An Evaluative Study of Services Provided in Community-Based Rehabilitation Centres in Jordan

Abstract

Purpose: This research study aimed to investigate the effectiveness of the services provided by CBR programmes in Jordan. Method: This was a mixed-methods investigation. A survey was carried out with 47 participants (stakeholders and volunteers) from four CBR centres in Jordan. It comprised 18 questions that collected both qualitative and quantitative data with both closed-and open-ended questions. The quantitative data were analysed using SPSS Version 22.0. Qualitative data were analysed through thematic content analysis and open coding to identify emergent themes. Results: 40.4% of the participants evaluated the effectiveness of CBR services as low. This mainly stemmed from the lack of efforts to increase the local community's knowledge about CBR, disability and the role of CBR programmes towards people with disabilities. Conclusions: A proposal was offered concerning the priorities of CBR programmes in Jordan. Efforts need to be directed at promoting livelihood and empowerment components in order to actualise the principles of CBR, mainly by promoting multispectral collaboration as a way of operation. Implications: This study was inclusive of all types of disability. Barriers to the effectiveness of services may stem from accessibility issues to the families of persons with disabilities (hard to reach) or from CBR services themselves (hard to access). The culturally specific evaluative tool in this study was of "good" specificity and sensitivity, this evaluative instrument can be transferrable to measure the impact of CBR programmes in other settings.

Implementation Research in Community Based Rehabilitation

“…CBR has gained the recognition of the WHO and governmental and non-governmental organisations due to its inclusive participation of all members and parties of a community, especially in countries of low-middle income (Darawsheh, 2017;Velema et al, 2010;WHO, United Nations Educational, Scientific (Darawsheh, 2017;Finkenflügel, Wolffers, & Huijsman, 2005;Velema et al, 2010;Mason, Weber, Atasoy, Sabariego, & Cieza, 2017).…”

“…CBR is pragmatic in-nature and requires immediate actions and solutions directed to serve the needs of communities, taking into account the unique economic and sociocultural idiosyncrasies of a given context (Darawsheh, 2017;Velema et al, 2010). It is based on several principles such as inclusion and empowerment of PWDs, participation, equality, and social justice (Mason et al, 2017;Velema et al, 2010;WHO, UNESCO, ILO, & IDDC, 2010).…”

“…The implementation of the principles of CBR is complex and the needs in CBR are ever-changing. CBR does not only require focusing on medical needs, but also on sociocultural factors (Darawsheh, 2017;Mason et al, 2017). That is, CBR aims at promoting health and wellbeing not only by targeting illnesses and pathological health conditions, but also by creating or testing interventions (Velema et al, 2010).…”

“…That is, CBR aims at promoting health and wellbeing not only by targeting illnesses and pathological health conditions, but also by creating or testing interventions (Velema et al, 2010). It also aims at empowering PWDs to have equal opportunities by targeting negative sociocultural attitudes against them (Darawsheh, 2017).…”

“…CBR is not only an exclusive approach to delivery of services to PWDs as previously posited when it was first established (Darawsheh, 2017;Mason et al, 2017). CBR has developed as a comprehensive strategy that aims at achieving comprehensive community development (WHO, UNESCO, ILO, & IDDC, 2010).…”