scholarly journals Conceptualisation of community-based rehabilitation in Southern Africa: A systematic review

2016 ◽  
Vol 72 (1) ◽  
Author(s):  
Vyvienne R. P. M'kumbuzi ◽  
Hellen Myezwa
Keyword(s):  
Systematic Review ◽  
Southern Africa ◽  
Poverty Reduction ◽  
Journal Articles ◽  
Community Based ◽  
Policy Makers ◽  
Persons With Disabilities ◽  
Community Based Rehabilitation ◽  
Training And Supervision ◽  
Wide Range

Background: Community-Based Rehabilitation (CBR) has evolved over the last 30 years and now focuses on empowering persons with disabilities to access and benefit from a wide range of services. The evidence for CBR is frequently cited in the literature as being scanty and of poor quality.Purpose: We sought to determine how CBR is conceptualised and understood in the literature from Southern Africa. Our interest centred on to what extent the literature could inform policy makers and practitioners in the region.Methods: A systematic review of the literature from countries in Southern Africa guided by Population, Intervention/Phenomenon of Interest, Context and Outcome of Interest to the reviewer (PICO) was employed. This involved an extensive, internally valid and systematic search of electronic databases using specific keywords/subject heading combinations. Journal articles reporting on a description or objectives of CBR, published after 2006, and journal articles written in English of all types of studies were included. Data were charted according to the emergent themes. Two independent raters coded the emergent themes.Results:  Nine from a possible 257 published articles were reviewed; four of these were programme evaluations. Themes describing CBR converged on community development and poverty reduction. Only one article referred to human rights. Training and supervision of CBR workers and education of the community about disability were frequently reported activities.Conclusion:  In isolated cases, the literature is aligned to components of the CBR matrix. However, consistent with previous criticism of CBR, the literature is meagre, as is the evidence to inform policy makers and practitioners in southern Africa.

CAPACITY BUILDING PENGURUS REHABILITASI BERBASIS MASYARAKAT DALAM PELAYANAN TERHADAP PENYANDANG DISABILITAS DI KELURAHAN BABAKAN CIPARAY KECAMATAN BABAKAN CIPARAY KOTA BANDUNG

2019 ◽  
Vol 18 (1) ◽  
Author(s):  
Arif Setiadi
Keyword(s):  
Action Research ◽  
Capacity Building ◽  
Community Based ◽  
Persons With Disabilities ◽  
Community Based Rehabilitation ◽  
Building Community

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

scholarly journals Part 1: A review of using photovoice as a disability research method: Implications for eliciting the experiences of persons with disabilities on the Community Based Rehabilitation programme in Namibia

2018 ◽  
Vol 7 ◽  
Author(s):  
Tonderai W. Shumba ◽  
Indres Moodley
Keyword(s):  
Research Method ◽  
Qualitative Method ◽  
Life Experiences ◽  
Qualitative Evaluation ◽  
Evaluation Tool ◽  
Community Based ◽  
Persons With Disabilities ◽  
Community Based Rehabilitation ◽  
Disability Research ◽  
Potential Use

Background: Although the Community Based Rehabilitation (CBR) programme in Namibia was formally adopted in 1997, the effectiveness of the programme, including the experiences of persons with disabilities on the programme, has not been assessed to date.Objectives: To explore the need for a qualitative evaluation tool for the CBR programme that can elicit the experiences of persons with disabilities.Methods: A scoping review was conducted on the use of photovoice as a disability research method and its potential use in eliciting the experiences of persons with disabilities participating in the CBR programme. A comprehensive literature search was conducted on electronic databases as a part of the scoping review.Results: Twenty-one studies were selected for review. Six studies followed the exact steps of the traditional photovoice process, and the remaining 15 studies modified the process. Seventeen studies used photovoice as the only research method, 3 combined photovoice with a qualitative method and only one study combined photovoice with a quantitative method. Seven studies had a sample size ranging from 6 to 10 participants as suggested by the traditional photovoice process. The duration of the studies ranged from 2 weeks to 2 years. Thirteen studies investigated life experiences of persons with various disabilities and 17 studies suggested that the photovoice process increases empowerment.Conclusion: Photovoice is a versatile research method and has the potential to be utilised in effectively eliciting the experiences of persons with disabilities on the CBR programme in Namibia.

scholarly journals Determinants of regulatory compliance in health and social care services: a systematic review protocol

2021 ◽  
Vol 4 ◽  
pp. 13
Author(s):  
Paul Dunbar ◽  
John P. Browne ◽  
Laura O'Connor
Keyword(s):  
Systematic Review ◽  
Quality Improvement ◽  
Social Care ◽  
Service Providers ◽  
Regulatory Compliance ◽  
Policy Makers ◽  
Care Services ◽  
Health And Social Care ◽  
Wide Range ◽  
Study Designs

Background: The delivery of high quality health and social care services is a fundamental goal for health systems worldwide. Identifying the determinants of quality is a complex task as there are a myriad of variables to choose from. Researchers in this field have assessed a range of organisational and environmental factors (for example: staff composition, facility ownership, facility size) for an association with various quality metrics. Less attention has been paid to the determinants of compliance with quality regulation. Identifying the determinants of compliance has the potential to improve regulatory processes and can inform quality improvement initiatives undertaken by service providers and policy makers. This protocol describes a systematic review which will review literature from a wide range of study designs and sources to develop an overview of the determinants of regulatory compliance in health and social care services. Methods: A wide range of study designs and grey literature will be sought for this review. Searches will be conducted using PubMed, MEDLINE, PsycInfo, SocINDEX and CINAHL databases. The studies included in the review will be subject to quality appraisal with reference to the collection of tools available from the Joanna Briggs Institute. Data extraction will be informed by the Consolidated Framework for Implementation Research (CFIR). A narrative synthesis will be conducted on the barriers, facilitators and factors associated with compliance, with reference to the concepts mapped onto the CFIR. GRADE-CERQual will be used to grade the overall body of evidence. Conclusion: The findings of this review will be useful to regulators to inform regulatory policy and practice. Service providers and policy makers may also use the findings to inform quality improvement initiatives aimed at improving compliance and quality across a range of health and social care services.

scholarly journals The impact of a community based rehabilitation program in Afghanistan: a longitudinal analysis using propensity score matching and difference in difference analysis

2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Jean-Francois Trani ◽  
Juanita Vasquez-Escallon ◽  
Parul Bakhshi
Keyword(s):  
Daily Living ◽  
Well Being ◽  
Medium Effect ◽  
Community Based ◽  
Persons With Disabilities ◽  
Cohen’S D ◽  
Community Based Rehabilitation ◽  
Medium Effect Size ◽  
Cohen's D ◽  
The Impact

Abstract Background The 2006 United Nations Convention on the Rights of Persons with Disabilities states that the achievement of equal rights, empowerment and social inclusion of people with disabilities requires comprehensive rehabilitation services encompassing all components of the World Health Organization Community based rehabilitation (CBR) matrix: health, education, livelihood, social and empowerment. CBR programs specifically aim to deliver such comprehensive interventions. In the present study, we investigate the impact of a CBR program in Afghanistan on all these components. Methods We enrolled 1861 newly recruited CBR participants with disabilities in the study, from 169 villages between July 2012 and December 2013 as well as 1132 controls with disabilities randomly selected through a two-stage process within 6000 households from 100 villages in the same provinces but outside the catchment area of the CBR program. We interviewed them again after one (midline) and two (end-line) years in the study. Using propensity score matching and difference in difference analysis, we estimated the impact of the CBR on outcomes of interest, namely mobility, activities of daily living, communication, participation in social and community life, emotional well-being and employment. Results Three years on average into the CBR program, participants showed a significant and close to medium effect size reduction in emotional (Cohen’s d = − 0.48, 95%CI[− 0.58--0.38]), and social participation challenges (Cohen’s d = − 0.45, 95%CI[− 0.53−− 0.36]); small to medium effect size reduction in unemployment (Cohen’s d = − 0.21, 95%CI[− 0.33--0.10]), activities of daily living (Cohen’s d = − 0.26, 95%CI[− 0.35--0.18]), mobility (Cohen’s d = − 0.36, 95%CI[− 0.44--.29]) and communication challenges (Cohen’s d = − 0.38, 95%CI[− 0.46--0.3]). Conclusions Our study indicates that a CBR program may provide positive rehabilitation outcomes for persons with disabilities even in a conflict context, and improve overall well-being of all participants with disabilities, whatever their impairment, individual characteristics and the CBR matrix components considered. Trial registration ISRCTN, ISRCTN50214054. Registered August 5th 2020 - retrospectively registered

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