Implementation of disability policy framework in Namibia: A qualitative study

Shumba, Tonderai Washington; Moodley, Indres

doi:10.4102/sajp.v74i1.400

Cited by 14 publications

(11 citation statements)

References 12 publications

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“…A review of policies and legislations in Namibia (Shumba & Moodley, 2018a) identified CBR as underpinning key strategy for delivery of disability and rehabilitation services in the country. Shumba and Moodley (2018b) also confirmed the need to explore the experiences of persons with disabilities in CBR programmes using appropriate qualitative evaluation tools. A scoping review established that Photovoice has the potential to be utilised as a qualitative evaluation tool for effectively eliciting the experiences of persons with disabilities on a CBR programme (Shumba & Moodley, 2018c).…”

Section: Introductionmentioning

confidence: 62%

Experiences of Persons with Disabilities and their Quality of Life in Two Namibian Villages

Shumba

Moodley

2021

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The study aimed to determine the convergence and divergence of the Photovoice method and the WHOQOL-BREF assessment in integrating the experiences of persons with disabilities with Community-Based Rehabilitation (CBR) and their quality of life respectively. It also aimed to propose a practice framework for CBR programme evaluation in Namibia.Method: A qualitative phenomenological design was utilised. Twelve participants were part of this study.The primary data sets used for analysis were photographs taken during a study using the Photovoice method and the results from the WHOQOL-BREF questionnaire. The Photovoice process preceded completion of the WHOQOL-BREF questionnaire. Information about the participants was gathered during the two phases. The CBR Matrix developed by the World Health Organisation was utilised to determine themes for the Photovoice method. Results of the Photovoice study were integrated with those of the WHOQOL-BREF to determine convergence and divergence.Results: Notably, most participants (n=8) in both study sites had low scores regarding their quality of social relationships and environment. Furthermore, the Photovoice method revealed negative experiences of the participants regarding the environment (physical safety and security, home environment, financial resources, health and social care, access to information, recreation and leisure, physical environment, and transport). By and large there was a stronger convergence than divergence of the Photovoice method and WHOQOL-BREF assessment.

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Section: Introductionmentioning

confidence: 62%

Experiences of Persons with Disabilities and their Quality of Life in Two Namibian Villages

Shumba

Moodley

2021

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“…The study revealed that physical accessibility remains poor despite the advocacy initiatives of CBR volunteers at both sites. The lack of physical accessibility can be attributed to a lack of legislation on physical accessibility in Namibia [5].…”

Section: (4) Socialmentioning

confidence: 99%

“…(3) Able to use a camera and describe his/her photographs, (4) Involvement in the CBR program for at least one year, (5) Have basic advocacy skills to be able to engage in dialogue that can influence policy and decision-making, (6) Be able to read and speak basic English, (7) Must be willing and interested in participating in the project for one month, (8) Must be willing to share their experiences with participant group members and eventually the public.…”

Section: Inclusion Criteria For Participantsmentioning

confidence: 99%

“…Nevertheless, its effectiveness has not been assessed from the perspective of persons with disabilities but is often interpreted by service providers as a tool to deal with "problems" of persons with disabilities and thus fails to allow persons with disabilities to enjoy equal rights [4]. To this end, a review of both implementers and recipients of the services [5] confirmed that there is a need for participatory evaluation methods in CBR.…”

Section: Introductionmentioning

confidence: 99%

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The use of photovoice in evaluating a community-based rehabilitation (CBR) program: experiences from CBR volunteers in Namibia

Shumba¹,

Haufiku²,

Amukugo³

2020

JHR

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PurposeQualitative participatory methods are needed to measure the effectiveness of the community-based rehabilitation (CBR) program in Namibia. The study explored the experiences of CBR volunteers in evaluating CBR program in Namibia through the use of photovoice. Further the study assessed the strengths and limitations of utilizing photovoice method as an assessment tool for CBR evaluation.Design/methodology/approachThe study employed a qualitative, explorative, descriptive and contextual design. Data was collected through the photovoice method. Two CBR sites and 16 participants who were CBR volunteers were purposively selected. Data was collected and analysis was conducted simultaneously utilizing the photovoice method and themes were determined using WHO CBR matrix.FindingsVarious experiences were elicited regarding participants' experiences in line with the five components of the CBR matrix. Most experiences were reported regarding the health component, and the education component had the least experiences reported. Methodological strength and weaknesses as well as implications for practice are revealed. Further research can explore the benefits of combining photovoice with other data collection methods.Research limitations/implicationsThe use of purposive sampling in selecting both CBR sites and participants limited wider representation of CBR program sites and persons with all disabilities in Namibia, respectively.Originality/valueSustainability of CBR programs depends on community ownership, empowerment and government funding. Photovoice is participatory and hence gives community ownership and empowerment. Evidence from photovoice can enable persons with disabilities to formulate action plans that can advocate their concerns with policymakers and justify more funding for CBR programs.

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“…Insights into experiences and understandings of those who are ‘exposed’ to CBR can best be obtained through qualitative methods. Recently, Shumba and Moodley ( 2017a ) in their assessment of the implementation of the CBR disability programmes identified the need for a qualitative evaluation tool that can effectively elicit the experiences of persons with disabilities on the CBR Programme.…”

Section: Introductionmentioning

confidence: 99%

Part 2: The feasibility of utilising photovoice method and the World Health Organization Quality of Life instrument in evaluating the Community-Based Rehabilitation programme in Namibia: A pilot study

Shumba

Moodley

2018

Afr. j. disabil.

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BackgroundEvaluation of Community-Based Rehabilitation (CBR) programmes in Namibia has been primarily quantitative, focusing mainly on outputs, including numbers of persons with disabilities served, referrals made and activities implemented. Little or no evidence is available on experiences and quality of life of persons with disabilities, despite the CBR programme being operational for more than 20 years. The 2011 World Report on Disability recommended the use of appropriate tools to fill the research gap by integrating the experiences of persons with disabilities and their quality of life.ObjectivesThe overall objective of the larger cohort study is to develop a monitoring and evaluation tool that can measure and integrate the experiences of persons with disabilities and their quality of life within the context of the CBR Programme in Namibia.MethodAn adapted photovoice process was conducted with six purposively selected participants over a period of 1 month. The World Health Organization Community-Based Rehabilitation (WHO CBR) Matrix was used to identify the themes and subthemes. Participants were requested to complete the World Health Organization Quality of Life (abbreviated version) (WHOQOL-BREF) instrument at the end of the photovoice process to determine their quality of life.ResultsAdministering the WHOQOL-BREF instrument at the end of the photovoice process measured both the quality of life of persons with disabilities and at the same time indicated the convergence and divergence in the two data collection methods. The study demonstrated a stronger convergence than divergence of the two methods. A feasibility criterion was mapped for future studies.ConclusionThis study demonstrated that photovoice is a flexible method that can be used with a variety of disabilities and has the potential of being combined with the WHOQOL-BREF assessment form. A larger cohort study may consider implementing photovoice and WHOQOL-BREF on multiple study sites and be able to compare results, considering geographical and demographic variables. The feasibility of utilising each method alone and in combination offered valuable insights on future conceptual framing of CBR programme evaluation. This conceptual framing will allow CBR practitioners to appreciate how these two methods contribute to a rigorous process of CBR programme evaluation.

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Implementation of disability policy framework in Namibia: A qualitative study

Cited by 14 publications

References 12 publications

Experiences of Persons with Disabilities and their Quality of Life in Two Namibian Villages

Experiences of Persons with Disabilities and their Quality of Life in Two Namibian Villages

The use of photovoice in evaluating a community-based rehabilitation (CBR) program: experiences from CBR volunteers in Namibia

Part 2: The feasibility of utilising photovoice method and the World Health Organization Quality of Life instrument in evaluating the Community-Based Rehabilitation programme in Namibia: A pilot study

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