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Training of Mid-Level Rehabilitation Workers for Community-Based Rehabilitation Programmes

GHOSH, R
PALANIVELU, V
TEBBUTT, E
DEEPAK, S
2021

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Purpose: There is a lack of trained rehabilitation professionals, especially in the small towns and rural areas of low and middle income countries. In India, a cadre of mid-level rehabilitation workers, the Rehabilitation Therapy Assistants (RTAs), are being trained by Mobility India, a Non-Governmental Organisation (NGO). This paper aims to assess impact of their training and experiences after the training.

 

Method: Data were collected from 3 different initiatives connected with the trained RTAs: an impact assessment of their training; interviews with RTAs during an evaluation; and a survey of 188 RTAs trained between 2002 and 2019.

 

Results: RTAs were shown to have good skills to provide rehabilitation interventions in the field and are appreciated by clients and other stakeholders. Most of the RTAs work for NGOs in CBR programmes, and in private hospitals and clinics. There does not seem to be a role for them in government services in most countries. The number of trained RTAs remains small in spite of the large needs. This may be due to lack of an accreditation system for RTAs and the low priority given to rehabilitation services in general in some countries.

 

Conclusions: The results provide useful information to strengthen RTA training courses. Training RTAs to provide rehabilitation services in smaller towns and rural areas of low and middle income countries can have a good impact through CBR programmes. However, this impact remains circumscribed to small areas where NGOs are active. Changes are needed in health systems for the inclusion of mid-level rehabilitation workers in primary health care services.

Increasingly consulted, but not yet participating: IDA global survey report on participation of Organisations of Persons with Disabilities

INTERNATIONAL DISABILITY ALLIANCE (IDA)
November 2020

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This new report presents the findings of the first-ever global survey led by OPDs on their participation in decision making processes of governments, the UN system and funding agencies.

The IDA Global Survey is part of a strategy to hold decision-makers accountable for their commitments under Articles 4.3 and 32 of the UN Convention on the Rights of Persons with Disabilities (CRPD). Based on testimonies collected from OPDs in 165 counties, the report assesses the quality, depth, scope and relevance of the OPDs participation in programmes and policies, and offers recommendations for governments, the UN system and funding agencies.

Disability at a glance 2012 : strengthening the evidence base in Asia and the Pacific

UN ECONOMIC AND SOCIAL COMMISSION FOR ASIA AND THE PACIFIC (ESCAP), Social Development Division
October 2012

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This report series aims to provide a regional overview of disability policies and practices, as well as relevant country data and information. This fourth edition highlights the complexity of interpreting disability data and stresses the urgent need to work towards a greater common understanding of disability, related data and data collection practices. The report consists of an introduction, two analytical chapters and subregional and country snapshots. The progress in data collection efforts is reflected in the number of country snapshots included in the current edition (52 countries and areas). The data are drawn from national Government sources, based on bilateral communication between national disability focal points and ESCAP, as well as the 2011 ESCAP Disability Survey. This report is useful for policymakers, statisticians and representatives of organizations of, and for, persons with disabilities in Asia and the Pacific
ST/ESCAP/2642

Disability at a glance 2010 : a profile of 36 countries and areas in Asia and the Pacific

UN ECONOMIC AND SOCIAL COMMISSION FOR ASIA AND THE PACIFIC (ESCAP)
2010

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This document provides disability information and statistics for 36 countries within the Asia and Pacific regions focusing upon the population of persons living with disabilities. The contextual definition of disability is outlined in each of these countries, as well as national policy, programmes and institutional mechanisms that exist on disability issues. This would be useful document for people who are interested in disability information in Asian and Pacific countries
ST/ESCAP/2583

Disability at a glance 2009 : a profile of 36 countries and areas in Asia and the Pacific

UN ECONOMIC AND SOCIAL COMMISSION FOR ASIA AND THE PACIFIC (ESCAP)
November 2009

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This document provides disability information and statistics for 36 countries within the Asia and Pacific regions focusing upon the population of persons living with disabilities. The contextual definition of disability is outlined in each of these countries, as well as national policy, programmes and institutional mechanisms that exist on disability issues. This would be useful document for people who are interested in disability information in Asian and Pacific countries

UN development account project on improvement of disability statistics

LIU, Wei
September 2007

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This presentation presents background information about ESCAP and disability and statistics. It highlights the UN development account project, featuring the expected outcomes and activities. This resource is useful to anyone interested in projects focusing on the improvement of disability statistics
Seventh Meeting of the Washington Group on Disability Statistics
19-21 September 2007
Dublin, Ireland

Disability at a glance : a profile of 28 countries and areas in Asia and the Pacific

UNITED NATIONAL ECONOMIC AND SOCIAL COMMISSION FOR ASIA AND THE PACIFIC (ESCAP)
2006

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This publication provides "...disability-related data and policy-related information so that readers are able to see in detail how a particular country or area defines disability and collects related statistics, and implements the Biwako Millennium Framework, in particular, with regard to the establishment of a relevant institutional framework and policies." It is intended "...that this publication will serve as a basis for continuing dialogue amongst the stakeholders on reviewing current status of Government commitments on disability and serve as an impetus for further actions"

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