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

Author

Listed:
  • Evans, P. J.
  • Zinkin, P.
  • Harpham, T.
  • Chaudury, G.

Abstract

Almost all governments and non-governmental organisations in developing countries use a community-based rehabilitation (CBR) approach to work with disabled people. Although disabled people's organisations reject the categorisation of disability in individual terms, 'medical rehabilitation' is still regarded as an important but time limited process within rehabilitation. The paper lists measures and methods used in a comprehensive evaluation, and presents a practical method to examine the quality of medical rehabilitation. The method was developed and applied in an evaluation of service needs and service provision for disabled people in low-income communities, for the Ministry of Welfare, Government of India. The method described is a tracer approach. It assesses quality in three aspects of medical rehabilitation: The method differs from most others in that it is process oriented, as opposed to output oriented. The method meets the challenges of providing low-cost assessment of a difficult outcome measure (the quality of medical rehabilitation), within a complex process (CBR). It is anticipated that the tracer method will be useful to the objective evaluation of disability services throughout the developing world.

Suggested Citation

  • Evans, P. J. & Zinkin, P. & Harpham, T. & Chaudury, G., 2001. "Evaluation of community-based rehabilitation for disabled persons in developing countries," Social Science & Medicine, Elsevier, vol. 53(3), pages 333-348, August.
    • Handle: RePEc:eee:socmed:v:53:y:2001:i:3:p:333-348
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    Cited by:

    1. Marco Tofani & Giuseppina Esposito & Anna Berardi & Giovanni Galeoto & Silvia Iorio & Maurizio Marceca, 2021. "Community-Based Rehabilitation Indicators: Validation and Preliminary Evidence for Disability in Italy," IJERPH, MDPI, vol. 18(21), pages 1-10, October.
    2. Leonard, Kenneth & Masatu, Melkiory C., 2006. "Outpatient process quality evaluation and the Hawthorne Effect," Social Science & Medicine, Elsevier, vol. 63(9), pages 2330-2340, November.
    3. Xanthe Hunt & Melissa Bradshaw & Steyn Lodewyk Vogel & Alberto Vasquez Encalada & Shanice Eksteen & Marguerite Schneider & Kelly Chunga & Leslie Swartz, 2022. "Community Support for Persons with Disabilities in Low- and Middle-Income Countries: A Scoping Review," IJERPH, MDPI, vol. 19(14), pages 1-17, July.

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