The effectiveness of community-based rehabilitation programmes: an impact evaluation of a quasi-randomised trial

Abstract

The CBR programme analysed has a positive impact on access to services and the well-being of PwD who are particularly deprived on outcomes of interest.

Does Community-Based Rehabilitation Enhance the Multidimensional Well-Being of Deprived Persons With Disabilities? A Multilevel Impact Evaluation

“…This is broadly consistent with the findings of other studies (Mitchell, 1999;Sharma, 2007;Alavi and Kuper, 2010;Patel et al, 2013;Biggeri et al, 2013;Mauro et al, 2014;WHO & World Bank, 2011). Our analysis also shows that the impact of the program lasts over time, which indicates that this kind of intervention has the potential to tackle deeply entrenched structural problems at the core of the deprivation endured by persons with disabilities.…”

“…These components are expected to have a multidimensional impact on the quality of life of persons with disabilities, including a potentially strong influence on the immaterial dimensions of well-being and well-becoming. All these aspects can be linked to the rights expressed by the CRPD and to human capabilities as well as agency Deepak, Biggeri, Mauro, Kumar, & Griffo, 2013;Dubois & Trani, 2009;Mauro, Biggeri, Deepak, & Trani, 2014;Mitra, 2006a;Nussbaum, 2003;Sen, 1999;Trani, Bakhshi, Bellanca, Biggeri, & Marchetta, 2011). For instance, the possibility of "appearing in public without shame" is one of the most relevant capabilities according to Sen. CBR programs could reduce substantially the stigma toward persons with disabilities and increase their active participation in society by involving the whole community and thus affecting both persons with disabilities and collective capabilities and outcomes.…”

“…To this end, the effect is estimated through a regression model including covariates at both individual and village level. The covariates have been selected according to previous empirical analyses (Mauro et al, 2014) and statistical significance. The individual-level covariates measured in 2002 (later denoted with X ij ) are gender, age, presence of a mental disability, level of disability, years of education, education received, having a job, receiving a pension, size of land owned per household, and housing quality (owning a house made of bricks).…”

Community based rehabilitation by paraplegic - a case report

“…Although CBR is often the main way in which PwD in low-income and middle-income countries access rehabilitation services, there is little literature providing rigorous evaluation of their impact on peoples' well-being. 5 The positive aspects of CBR, included promoting positive attitude of society and community towards people with disabilities, while the problems of CBR where lack of community concern and lack of financial support or donors. 6 CBR was based on a thorough study of the living conditions and of the abilities and needs among persons with disabilities in the developing countries.…”

Disability, Health and Human Development

“…In more and more LMICs, there are community-based rehabilitation programs, the efficacy of which is often not evaluated (WHO-World Bank 2011; . Exceptions are some studies reviewed by Sharma (2007) and recently Mauro et al (2014Mauro et al ( , 2015.…”