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Best practices in the socio-economic rehabilitation of persons affected by leprosy and other marginalised people in their communities: findings from nine evaluations in Bangladesh, India and Africa

VELEEMA, Johan P
2008

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This paper presents an overview of findings from the formal evaluation of 9 socio-economic rehabilitation programmes (SER), in 4 countries in Africa, in Bangladesh and in India from 2002-2005. Bringing together the recommendations resulted in a description of best practices in the implementation of socio-economic rehabilitation programmes, derived from actual experiences in different contexts.

All the 9 programmes focused on supporting individual leprosy-affected beneficiaries or their families. Four projects also supported other marginalised clients. The usual interventions were micro-credit, housing and sponsoring of education for the children.

The recommendations touched upon each of the five steps in individual rehabilitation: Selection of clients, needs assessment, choosing an intervention, monitoring / follow--up of clients during rehabilitation, and separation at the end of the rehabilitation process. The evaluators also suggested ways in which participation of the client in their own rehabilitation might be boosted, made recommendations for the organisational structure of programmes, on maximising community involvement and emphasised the importance of information systems and of investing in the programme staff. A number of recommendations were specific to the types of interventions implemented i.e, housing, education or micro-credit.

Evidence of the impact of SER on the quality of life of clients is limited, but suggests increased self-esteem and increased respect/status in the family and community.

 

Asia Pacific Disability Rehabilitation Journal, vol.19, no.1, 2008

A review of income transfers to disabled and long term sick people in seven case study countries and implications for South Africa

WHITWORTH, Adam
WRIGHT, Gemma
NOBLE, Michael
April 2006

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This resource examines seven international case studies of state income maintenance policies for individuals who are disabled or long-term sick in order to analyze the current debates in South Africa surrounding the Disability Grant. The countries are: India, Mexico, USA, UK, Sweden, Netherlands, and Canada. The purpose is to provide an overview of the various benefits and the nature of social security coverage for disabled people and chronically sick individuals in each country. This work would be useful for anyone with an interest in social protection, public policy and disability

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