular, we focus on the possibilities of experiential learning via online and blended delivery. UWW uses both online and in-person teaching modalities to teach engaged scholarship, interdisciplinarity, community-based research (CBR), intervention research, and ethics. (2) Methods: Using a case study, we elucidated the research question: “What are the factors that make Universities Without Walls a viable training environment in the contemporary HIV/AIDS field?” Focus groups were conducted with 13 UWW key stakeholders in 2012 during a program mid-point evaluation; in 2014, telephone or in-person interviews with the three directors were conducted by a UWW fellow (the 4th author of this paper), and in 2019 the authors analyzed the information and anecdotal evidence, which had been incorporated as thick description. In addition, fellows’ self-assessments via portfolio and results from formal learning assessments were included. We also thematically analyzed 65 student self-reports (2009–2015). (3) Results and Discussion: Each UWW cohort lasted 9 months to one year and was comprised of: a) sustained mentorship from the co-directors (e.g., phone conversations, assistance with grant writing, letters of reference, etc.); b) fortnightly online webinars that aim to develop fellows’ knowledge of community-based research (CBR), research ethics, intervention research, and interdisciplinary research; c) community service learning in the form of a “field mentoring placement”; d) face-to-face engagement with fellows and mentors, most notably at the week-long culminating learning institute; e) a stipend for fellows to carry out their training activities. The UWW pedagogical framework features experiential learning, critical pedagogy, and heutagogy made manifest in the field mentoring placements (community service learning), mentorship mediated by technologies, and in-person learning institutes. Our analysis showed that experiential learning was imparted by UWW’s a) transparency about its “implicit curriculum”, the attitudes, values, character, and professional identity imparted in the program as well as the overarching programmatic elements, such as commitment to diversity, the inclusion of those with lived experience, the flexible admissions policies and procedures, interdisciplinary faculty, flexible team, administrative structure, and valuing of technology in conducting research, learning, and teaching; b) curriculum co-designing and co-teaching, and c) sustaining a community of practice. The main results reported in our case study included significant “soft outcomes” for UWW fellows, such as developing a “social presence” as a precursor to lasting professional connections; learning to experience community-based research, intersectionality, and interdisciplinarity by interacting online with persons living with HIV, leaders in the field, and a variety of stakeholders (including nonprofit staff and policymakers). (4) Limitations: While fellows’ self-evaluation data were collected by an independent assessor and anonymized to the extent this was possible, the co-authors inevitably bring their preconceptions and positive biases to UWW’s assessment. As UWW was developed to function outside of traditional academic structures, it is unlikely that the UWW program could be transferred to a post-secondary environment in its entirety. UWW was also built for the socio-political environment of HIV health research. (5) Conclusions: The experiences of those involved with UWW demonstrate that explicit curricular components—such as interdisciplinarity, community-based research, intervention research, and applied ethics—can be learned through a blended delivery when combined with opportunities to apply the knowledge in ways, such as a field mentoring placement and a learning institute. Related to this outcome, our case study describes that implicit curricular components in the formation of a professional—the sense of self in the field as a researcher, student, and community member—can also be delivered through a blended model. However, the tools and activities need to be tailored to each student for their context, while pushing their disciplinarian and professional boundaries.


2019 ◽  
Vol 8 ◽  
Author(s):  
Sarah Rule ◽  
Anton Roberts ◽  
Pamela McLaren ◽  
Susan Philpott

Background: Community-based rehabilitation (CBR) is a complex concept and strategy that has been implemented in diverse ways globally and in South Africa. Internationally, some stakeholders have described CBR as confusing, and this may influence implementation. A southern African study reports that there is insufficient evidence of the understanding of CBR in the region to influence training, policy and practice.Objectives: The aim of this study was to investigate South African stakeholders’ knowledge of CBR.Method: This article reports on an electronic survey that was part of a larger mixed methods study. Based on the sample of 86 respondents, descriptive statistics were used to analyse the quantitative data and thematic analysis for the qualitative data.Results: The majority of respondents had had exposure to CBR, but almost a quarter had no knowledge of the CBR guidelines and matrix. The results revealed varying knowledge concerning the key concepts of CBR, its beneficiaries and its funders. Respondents identified persons with disabilities as having a central role in the implementation of CBR. Problems with the visibility of CBR programmes were noted, as well as misunderstandings by many therapists.Conclusion: The implementation of CBR, and its goal of ensuring the rights of persons with disabilities, is negatively affected by the confusion attached to the understanding of what CBR is. The misunderstandings about, and lack of visibility of, CBR in South Africa may hinder its growing implementation in the country in line with new government policies.


2013 ◽  
Vol 2 (1) ◽  
Author(s):  
Anne Marie W. Hansen ◽  
Albert P. Chaki ◽  
Ruth Mlay

Background: This article describes a partnership between a community-based rehabilitation organisation and a non-governmental organisation (NGO) in Tanzania. The partnership focused on income-generating (IG) activities to tackle the problems of poverty faced by families with a child with a disability (CWD). Objectives: The aim of this case study was to describe the partnership between Comprehensive Community Based Rehabilitation Tanzania in Moshi (CCBRT-Moshi), a non-governmental organisation, and families to create an income-generating business, namely raising goats.Method: This was a team approach between CCBRT-Moshi and Heifer International, an organisation that focuses on IG activities to create a synergy or partnership between community-based rehabilitation and IG activities.Results: This partnership between occupational therapy rehabilitation services at CCBRT-Moshi and the NGO resulted in strengthening the effectiveness of occupational therapy services and leaving a more lasting impact on the people they served within the community by helping to reduce poverty in addition to providing rehabilitation and prevention interventions.Conclusion: This collaboration was successful as it provided a means for families to generate income from raising goats. Although the results have not been empirically verified, observational and anecdotal evidence suggests that families with CWDs have better quality of life and ultimately improved health through this synergistic partnership.


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