Evaluation of community-based rehabilitation for disabled persons in developing countries

Evans, P.J.; Zinkin, Pamela; Harpham, Trudy; Chaudury, G.

doi:10.1016/s0277-9536(00)00321-x

Cited by 33 publications

(11 citation statements)

References 6 publications

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“…Most authors agree that it is usually best to use more than one method to enable triangulation [2,6,18,20,22,26]. The findings highlight that traditional qualitative methodologies have been used extensively in CBR evaluations [29], but some authors argue that mixed methods and quantitative methodologies have more potential to contribute to demonstrating the effectiveness of CBR programs [13,18,27].…”

Section: Resultsmentioning

confidence: 99%

A systematic review on how to conduct evaluations in community-based rehabilitation

Grandisson

Hébert

Thibeault

2013

Disability and Rehabilitation

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PurposeCommunity-based rehabilitation (CBR) must prove that it is making a significant difference for people with disabilities in low- and middle-income countries. Yet, evaluation is not a common practice and the evidence for its effectiveness is fragmented and largely insufficient. The objective of this article was to review the literature on best practices in program evaluation in CBR in relation to the evaluative process, the frameworks, and the methods of data collection.MethodA systematic search was conducted on five rehabilitation databases and the World Health Organization website with keywords associated with CBR and program evaluation. Two independent researchers selected the articles.ResultsTwenty-two documents were included. The results suggest that (1) the evaluative process needs to be conducted in close collaboration with the local community, including people with disabilities, and to be followed by sharing the findings and taking actions, (2) many frameworks have been proposed to evaluate CBR but no agreement has been reached, and (3) qualitative methodologies have dominated the scene in CBR so far, but their combination with quantitative methods has a lot of potential to better capture the effectiveness of this strategy.ConclusionsIn order to facilitate and improve evaluations in CBR, there is an urgent need to agree on a common framework, such as the CBR matrix, and to develop best practice guidelines based on the literature available and consensus among a group of experts. These will need to demonstrate a good balance between community development and standards for effective evaluations.Implications for RehabilitationIn the quest for evidence of the effectiveness of community-based rehabilitation (CBR), a shared program evaluation framework would better enable the combination of findings from different studies.The evaluation of CBR programs should always include sharing findings and taking action for the sake of the local community.Although qualitative methodologies have dominated the scene in CBR and remain highly relevant, there is also a call for the inclusion of quantitative indicators in order to capture the progress made by people participating in CBR programs.The production of best practice guidelines for evaluation in CBR could foster accountable and empowering program evaluations that are congruent with the principles at the heart of CBR and the standards for effective evaluations.

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Section: Resultsmentioning

confidence: 99%

A systematic review on how to conduct evaluations in community-based rehabilitation

Grandisson

Hébert

Thibeault

2013

Disability and Rehabilitation

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“…other developing countries (Jacob, 2001). Community-based rehabilitation (CBR) is Community-based rehabilitation (CBR) is a form of care that has been implemented a form of care that has been implemented in the field of physical disabilities in low-in the field of physical disabilities in lowincome countries where specialised re-income countries where specialised resources are scarce (Lagerkvist, 1992; Evans sources are scarce (Lagerkvist, 1992;Evans et al et al, 2001). This type of care relies on , 2001).…”

Section: Declaration Of Interestmentioning

confidence: 99%

Evaluation of a community-based rehabilitation model for chronic schizophrenia in rural India

et al. 2003

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“…Further research is needed to define the place of prosthetic and orthotic services within the CBR structure. 45,48…”

Section: Resultsmentioning

confidence: 99%

Provision of prosthetic and orthotic services in low-income countries

Harkins

McGarry

Buis

2013

Prosthetics &Amp; Orthotics International

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Background: Disability is inextricably linked to poverty. A total of 80% of the disabled population lives in low-income countries. The demand for prosthetic and orthotic services in these countries is increasing, and a variety of methods to provide services are currently used. Objectives: To assess current models of provision to facilitate sustainable, evidence-based prosthetic and orthotic services. Study Design: Literature review. Methods: A literature search was performed through Medline (Ovid), PubMed, ISI Web of Knowledge, EMBASE and RECAL Legacy using combinations of subject heading and text word searching strategies. Full-text publications were critically appraised and ranked according to the Scottish Intercollegiate Guidelines Network guidelines. Results: Three areas were deemed pertinent to the research question. Studies were grouped into one or more of these categories based on the issues addressed: instigators, types of service provision, demographics and region-specific issues. It was found that many complex factors influence prosthetic and orthotic services in low-income countries. Demographic and regional idiosyncrasies require prosthetic and orthotic services to be tailored to address the specific needs of individual countries. Conclusions:The lack of and quality of available research made efficacy of methods used to provide services in low-income countries difficult to determine. Clinical relevanceThis review aims to highlight areas of best practice in prosthetic and orthotic services in low-income countries and to show where further research is required in order to develop evidence-based prosthetic and orthotic services.

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Evaluation of community-based rehabilitation for disabled persons in developing countries

Cited by 33 publications

References 6 publications

A systematic review on how to conduct evaluations in community-based rehabilitation

A systematic review on how to conduct evaluations in community-based rehabilitation

Evaluation of a community-based rehabilitation model for chronic schizophrenia in rural India

Provision of prosthetic and orthotic services in low-income countries

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