PROTOCOL: Community‐Based Rehabilitation for People with Disabilities in Low‐ and Middle‐Income Countries

Interventions to Improve the Labour Market Situation of Adults with Physical and/or Sensory Disabilities in Low‐ and Middle‐Income Countries: A Systematic Review

“…This is an area of study where rigorous impact evaluation does not exist, and even those using less credible methodologies are scarce. Our findings support earlier claims about the dearth of literature examining the impacts of labour market supports for people with disabilities in LMICs (Andrysek, 2010; Borg et al, 2011; Iemmi et al, 2012; Mitra & Sambamoorthi, 2006; Velema et al, 2008). Where improvements in outcomes were observed in individual studies it was extremely difficult to assess the extent to which these were directly attributable to the interventions.…”

“…A non-systematic literature review by Mitra and Sambamoorthi (2006a) focused on impact evaluations conducted in India of the People with Disabilities (PWD) Act and government programmes designed to promote employment among people with disabilities. More recently, a protocol was submitted for a joint Campbell/Cochrane systematic review of CBR for people with physical and mental disabilities in LMICs (Iemmi et al, 2012). Data will be collected on a number of functional outcomes (including employment) for different types of interventions, and variation of effects for different subject populations will be examined.…”

Lógicas dominantes en la formulación de políticas y organización de servicios que inciden en el acceso a la rehabilitación integral

“…La aproximación a las necesidades de las personas con discapacidad no aborda relaciones que expliquen su presencia y perpetuación en la vida de personas y colectivos. La organización de servicios en países con sistemas nacionales de rehabilitación muestra diversidad y complejidad de propuestas (12)(13)(14)(15). Sus experiencias incluyen modos de atención (ordenamiento curativo-funcional y promocional-autonomía); modelos de servicios (clínico, ambulatorio, autogestión, de base comunitaria, gestión de casos, cuidado compartido) (16,17); fases de organización de servicios (hospitalaria, post-hospitalaria, larga permanencia); beneficiarios y tipo de discapacidad (18,19); servicios y programas; niveles de gestión (autocuidado, profesionales de Atención Primaria en Salud, equipo multidisciplinar especializado); articulación interna y con sectores de servicios sociales (20); diversidad territorial (15,21) e indicadores de calidad, oportunidad e integralidad, entre otros.…”

The need for a Rehabilitation Model to address the disparities of public healthcare for people living with HIV in South Africa

“…Community-based rehabilitation which utilises local resources in areas with limited infrastructure (Iemmi et al , 2014 ) and home-based care taking rehabilitation to people living with HIV are two working rehabilitation approaches in South Africa. These approaches are well suited contextually taking into consideration lack of resources but still there lacks a model of care that brings together these existing practices and approaches.…”