An Online Survey on Identification of Evaluation Capacity, Needs and
                        Current Practice of Programme Evaluation in Community-based
                        Rehabilitation

Weber, Joerg; Polack, Sarah; Hartley, Sally

doi:10.5463/dcid.v27i2.565

Cited by 5 publications

(6 citation statements)

References 7 publications

(7 reference statements)

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“…Despite the evolution of CBR evaluation, evidence of its impact remains sparse [10], and does not address the important issue of whether CBR contributes to change [11]. There is a need to explore evaluation methodologies that address the effect of CBR at the individual, family and community level.…”

Section: Discussionmentioning

confidence: 99%

The evolution of community-based rehabilitation (CBR) programmes: a call for mixed evaluation methodologies

Shumba

Haufiku

Mitonga

2020

JHR

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PurposeFor the past four decades, there is no evidence of a consensus on the suitable community-based rehabilitation (CBR) evaluation methodologies. To this end, the purpose of this study is to provide a narrative review on CBR evaluations and the potential of photovoice method when used alone and when used in combination with quality of life assessment tools as CBR evaluation methodologies.Design/methodology/approachA narrative review was undertaken, but including some aspects of scoping review methodology.FindingsThirty-three full-text articles were included for review. Three key findings were an overview of the evolution of CBR evaluation; the use of photovoice method in CBR evaluation and the use of photovoice method in combination with quality of life assessment tools in CBR evaluation.Research limitations/implicationsPhotovoice methodology was found to be participatory in nature and as has the potential to elicit the experiences of persons with disabilities. However, photovoice falls short of measuring the quality of life of persons with disabilities, thus will need to be collaborated with another assessment tool. A combination of photovoice and World Health Organization Quality of Life (WHOQOL)-BREF and WHOQOL-Dis assessment has a potential to give an adequate representation of the voices of persons with disabilities and their quality of life.Originality/valueThere is need for changes in CBR evaluation methodologies in response to the evolution of disability models from medical model to human rights model. Thus CBR evaluation methodologies should embrace the diversity among persons with disabilities in interpreting life experiences and quality of life.

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Section: Discussionmentioning

confidence: 99%

The evolution of community-based rehabilitation (CBR) programmes: a call for mixed evaluation methodologies

Shumba

Haufiku

Mitonga

2020

JHR

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“…A significant body of literature emphasizes the significance of monitoring and evaluation of CBR programs (Hartley et al, 2009;Grandisson et al, 2014Grandisson et al, , 2017Madden et al, 2015;Weber et al, 2016). Other studies focus more on rigorous evaluation of content and methods whilst another body places weight on impact (Rule, 2013;Raj and Thomas, 2015;Terwee et al, 2018;Shumba et al, 2020).…”

Section: Literature Reviewmentioning

confidence: 99%

Impact of community-based rehabilitation on attainment of sustainable development goals: The case of selected districts in Zimbabwe

Pasara

2022

Front. Commun.

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Several factors including droughts, cyclones, COVID-19, and inconsistent economic policies contributed to the challenges faced by children and persons with disabilities (PwDs) in rural areas of Zimbabwe. Consequently, there was a higher risk of low quality of life, poverty, and limited access to basic services such as education and healthcare. Various community-based rehabilitation (CBR) programs were implemented to address the violation of rights and access to services and participation by PwDs in general. This study used a mixed method approach to analyze the impact of CBR programs taking into account the five themes of the United Nations Convention of Rights of Persons with Disabilities (UN-CRPD): education, health, livelihoods, social protection, and participation. Respondents included core beneficiaries, caregivers, teachers, community health workers, and other key stakeholders. Results indicated that 61% were female respondents and 39% were males. Approximately 84% of rural families survive on less than USD 20.00 per month with the modal household having 5 to 9 members per household. Approximately 81% have received at least secondary education although some did not complete Ordinary Level mostly due to lack of funding for registration fees at the time of writing. However, none had tertiary education. The reach of CBR was as high as 92% of respondents received training on disability management; 71% on income generating projects (IGPs) and 84% on Internal Savings and Lending (ISAL) although only 32% received funding. The study recommends funding for self-help groups, increased technical support, functional disability-friendly toilets, and orthopedic centers, scaling up of programs at a national level and adoption by the relevant agencies, decentralization by government officials to reduce red tape and accelerate programs, and training of trainers for additional capacity building. Improved latitude for NGOs and consistent economic policies are also needed to sustain IGPs.

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“…A large body of literature highlights the need to monitor and evaluate CBR programmes in order to build an evidence base for the effectiveness of CBR (Hartley et al, 2009;Madden et al, 2015;Weber et al, 2016;Grandisson et al, 2014;. This is also true of CBR training programmes as there is currently minimal evaluation of the effectiveness of training (Sharma, 2007b;Cornielje et al, 2008).…”

Section: Evaluation Of Trainingmentioning

confidence: 99%

“…Several other reviews on the conceptualisation, characteristics, and impact of CBR consistently report concerns with the methodological quality of evaluation in CBR (Cleaver & Nixon, 2014;Iemmi et al, 2016;M'kumbuzi and Myezwa, 2016). However, the complexity and diversity of CBR creates challenges in monitoring and evaluation of training, including cost, limited capacity and time, and multiple methodological approaches (Cornielje et al, 2008;Lukersmith et al, 2013;Weber et al, 2016). As beneficiaries of CBR services, persons with disabilities should also be involved in the evaluation and monitoring of training to determine its effectiveness (Lukersmith et al, 2013;Madden et al, 2015;Grandisson et al, 2017).…”

Section: Evaluation Of Trainingmentioning

confidence: 99%

“…Due to the complexity and diversity of CBR, implementing standardised training is somewhat controversial. Standardisation would allow for comparison and evaluation across countries and programmes to ensure continual monitoring and evaluation of CBR training and to facilitate dissemination of training to other regions (Mullan and Frehywot, 2007;Lukersmith et al, 2013;Weber et al, 2016;Grandisson et al, 2017). It would also increase role recognition of mid-level CBR workers and minimise 'brain drain' where workers move abroad to enhance their skills and career opportunities (WHO, 2011;Lewis Gargett, 2016).…”

Section: Standardised Training … or Not?mentioning

confidence: 99%

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Training Needs of Community-based Rehabilitation Workers for the Effective Implementation of CBR Programmes

Vuuren

Aldersey

2019

DCID

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Purpose: This review investigates the training needs of Community-Based Rehabilitation (CBR) workers that would enable them to effectively facilitate CBR programmes. Emphasis was placed on identifying: (a) the skills that CBR workers require (b) the training currently available for them, and (c) the gaps in current training.Method: A scoping review was conducted using on-line database searches (Medline, Embase, Cinahl, PsycInfo, Global Health) for English articles from 2006 onwards. A combination of keywords related to CBR, personnel, and training were applied. Hand searches of reference lists and the DCID journal were also conducted. Grey literature related to training, from the World Health Organisation (WHO), CBR Regional Networks and organisations affiliated with CBR were included as secondary data. Thirty-three articles and thirty-five sources from the grey literature were included. Data was organised under the three objectives outlined above – i.e., required skills, available training and training gaps.Results: CBR workers represent a diverse group requiring a broad range of skills. A new cadre of mid-level workers is also necessary to effectively implement the CBR guidelines. There is currently no standardised training for CBR workers and training varies widely, depending on context. CBR workers require further training in various clinical, social, management, communication, and cultural competence skills across the spectrum of the CBR Matrix, and specifically in empowering persons with disabilities and facilitating community development. They also need to develop critical reasoning, creativity, and compassion.Conclusion: A standardised approach to training CBR workers would be beneficial to ensure basic standards and quality services, to allow meaningful comparison and evaluation across contexts, to recognise the role of mid-level CBR workers, and to strengthen the workforce. Further research is required to determine minimal competencies, define the roles of various CBR workers, and evaluate the effectiveness of training.

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An Online Survey on Identification of Evaluation Capacity, Needs and Current Practice of Programme Evaluation in Community-based Rehabilitation

Abstract: Purpose: Evaluation of Community-based Rehabilitation (CBR) is important

Cited by 5 publications

References 7 publications

The evolution of community-based rehabilitation (CBR) programmes: a call for mixed evaluation methodologies

The evolution of community-based rehabilitation (CBR) programmes: a call for mixed evaluation methodologies

Impact of community-based rehabilitation on attainment of sustainable development goals: The case of selected districts in Zimbabwe

Training Needs of Community-based Rehabilitation Workers for the Effective Implementation of CBR Programmes

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