The policy transfer of community-based rehabilitation in Gulu, Uganda

Brydges, Colton; Munro, Lauchlan T.

doi:10.1080/09687599.2019.1702505

Cited by 2 publications

(3 citation statements)

References 37 publications

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“…However, many national actors’ are dependent on external financing for their operations. This both threatens their sustainability and links their agendas to external donor priorities and funding (S004, S030, S048, S054, S040) [ 68 , 73 , 78 , 79 ]. While some informants saw external financing of rehabilitation programs as a motivator for government action (S030, S004), a larger number of informants felt that there was little global interest or consensus on funding rehabilitation compared to infectious diseases such as HIV, Tuberculosis, malaria, and other infectious diseases (S002, S024, S039, S025, S029, P002) [ 55 ].…”

Section: Resultsmentioning

confidence: 99%

“…This is closely linked to the role of transnational actors. Many not-for-profit service providers are funded by international development agencies and/or private philanthropy, raising concerns about sustainability and fragmentation (S023, S048) [ 66 , 68 , 78 , 79 , 81 ]. An informant describes the risks of externally-financed, private service provision: “[NGO service provider] would set up a building called community mental health service […].Three years, four years down the line, the fund comes to an end, everyone goes home” – S033 …”

Section: Resultsmentioning

confidence: 99%

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Prioritizing rehabilitation in low- and middle-income country national health systems: a qualitative thematic synthesis and development of a policy framework

Neill

Shawar

Ashraf

et al. 2023

Int J Equity Health

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Background There is a large and growing unmet need for rehabilitation – a diverse category of services that aim to improve functioning across the life course – particularly in low- and middle-income countries. Yet despite urgent calls to increase political commitment, many low- and middle-income country governments have dedicated little attention to expanding rehabilitation services. Existing policy scholarship explains how and why health issues reach the policy agenda and offers applicable evidence to advance access to physical, medical, psychosocial, and other types of rehabilitation services. Drawing from this scholarship and empirical data on rehabilitation, this paper proposes a policy framework to understand national-level prioritization of rehabilitation in low- and middle-income countries. Methods We conducted key informant interviews with rehabilitation stakeholders in 47 countries, complemented by a purposeful review of peer-reviewed and gray literature to achieve thematic saturation. We analyzed the data abductively using a thematic synthesis methodology. Rehabilitation-specific findings were triangulated with policy theory and empirical case studies on the prioritization of other health issues to develop the framework. Results The novel policy framework includes three components which shape the prioritization of rehabilitation on low- and middle-income countries’ national government’s health agendas. First, rehabilitation lacks a consistent problem definition, undermining the development of consensus-driven solutions which could advance the issue on policy agendas. Second, governance arrangements are fragmented within and across government ministries, between the government and its citizens, and across national and transnational actors engaged in rehabilitation service provision. Third, national legacies – particularly from civil conflict – and weaknesses in the existing health system influences both rehabilitation needs and implementation feasibility. Conclusions This framework can support stakeholders in identifying the key components impeding prioritization for rehabilitation across different national contexts. This is a crucial step for ultimately better advancing the issue on national policy agendas and improving equity in access to rehabilitation services.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Prioritizing rehabilitation in low- and middle-income country national health systems: a qualitative thematic synthesis and development of a policy framework

Neill

Shawar

Ashraf

et al. 2023

Int J Equity Health

View full text Add to dashboard Cite

show abstract

“…The literature concerned with needs and supports at the community level was chiefly concerned with either the implementation and documentation of community-based programming, including CBR, or the form and functioning of Organisations of Persons with Disabilities (OPDs). Topics covered by the literature concerned with this level included the tension between community-based rehabilitation as location and community-based rehabilitation as a holistic strategy [ 1 , 47 , 48 , 49 , 50 , 51 , 52 , 53 , 54 , 55 ], and the role of OPDs in community support.…”

Section: Discussionmentioning

confidence: 99%

Community Support for Persons with Disabilities in Low- and Middle-Income Countries: A Scoping Review

Hunt

Bradshaw

Vogel

et al. 2022

IJERPH

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Over the life course, persons with disabilities require a range of supports to be integrated into their communities, to participate in activities that are meaningful and necessary, and to have access, on an equal basis to persons without disabilities, to community living. We conducted a scoping review of the peer-reviewed and grey literature on community support for persons with disabilities in low- and middle-income countries (LMICs). The main findings of this review concern the following: there are gaps in access to community support for persons with disabilities in LMICs; there are barriers to the provision of such support; formal and informal strategies and interventions for the provision of community support exist across the life cycle and different life domains, but evidence concerning their effectiveness and coverage is limited; and the role of community-based rehabilitation and Organisations of Persons with Disabilities in the assessment of needs for, and the development and provision of, community support, needs to be more clearly articulated. Research needs a more robust theory of change models with a focus on evaluating different aspects of complex interventions to allow for effective community support practices to be identified.

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The policy transfer of community-based rehabilitation in Gulu, Uganda

Cited by 2 publications

References 37 publications

Prioritizing rehabilitation in low- and middle-income country national health systems: a qualitative thematic synthesis and development of a policy framework

Prioritizing rehabilitation in low- and middle-income country national health systems: a qualitative thematic synthesis and development of a policy framework

Community Support for Persons with Disabilities in Low- and Middle-Income Countries: A Scoping Review

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