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Community-based rehabilitation programme evaluations : lessons learned in the field

GRANDISSON, Marie
2014

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“There is limited guidance available on the best ways to evaluate community-based rehabilitation (CBR) programmes. In this paper, we share lessons learned on suitable evaluation strategies for CBR through a South African programme evaluation. At the end of the field visit, parents, staff members and managers provided feedback anonymously about what they liked and disliked about the evaluation, and offered their suggestions”

 

Disability, CBR and Inclusive Development, Vol. 25, No. 1

Is doing good "good" : professional motives vs. community needs

POLLARD, Nick
SAKELLARIOU, Dikaios
2009

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"This paper offers a critical discussion of the goodness of fit between professional motives and community needs in the field of community-based rehabilitation (CBR). Data were drawn from the authors’ involvement in a survey of occupational therapists involved in CBR and a search of CINAHL, PsychInfo and Medline online databases for related descriptive and analytical articles. Due to cultural differences and time constraints CBR professionals often are, and remain, ‘outsiders’ to the community they are working with. The focus of CBR is sometimes uncertain. Professional motives do not always meet community needs and good intentions do not necessarily transpire into sustainable, culturally appropriate action. The involvement of the community in all stages of programme development and implementation is important both to ensure relevancy and build alliances with the community. CBR needs to be approached and evaluated as a unique area of professional practice"
Asia Pacific Disability Development Journal, Vol 20, No 2

Evidence for the effectiveness of rehabilitation-in-the-community programmes

VELEMA, Johan P
EBENSO, Bassey
FUZIKAWA, Priscila L
March 2008

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"The present literature review identified 29 reports from 22 countries in Asia, Africa and Central America reporting on the outcomes of rehabilitation-in-the-community programmes in low and middle income countries published between 1987 and 2007. Interventions included home visits by trained community workers who taught disabled persons skills to carry out activities of daily living, encouraged disabled children to go to school, helped find employment or an income generating activity, often involving vocational training and/or micro-credit. Many programmes had a component of influencing community attitudes towards disabled persons. The information collected shows that such programmes were effective in that they increased independence, mobility and communication skills of disabled persons, helped parents of disabled children to cope better and increased the number of disabled children attending schools. Economic interventions effectively increased the income of disabled persons although they rarely made them financially independent. CBR activities result in social processes that change the way community members view persons with disabilities, increase their level of acceptance and social inclusion and mobilise resources to meet their needs"
Leprosy Review, Vol 79, Issue 1

Community participation in community-based rehabilitation programmes

SHARMA, Manoj
2007

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"The purpose of this study was to qualitatively analyse the extent of evaluation of community participation in CBR studies evaluated over the last thirty years." The findings conclude that community participation has not been adequately measured by CBR programmes and that valid measures of community participation need to be developed
Asia Pacific Disability Rehabilitation Journal, Vol 20, No 1

Rationale for an approach to identifying disabled persons in community based rehabilitation projects

WEE, Joy
July 2004

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"This paper outlines the considerations that need to be made when taking steps to identify the disabled population in a given community, as part of planning for a community based rehabilitation (CBR) programme. An overview of the literature and lessons learned, and discussion of important issues is provided. It emphasises the extent of thought and considerations suggested for engaging in the first stages of CBR planning, in order to promote successful CBR efforts"
Asia Pacific Disability Rehabilitation Journal, Vol 15, No 2

An inter-country study of expectations, roles, attitudes and behaviours of community-based rehabilitation volunteers

SHARMA, Manoj
DEEPAK, Sunil
July 2003

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"[T]his study gathered information from CBR volunteers in Eritrea, Egypt, India, Mongolia, Papua New Guinea, Pakistan, and Vietnam (n=176) regarding their expectations, roles, attitudes and behaviours pertaining to CBR work. The survey revealed that majority of CBR volunteers volunteered their time as a personal decision (63%) and were not personally disabled (84%). It was found that satisfaction from CBR work was directly related to self-efficacy or behaviour specific confidence in their ability to perform CBR-related tasks, while inverse and significant relationships were found with barriers and outcome expectations. Thus, for retaining volunteers, CBR projects need to provide educational activities that build self-efficacy of volunteers to fulfill CBR-related tasks and reduce barriers"
Asia Pacific Disability Rehabilitation Journal, Vol 14, No 2

Participation in community based rehabilitation programme in Zimbabwe : where are we?

MYEZWA, H
M’KUMBUZI, VRP
January 2003

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"This paper presents preliminary observations of participation in Community Based Rehabilitation (CBR). Based on the experiences of the two authors in implementing over 20 CBR programmes in Zimbabwe, the paper identifies the type and development of participation within CBR. It is hoped that lessons can be drawn from the experiences of the CBR process in Zimbabwe and further questions can be asked, to help develop a conceptual approach for planners and implementers working with communities"
Asia Pacific Disability Rehabilitation Journal, Vol 14, No 1

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