Sustainability Criteria for CBR Programmes – Two Case Studies of
                        Provincial Programmes in Vietnam

Mijnarends, Donja; Pham, Duc Cuong; Swaans, Kees; Brakel, Wim H. van; Wright, Pamela

doi:10.5463/dcid.v22i2.54

Cited by 22 publications

(27 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Examples of local financial resource mobilization included charging small fees to support service delivery [21, 23, 24], equity fund collection boxes alongside those used for daily operations or voluntary community donations [18]. Articles also documented the converse: setbacks due to lack of resources and support [25–28]. For example, a community based rehabilitation program in Vietnam recognized financing as an essential condition for a sustainable program.…”

Section: Resultsmentioning

confidence: 99%

Synergies, strengths and challenges: findings on community capability from a systematic health systems research literature review

George

Scott

Mehra

et al. 2016

BMC Health Serv Res

View full text Add to dashboard Cite

BackgroundCommunity capability is the combined influence of a community’s social systems and collective resources that can address community problems and broaden community opportunities. We frame it as consisting of three domains that together support community empowerment: what communities have; how communities act; and for whom communities act. We sought to further understand these domains through a secondary analysis of a previous systematic review on community participation in health systems interventions in low and middle income countries (LMICs).MethodsWe searched for journal articles published between 2000 and 2012 related to the concepts of “community”, “capability/participation”, “health systems research” and “LMIC.” We identified 64 with rich accounts of community participation involving service delivery and governance in health systems research for thematic analysis following the three domains framing community capability.ResultsWhen considering what communities have, articles reported external linkages as the most frequently gained resource, especially when partnerships resulted in more community power over the intervention. In contrast, financial assets were the least mentioned, despite their importance for sustainability. With how communities act, articles discussed challenges of ensuring inclusive participation and detailed strategies to improve inclusiveness. Very little was reported about strengthening community cohesiveness and collective efficacy despite their importance in community initiatives. When reviewing for whom communities act, the importance of strong local leadership was mentioned frequently, while conflict resolution strategies and skills were rarely discussed.Synergies were found across these elements of community capability, with tangible success in one area leading to positive changes in another. Access to information and opportunities to develop skills were crucial to community participation, critical thinking, problem solving and ownership. Although there are many quantitative scales measuring community capability, health systems research engaged with community participation has rarely made use of these tools or the concepts informing them. Overall, the amount of information related to elements of community capability reported by these articles was low and often of poor quality.ConclusionsStrengthening community capability is critical to ensuring that community participation leads to genuine empowerment. Our simpler framework to define community capability may help researchers better recognize, support and assess it.

show abstract

Section: Resultsmentioning

confidence: 99%

Synergies, strengths and challenges: findings on community capability from a systematic health systems research literature review

George

Scott

Mehra

et al. 2016

BMC Health Serv Res

View full text Add to dashboard Cite

show abstract

“…The level of community participation determines whether the program becomes established, how quickly and successfully it consolidates, and how it responds and adapts to meet changing needs. (2) Community context [4,8,18,55] describes contextual factors affecting community. In the literature, it is a broad factor encompassing community problems, like relations with government, social inequalities, which usually vary from study to study and from community to community.…”

Section: Conceptual Modelmentioning

confidence: 99%

“…Community based programs are increasingly scrutinized in the literature literature [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15] in the broader context of non-profit sector sustainability [16,17]. There are several reasons why program sustainability is important: (1) terminating an effective program leads to negative effects for both the community involved and for host organization; (2) program initiation costs are high; and (3) community experiencing unexpected program termination lose trust when future programs are to be introduced [18].…”

Section: Introductionmentioning

confidence: 99%

Community Based Programs Sustainability. A Multidimensional Analysis of Sustainability Factors

Ceptureanu

Luchian

et al. 2018

Sustainability

View full text Add to dashboard Cite

Abstract:Ensuring community based program sustainability is critical for the targeted communities. When such a program is no longer sustainable, its impact decreases, leading to unmet expectations, affecting the community as a whole. As such, scrutinizing sustainability factors for community based programs proves essential. This paper analyses those factors by reviewing the literature, questioning 188 individuals from community based organizations and other non-profits and providing a ranking for the most important of them. The factors were divided into 3 categories: related to program itself, related to host (implementing) organisation and related to the community where the program is operationalized. For data analysis several statistical tests were used, leading to a ranking of the most important 22 factors for community based programs sustainability.

show abstract

“…A physiotherapist could hold an important position in community rehabilitation (Mijnarends et al, 2011), with the importance placed on the health component of the CBR Matrix (Bowers et al, 2015). The roles are varied and depend on the circumstances and the needs of the community.…”

Section: Resultsmentioning

confidence: 99%

“…Research has shown that there are more positive outcomes with a cross-sectoral approach as compared to running a community programme with only medical professionals. However, as seen in other parts of the world, lack of adequate human resources is still a major challenge (Mijnarends et al, 2011). …”

Section: Community Physiotherapy In Asiamentioning

confidence: 99%

Community Physiotherapy in Different Regions

Rajan

2016

DCID

View full text Add to dashboard Cite

show abstract

Sustainability Criteria for CBR Programmes – Two Case Studies of Provincial Programmes in Vietnam

Cited by 22 publications

References 16 publications

Synergies, strengths and challenges: findings on community capability from a systematic health systems research literature review

Synergies, strengths and challenges: findings on community capability from a systematic health systems research literature review

Community Based Programs Sustainability. A Multidimensional Analysis of Sustainability Factors

Community Physiotherapy in Different Regions

Contact Info

Product

Resources

About