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Pitman, Sheryn Dee. "Community participation in environmental rehabilitation /." Title page, contents and abstract only, 1998. http://web4.library.adelaide.edu.au/theses/09ENV/09envp685.pdf.
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Weber, Jörg Günter. "Participatory evaluation for community-based rehabilitation." Thesis, London School of Hygiene and Tropical Medicine (University of London), 2017. http://researchonline.lshtm.ac.uk/4189866/.
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Background: Community Based Rehabilitation (CBR) is the strategy promoted by the World Health Organization (WHO) and other United Nations (UN) agencies as an effective way to improve the lives and wellbeing of people with disabilities in underserved regions. During the last decade CBR has undergone major reconceptualization, and is now a multi-sectorial approach, as reflected in the new CBR guidelines. Evaluation of Community-based Rehabilitation (CBR) is considered important for developing good practice. However, evaluations remain scarce and as a consequence very little is known about how CBR benefits persons with disabilities and their families. Consensus is lacking about appropriate evaluation methods in CBR. Leading international frameworks such as the United Nations Convention on the Rights of Persons with Disabilities (CRPD) and the WHO CBR Guidelines have participation as one of the core principles in their human rights based approach to disability, including participation in programme evaluation. The WHO CBR Guidelines strongly recommend the application of participatory evaluation (PE) approaches in CBR. However, while there are many models of PE in mainstream development, it is unclear which may be appropriate for use in CBR. The aim of this research is to identify, field test, adapt and assess an existing model of Participatory Evaluation (PE) in a real world environment. This thesis, rather than researching the impact of CBR on people with disabilities, focuses on the evaluation process itself and the variables that affect changes in stakeholders thinking and behavior as a result of engagement in the evaluation. Methodology There were two research components: 1. Selection of PE model to be adapted to CBR: Three steps were taken to provide background for an expert group to select one model for field-testing: An online survey of current evaluation capacities and practices within CBR programmes internationally; A systematic review of PE models used in international development; A Delphi study with CBR experts to derive criteria for good PE models for CBR. The expert group used the research findings and selected Outcome Mapping (OM) as PE model to be implemented and field-tested in a CBR programme in Jamaica. 2. Field testing of the PE model in a Jamaican CBR programme: This research component consisted of three main elements: The implementation and adaptation of PE (OM) in a Jamaican CBR Programme; Interviews and focus groups collecting narratives about the evaluation process from stakeholders were undertaken to explore the usability of the adapted PE model in this programme. Changes in “process use”, i.e. how the stakeholders in the evaluation learned from and acted upon their involvement in the PE processes, were explored; The participatory development of a framework that participants felt could guide PE in CBR, one that can be locally adapted to different situations. Conclusion: The evaluation participants felt there were significant limitations of the OM approach in their setting and therefore proposed a substantially modified model. They favored a more fluid PE framework, which was flexible, adaptive and iterative, rather than a rigid approach, and one that focused on creating a safe space for sharing, learning and taking action. The thesis concludes with a call for more critical and bottom-up approaches of evaluation that move away from control-oriented approaches towards a more experimental and adaptive problem and process-orientated mindset of evaluative thinking.
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Miller, John W. "Changes in vocational rehabilitation and community-based rehabilitation programs a longitudinal study /." Online version, 1999. http://www.uwstout.edu/lib/thesis/1999/1999millerj.pdf.
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Lang, Raymond Paul. "Perceiving disability and practising Community-Based Rehabilitation." Thesis, University of East Anglia, 2000. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.327490.
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This thesis explores two distinct yet inter-related issues within the twin fields of disability and developments tudies. First, the evolution of Community-BasedR ehabilitation( CBR) as the "received orthodoxy" for disability service provision throughout the developing world. Second, the developmenot f two theoretical" models"o r perspectiveso f disability: the medicala nds ocial perspectivesT. he assumptionws hichu nderpinC BR haven ot generallyb eens ubjectedto critical examinationn or hasc onsiderationb eeng iven ast o how CBR andt he theoreticalu nderstandings of disabilityi nter-relate. This thesisc ritically analysesth is inter-relationship. The thesisd escribesa ndc ritiquest he theoreticalu nderstandingosf disability,a ndt he philosophy ando perationapl racticeo f CBR, beforec onsideringh ow eacho f thesec anm utuallye nhancea nd developt he other.T his analysiss uggestws aysf orwardt o developinga na lternativeu nderstanding of disability, which is pertinent to the experience of disabled people in a developing country context. It is argued that neither perspective provides an intellectually satisfying analysis. CBR has invariably been perceived by planners and policy makers in a somewhat utopian manner. A field study of four NGO-managed CBR programmes in South India provides an empirical exploration of these issues. The case studies enlighten and contextualise the issues this thesis addresses. It is concludedt hat a universal" model" of disabilityi s inadequateb ut that insightsc an be drawn from both the medical and social perspectives. Importantly, an "improved" understandingo f disabilitym ust take into accountt he way in which the experienceo f disabilitya nd impairmenti s shapedb y economic,s ociala ndc ultural factors.T he thesisa lsoc oncludesth at althought here are problems inherent in the principles and practice of CBR, it has the potential to create an unprecedented opportunity for disabled people to improve their well-being. Given that "empowerment"i s becomein creasinglyim portantw ithin CBR. there is potential in considering the implications of Paulo Freire's philosophy of social transformation for operational practice.
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Gamiet, Shamila. "Health professionals' perceptions of rehabilitation care workers." Thesis, University of the Western Cape, 2015. http://hdl.handle.net/11394/5246.
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Magister Scientiae (Physiotherapy) - MSc(Physio)<br>People with disabilities (PWD) often come from disadvantaged communities and struggle to access health and rehabilitation, education and employment. This leads to poorer health outcomes, lower education achievements, and higher rate of unemployment in comparison to people without disabilities. Therefore there is a need to empower PWD to remove all barriers which prevent them from participating in all aspects of their communities. In South Africa, 5% of the population is disabled and in a worldwide review conducted on access to rehabilitation services, it was reported that South Africa provided 21% to 40% of the disabled population with rehabilitation services. In 2012 the Department of Health (DOH) trained a new cadre of community health worker (CHW) in the field of rehabilitation in order to improve PWDs‘ access to health services. As a result, health professionals in the Western Cape became concerned about the role of this new cadre of rehabilitation care worker in PHC and CBS. The aim of this study was therefore to explore health professionals‘ perceptions of the newly trained rehabilitation care workers (RCWs). Q methodology was selected as an appropriate research design to meet the objectives of this study as it can be used to analyse opinions, perceptions and attitudes. The study population consisted of all the health
professionals who engaged with the RCWs in the clinical workplace during their clinical practice module. A convenient sample of sixteen health professionals participated in this study. Ethics approval was obtained to conduct this study and all participants gave written consent to participate in this study. The researcher gathered all the viewpoints of the health professionals regarding the new rehabilitation care workers (RCWs) by conducting focus group discussions and document analysis. Statements were then drawn up based on the health
professionals' viewpoints. The participants then ranked these statements from strongly agree to strongly disagree on a Q data score grid, in a process called Q sorting. The completed Q data score grids, called Q sorts, were then entered into PQMethod software programme for statistical and factor analysis. From the results of this Q analysis, two factors emerged which were analysed and interpreted. A factor is representative of participants with similar opinions. The participants loading onto Factor one and Factor two shared similar opinions of the RCWs. The results indicated that the participants were of the opinion that RCWs‘ role would
be to strengthen primary health care (PHC) and community-based rehabilitation (CBR) and promote the participation of PWD in society. The results suggested that the RCWs were capable of improving the quality of life of PWD by empowering PWD to become actively involved in all aspects of community life. The participants felt that the RCWs would be included in the health system by working at intermediate care centres (facility-based) and in the community (home-based). However, the participants agreed that the RCWs must work under the direct supervision of qualified health professionals. Participants loading onto Factor one and Factor two further agreed that RCWs worked well in the structured environment of intermediate care health facilities. They felt that it would be beneficial for RCWs to be employed at these health facilities as the RCWs reduced the workload of the health professionals. From the results, it was also found that health professionals were of the opinion that the RCWs displayed positive attitudes and good professional behaviour in the clinical environment. Health professionals however identified gaps in the knowledge of the RCWs and a lack of skills to perform certain tasks. However, health professionals agreed that the RCWs' skills will develop and improve with time and exposure. This study showed that health professionals had positive perceptions of the RCWs and this could indicate that RCWs will be well accepted by health professionals as part of the PHC team. This could lead to the effective utilisation of RCWs in community-based rehabilitation. Recommendations can be made to the developers and implementers of the RCW training curriculum to make adjustments to the curriculum so as to address the lack of knowledge and skills in certain aspects of health and disability. It can further be recommended that South Africa's National DOH capitalise on these positive perceptions and train more RCWs to extend rehabilitation and health services to more underserved communities. This will assist the South African
Government in ensuring that more PWD receive rehabilitation and become included in all aspects of their communities as is envisaged in the 2020/2030 health plan.
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Grandisson, Marie. "Developing Guidelines for Program Evaluation in Community-Based Rehabilitation." Thesis, Université d'Ottawa / University of Ottawa, 2015. http://hdl.handle.net/10393/32456.
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Community-based rehabilitation (CBR) is an inclusive community development strategy implemented for and by people with disabilities in resource-poor areas. The scarcity of guidelines for CBR program evaluation largely contributes to its insufficient and fragmented evidence base. This thesis aimed to advance knowledge in this field by defining best evaluative practices in CBR and developing guidelines to foster sound CBR program evaluation. To achieve this, the doctoral candidate designed a sequential mixed methods study in three research phases: 1) a systematic literature review to identify potential best practice guidelines, 2) a field study in South Africa to pilot the guidelines, and 3) a Delphi study to generate expert consensus and refine the guidelines. Findings from this doctoral research emphasize the importance of giving a voice and control to those most affected by the program throughout the evaluation process, including people with disabilities. The findings also call for embracing the challenge of diversity by adapting CBR program evaluation to local cultures and languages, and by ensuring that programs leave no one behind. In addition, they indicate that CBR evaluators can foster the use of process and findings by endorsing a rigourous, collaborative and empowering approach. Ten best practice guidelines for CBR program evaluation were systematically developed through the three phases and represent expert consensus. They offer much-needed directions. Three represent features of sound CBR program evaluation processes, six offer indications to facilitate sound methodological decisions, and one recommends using a common framework to situate evaluation findings. The guidelines now need to be piloted in a range of CBR contexts and linked with tools to yield the valid and reliable data necessary to establishing CBR’s evidence base and ensuring that program evaluations lead to positive change in local communities.
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Hall, Courtney D. "Vestibular Rehabilitation and Dizziness in Older Community-Dwelling Adults." Digital Commons @ East Tennessee State University, 2015. https://dc.etsu.edu/etsu-works/569.
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Kersten, Paula. "Needs and outcome indicators for rehabilitation services." Thesis, University of Southampton, 1999. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.285884.
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San, Wai-yin. "Community : preservation in North Point Estate /." Hong Kong : University of Hong Kong, 2002. http://sunzi.lib.hku.hk/hkuto/record.jsp?B25946493.
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Abdulqadir, Ayiman Husayn Khalleefah. "Rehabilitation professionals' views on the experiences of patients with physical disabilities accessing community health centres." University of the Western Cape, 2018. http://hdl.handle.net/11394/6409.
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Masters of Science - Msc (Physiotherapy)<br>Rehabilitation services have been described as being necessary to maximize patient
independence in order to enable them to participate fully in their communities. The Aim of the
study was based on the problem statement and the research question, this study aims at
exploring rehabilitation professionals' views on the experiences of patients with physical
disabilities accessing CHCs in the Western. The objectives of the study were to explore the
views of rehabilitation professionals regarding experiences by patients accessing rehabilitation
services at the Community Health Centres (CHCs) in the Western Cape and to reach health
experts consensus on how rehabilitation services should be provided at the CHCs based on the
outcomes of objective 1. Methodology: This study used an exploratory design that used
qualitative methods for data collection (workshops and focus group discussions (FGDs) and a
Delphi study. The study was conducted at purposively selected CHCs in the Western Cape. The
population in this study included all rehabilitation professionals who provide rehabilitation
services in the CHCs, who were invited to participate in the study. Data collection: In the
qualitative and the Delphi study, data was collected through workshops, focus group discussions
and emails respectively. Data analysis: The workshops and the FGDs were audio recorded and
then transcribed verbatim for content analysis.
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Lysack, Catherine Louise. "(Re)questing community, a critical analysis of community in the discourse of disability rights and community based rehabilitation." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1997. http://www.collectionscanada.ca/obj/s4/f2/dsk3/ftp04/nq23631.pdf.
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Olson, Michael. "Technology access for community-based rehabilitation programs in Region V." Online version, 2000. http://www.uwstout.edu/lib/thesis/2000/2000olsonm.pdf.
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Hulme, Claire Therese. "Real world economic evaluation of rehabilitation services." Thesis, University of Salford, 2003. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.272615.
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Bowen, Erica. "Evaluation of a community based domestic violence offender rehabilitation programme." Thesis, University of Birmingham, 2003. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.410272.
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Latour, Cori. "Persons served and services offered by community-based rehabilitation programs." Online version, 1998. http://www.uwstout.edu/lib/thesis/1998/1998latourc.pdf.
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Kuipers, Willem. "Community based rehabilitation (CBR) as engagement: context, parameters and potential." Thesis, Griffith University, 1998. http://hdl.handle.net/10072/366391.
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Paradigms in rehabilitation and disability service delivery in economically developed countries are currently being challenged and reviewed. An analysis of rehabilitation and disability literature arising from these countries, identified a number of issues of concern. Utilising a systems framework, adapted from the work of Urie Bronfenbrenner, the analysis indicated that certain aspects of current paradigms, may have adverse impacts on people with disabilities. It was determined that new paradigms should be explored. An analysis of current trends of relevance to the disability sector, identified a number of important directions, particularly the significance of the community paradigm.
Community Based Rehabilitation (CBR), a disability service delivery approach which has arisen in developing countries, was proposed as an approach which was consistent with the identified trends and the community paradigm, and which constituted a constructive response to the identified concerns. It was noted however, that CBR lacked a strong research base and that fundamental principles had not been clearly elucidated. Based on the current literature, a detailed description and analysis of CBR was undertaken, and strategies, benefits and limitations of the approach were documented. The description of the parameters of CBR resulted in the elucidation of an evolutionary process, and the identification of key principles. It was proposed that the defining concept of CBR is ‘engagement’ between people with disabilities and their local communities. This concept was seen as having greater import, beyond the traditional contexts in which CBR has traditionally been employed. The possible application of CBR to economically developed countries was considered at a theoretical level.
In order to explore the potential of the notion of engagement, two multi-phase, qualitative studies were devised and conducted in South East Queensland. The inductive phase of the research, which involved both studies, resulted in the development of a model consisting of five bipolar axes. This ‘model for enhancing engagement’, described the process by which engagement between users of human services (specifically people with disabilities) and their local communities might be maximised.
The subsequent deductive phase of the research consisted of an exploration of the potential utility of this model through the two studies. Within the limitations of the qualitative design, the research indicated that the model had practical utility in the current context. In order to confirm concepts within the model, and consider its congruence with the field of CBR, a final verificatory phase was employed. This phase drew data from other sources to provide a degree of confirmation of the concepts within the model.
The primary outcome of the research was the development of the ‘model for enhancing engagement’ between people with disabilities and their local communities. This model was described and its potential application was considered at a conceptual level.
Three subsidiary outcomes were also seen as contributions of the research. First, a descriptive and conceptual framework, based on the work of Urie Bronfenbrenner, developed and applied in the current studies may have further utility. Second, a detailed analysis of the CBR literature resulted in the documentation of an evolutionary process in CBR, the identification of key principles, and the proposal of the notion of engagement. Third, a comprehensive, multi-phase, qualitative research process devised for the research which meets requirements for rigour and effective data presentation.<br>Thesis (PhD Doctorate)<br>Doctor of Philosophy (PhD)<br>School of Applied Psychology (Health)<br>Griffith Health<br>Full Text
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Hamrén, Jonas. "Piña Palmera is a place for learning : A qualitative study of experiences from the Piña Palmera Community Based Rehabilitation program for people with disabilities in Oaxaca, Mexico." Thesis, Uppsala universitet, Internationell mödra- och barnhälsovård (IMCH), 2015. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-255318.
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AbstractIntroduction Persons with disabilities are among the most vulnerable groups in every society and the World Health Organisation (WHO) has introduced Community Based Rehabilitation (CBR) with the intention of decreasing this vulnerability. In Oaxaca, Mexico, the Piña Palmera CBR program is working with persons with disabilities from rural communities to improve their quality of life.Objective The objectives of this qualitative study were to explore what motivates people to engage in the Piña Palmera CBR program, the expected and perceived benefits of participation, and future hopes and ideas for the program among program participants and their family members.Method Data was collected in the state of Oaxaca in southern Mexico during November-December 2014, in the form of 8 semi-structured interviews. Analysis of the data collected in the interviews was done by using thematic analysis.Findings The analysis of the data resulted in four themes regarding motivations for and perceived benefits of participation: Piña Palmera is a place for learning, You feel part of a group in Piña Palmera, Piña Palmera is improving the situation for persons with disabilities, and No other place works like Piña Palmera.Conclusion That Piña Palmera is a place where you get opportunities to learn, that one feels a part of a group, and that the program is different from other options in the way they work can make them an important resource for persons with disabilities in Oaxaca, decreasing problems with unemployment, discrimination, and lacking governmental support for persons with disabilities.
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Cunliffe, Amanda Louise. "Evaluation of an early supported discharge scheme for older people." Thesis, University of Nottingham, 2002. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.250462.
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Hyndman, Dorit. "Falls experienced by people with stroke living in the community." Thesis, University of Southampton, 2002. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.249665.
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Vittatoe, Danielle S. "Determining Patient Activation Levels among Patients who are Receiving Rehabilitation Services in a Rehabilitation or Long-Term Care Facility." Digital Commons @ East Tennessee State University, 2014. https://dc.etsu.edu/honors/251.
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Research shows that one of the major contributors for an extended stay in a long-term care facility is lack of knowledge regarding goals for rehabilitation after being discharged from an acute care facility. It is important to determine patients’ levels of engagement because individuals who are actively involved in discharge planning and rehabilitation goals are able to manage their ongoing care more effectively, which results in increased quality of life. The data was collected using a survey method and the instrument used was the Patient Activation Measure or PAM which is a highly accurate and reliable tool. The 22 question survey was used to determine the level of patient activation among patients who are currently receiving rehabilitation services at a rehabilitation or long-term care facility. Determining the level of engagement in patients receiving rehabilitation services will provide health care providers insight into the how willing patients are to be engaged in their own care. A total of 11 surveys were completed by patients varying age, gender, and length of stay. Each patient was currently receiving rehabilitation services at National Healthcare Corporation of Johnson City or John M. Reed Health and Rehabilitation Facility in Limestone.
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Birhanu, Tadesse Amsalu. "Community-based rehabilitation of degraded woodland in the Amhara Region, Ethiopia." Thesis, University of Aberdeen, 2004. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.415676.
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In the Amhara region of Ethiopia, the government has promoted a range of forestry initiatives aimed at rehabilitation of degraded land and provision of forest products. This research examined household attitudes and technical and institutional aspects of the programmes to determine how they could more effectively improve rural livelihoods and increase environmental sustainability. Households surveyed in nine villages (Kebeles) practiced mixed subsistence farming; asset endowments were variable among households, despite the government’s assumption that all households are similarly motivated to participate in forestry interventions. The majority (82%) of households plant trees on their land; the level of private tree planting is positively correlated with several wealth indicators (e.g., livestock ownership, surplus labour) and frequency of contact with an extension agent. Household tree planting activities are also influenced by Kebele-level attributes, for example, access to forest nurseries and the type of forestry intervention present in the Kebele. Household proximity to the woodland and agro-ecological potential has no effect on tree planting activities; open grazing constrains tree growing in the region. All three types of rehabilitation intervention examined (i.e., community woodlots, hillside closures, land allocation) were implemented on degraded communal land; the opportunity costs of the interventions, in terms of loss of access, have been felt more deeply by households located near intervention sites than those at a distance. Interventions managed by user groups or directly by participants are viewed more positively than those led by local government authorities (the Kebele Administrations, KA). Lack of community involvement in design and decision-making, and an underuse of products and revenue generated from community woodlots are common features in KA-led interventions.
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Morris, Francia. "Reviewing evaluation reports of community-based rehabilitation programmes in South Africa." Master's thesis, University of Cape Town, 2005. http://hdl.handle.net/11427/10631.
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Includes bibliographical references.<br>CBR (community-based rehabilitation), a relatively new discipline, was initiated in South Africa in the 1980s. The methodology used in this study is that of a quantitative document analysis to gain a deeper understanding of CBR practice in South Africa. Two evaluation documents and one annual report, from three CBR organisations operating in South Africa were analysed.
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Kent, Ruth Margaret. "Health needs of disabled people in a rural community." Thesis, University of Newcastle Upon Tyne, 1997. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.363892.
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Hansen, Anthea. "The development of a tool to support the work of the Rehabilitation care worker in documenting information about rehabilitation and health needs among persons with disability in home and community setting." Master's thesis, Faculty of Health Sciences, 2018. http://hdl.handle.net/11427/30153.
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The purpose of the study is to contribute to the development of a tool that can support the rehabilitation care worker towards intervention planning and the monitoring of their clients. The National Health Insurance and the Framework and Strategy for Disability and Rehabilitation of the South African Department of Health are strategies to work towards accessible, affordable, equitable and quality health care, which includes health promotion, disease prevention, curative, rehabilitation and palliative services for all South Africans. Both strategies emphasise the use of community health workers and mid-level workers as a key component of primary health care. In the Western Cape provincial Department of Health a new cadre, namely the rehabilitation care worker has been introduced as a member of the rehabilitation team. The introduction of the rehabilitation care worker is still in the pilot phase. The rehabilitation care workers face many barriers to providing effective care. One such challenge is the lack of a contextually relevant resource tool to collect information on the rehabilitation and health needs of persons with disabilities. The aim of the study was to develop a contextually relevant resource tool that would support the rehabilitation care worker in understanding and documenting how the rehabilitation and related health needs of persons with disabilities are met in home- and community-based settings. Three specific objectives were defined: i) to develop the content and domains of the rehabilitation and health information tool; ii) to establish the validity (face and content) of the rehabilitation and health information tool; and, iii) to test the application of the rehabilitation and health information tool on a sample of persons with disabilities. This study was an exploratory descriptive study adopting a sequential mixed methods design. There were two phases in this study. Phase 1 involved qualitative research methods in the development of the rehabilitation and health information tool through the use of document review and a focus group discussion with experts. Phase 2 of the study involved quantitative research methods in the field testing of the rehabilitation and health information tool by the rehabilitation care workers on a sample of persons with disabilities. The results of phase 1 included the development of the rehabilitation and health information tool, which was deemed by the experts to be a comprehensive, contextually relevant tool with face and content validity and could be easily administered by the rehabilitation care worker. The conceptual framework of the International Classification of Functioning, Disability and Health provided domains that could comprehensively document the multidimensional needs of persons with disabilities. The result was a draft rehabilitation and health information tool with 17 questions ranging across the domains of activities of daily living, sexual health, health behaviours, barriers and facilitators to good health, finance and understanding of disability. Changes were proposed to the wording, layout and flow of the tool and the persons with disabilities’ goals were included as an element . The inclusion of the end users as experts in the development resulted in a richer understanding needed for the shaping of this tool. The results of phase 2 highlighted that the rehabilitation and health information tool was able to describe the rehabilitation and health needs of persons with disabilities. Additionally the tool was able to document the specific goals of the persons with disabilities which is useful to plan and monitor intervention. The rehabilitation care workers reported the tool to be useful, easy to use, and provided a structured manner to collect information. They also reported that it was useful in stimulating conversations on sensitive topics. However, it was indicated that it took too long to complete and there were components that were incomplete. The rehabilitation and health information tool requires further refinement, validation and further follow-up testing before it can be formally adopted and implemented as part of the rehabilitation care worker’s standard practice.
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Clark, Graham. "Rehabilitation care workers perceptions of the outcomes of a pilot training programme." Master's thesis, University of Cape Town, 2015. http://hdl.handle.net/11427/15488.
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The South African National Development Plan (NDP) (National Planning Commission, 2011, p. 1) provides the road map for a reformed public health system by 2030. The proposed health system will be facilitated by, amongst others, training an appropriate balance of healthcare professional s including a cadre of community health workers (CHWs) that have a broad skills mix suited to reaching a larger number of people with first level intervention. With this in mind, a pilot group of CHWs were up-skilled as Rehabilitation Care Worker s (RCWs). The training program was a joint project between the Division of Disability Studies and the Departments of Occupational Therapy, Physiotherapy and Speech and Language Therapy at UCT. Problem: Little is known about the perspectives of RCWs on the benefits and challenges of additional training in rehabilitation and disability related skills. Rationale: To inform the curriculum for a rehabilitation care worker (RCW) training program and the Western Cape Department of Health (WCDoH) of ways in which this cadre of worker could contribute to the realization of the 2030 Healthcare Plan. Aim: To describe the outcomes of a pilot RCW training program from the perspective of the pilot group of graduates. The objectives were to identify the areas of practice where RCWs feel competent/incompetent, to identify aspects of the health services where RCWs believe they can contribute the most/the least and to identify the facilitators/barriers they experienced when deployed in the health field. Methodology: A qualitative descriptive study was conducted. Method: Focus groups were carried out with three groups of six participants. Findings: The plot that permeated the participants’ perspectives revolved around how the RCWs were pioneers in breaking new ground for the Western Cape Department of Health (WCDoH). Two themes informed the plot: "we move health services to a new level" and "we manage change in new ways". Discussion: It is argued that the pilot RCW curriculum achieved its’ objective of equipping a cadre of worker with basic rehabilitation, care and disability inclusion skills. While the envisaged role of RCWs in the health service and in making the NDP a reality is supported, it is argued that attention needs to be given to supervision structures and to training of all other health workers in order to promote inter professional practice. Conclusions: The pilot group of RCWs believe that they have acquired a new and large variety of skills that have enabled them to make a broad and positive impact in their places of work, at home and in the broader community.
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Ballantyne, Sandra Mary. "Community based rehabilitation under conditions of political violence, a Palestinian case study." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1999. http://www.collectionscanada.ca/obj/s4/f2/dsk2/ftp01/MQ37938.pdf.
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Gibbon, Bernard. "Stroke rehabilitation : the nurses' contribution to the multi-professional team." Thesis, University of Liverpool, 1998. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.263873.
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Mukanya, Ronald. "Perceiving sustainability and practicing community based rehabilitation : a critical examination of the Western Cape Rehabilitation Centre (WCRC) as a case study." Thesis, Stellenbosch : Stellenbosch University, 2012. http://hdl.handle.net/10019.1/20323.
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Thesis (MPhil)--Stellenbosch University, 2012.<br>ENGLISH ABSTRACT: Problem Statement: From a sustainability point of view, hospitals offer their services
without taking into consideration their impact on the environment, the interplay between
various sectors, key elements of sustainable development and interconnectedness. This
study represents an attempt to design a “virtual” green hospital facility that does more
with fewer resources.
Aims and Objectives: Contribute towards achieving sustainable and better quality
healthcare services. To generate evidence and increase our understanding of the
sustainability of hospital resource flows. Design a “virtual” green hospital.
Research Method: The research approach consists of a comprehensive literature review,
mixed with substantiated field research and interviews. The literature review provided an
understanding, recommendations and interventions for the virtual project. These can be
used to promote greater sustainability through WCRC’s healthcare system, energy
efficiency and green hospital buildings. Interviews and questionnaires were used to
collect the qualitative data. The interpretive technique was used to analyse the collected
data. Consumption statistics of electricity, water and waste were used to collect the
quantitative data. It was analysed using the green building rating tool. The rating tool
awards points according to incorporated measures, and arrives at a total score after
appropriate weighting. The green building rating tool was used to establish the rating of
WCRC as it stands and what it could ideally be as a retrofit? The data was presented as
demographic information in tables, charts and graphs, drawn from the collected data.
Findings: The findings that emerged suggest that: a) green hospital buildings promote
greater sustainability than the current modern healthcare hospital buildings at WCRC and
retrofitting would promote greater sustainability; b) the majority of WCRC’s current
healthcare provision is done in the conventional ‘business as usual approach’; c) the
greatest weaknesses of the hospital is its heavy dependence (95% average) on nonrenewable
energy sources of fuel, electricity and water; d) procurement isn’t focused in
the bio-region; e) sustainability isn’t viewed as the cornerstone to influence policy; and f)
the flow of resources gets conducted through socio-economic systems.
Conclusion: The current design of the hospital needs to be retrofitted into a green
building, which will promote greater sustainability. A higher rated green star building for
WCRC would promote greater sustainability. Healthcare provision is done in the
conventional ‘business as usual approach’. Therefore the healthcare system faces
threats in the immediate future, which include the impact of climate change, over
dependency on fossil fuels and increasing urban sprawl.
A virtual green hospital is designed to reduce the overall impact of its built environment
on human health and the natural environment by:
• Efficiently using energy, water, and other resources;
• Protecting occupant health and improving employee productivity;
• Reducing waste, pollution and environmental degradation.
Recommendations: In this sustainability criterion, a paradigm shift is required for WCRC
hospital to go green and become sustainable. At a local scale WCRC needs to green the
current hospital building by retrofitting. WCRC needs to energy switch from nonrenewables
to sustainable renewable resources. Bioregional consumption and
procurement needs to be practiced whilst establishing a local health movement to engage
suppliers and focus on sustainability.<br>AFRIKAANSE OPSOMMING: Probleem stelling: Gesien van volhoubaarheids oogpunt, bied hospitale dienste aan
sonder om te besin oor die impak op die omgeweing, die tussenspel tussen verskeie
sektore, sleautel elemente van volhoubare ontwikkeling en die onderlinge aanknopings.
Hierdie studie verteenwoordig ‘n poging om ‘n skyn groen hospitaal te ontwerp wat meer
kan doen met minder hulpbronne.
Oogmerk en Doelstellings: Om ‘n bydrae te lewer om ‘n volhoubare en beter kwaliteit
gesondheidsdiens te bereik. Om bewyse te genereer en begrip aangaande die
volhoubaarheid van hospitaal bronne vloei to verhoog/ Ontwerp van ‘n “skyn” groen
hospitaal.
Ondersoek Metode: Die benadering in die ondersoek bestaan uit ‘n omvattende
literatuurstudie met ondersteunbare veld ondersoeke en onderhoude. Die literatuurstudie
voorsien in die begrip, aanbevelings en tussentredes vir die skyn projek. Dit kan gebruik
word om groter volhoubaarheid van die WKRS se gesondheidsisteem, energie
effektiwiteit en groen hospitale te bevorder. Kwalitatiewe data was ingewin met behulp
van onderhoude en vraelyste. Interpretasie was die tegniek wat gebruik was om data te
analiseer. Verbruikstatistiek van elektrisiteit, water en afval was gebruik on kwantitatiewe
data te kollekteer. Die analise daarvan was gedoen deur die gebruik van die groen gebou
graderingsinstrument. Die graderingsinstrument ken punte toe volgens opgeneemde
maatreëls en bepaal die finale gradering na gepaste afwegings. Die instrument was
gebruik om die gradering van WKRS te bepaal soos dit is en wat die ideale terugbou sou
wees. Die data word in tabelle en grafieke voorgelê soos wat dit verkry was van die
gekollekteerde data.
Bevindinge: Die bevindinge wat na vore gekom het dui aan dat:
Groen hospitaal geboue bevorder groter volhoubaarheid dan die huidige moderne
hospitaal geboue van WKRS en terugbouing sal groter volhoubaarheid bevorder.
Die meerderheid van gesondheidsdiensvoorsiening deur WKRS geskied volgense die
konvensionele benadering van “besigheid soos normal”
Die grootste swakheid van die hospitaal is die swaar afhanklikheid van die hospitaal op
nie-hernubare energie (95%) soos brandstof, elektrisiteit en water,
Verkryging is nie gefokus op die bio-streek nie,
Volhoubaarheid word nie beskou as die hoeksteen om belied te beinvloed nie en
Die vloei van hulpbronne word herlei deur sosio-ekonomies sisteme.
Sluiting: Die huidige ontwerp van die hospitaal moet terugverbou word na ‘n groen gebou
wat groter volhoubaarheid sal bevorder. ‘n Hoër groenster bougradering vir WKRS sal
groter volhoubaarheid bevorder.
Voorsiening van gesondheidsdienste volgens die “besigheid soos normaal” benadering
veroorsaak dat die gesondheids-sisteem bedreigiongs in die gesig staar soos die impak
van klimaatsverandering, oorafhanklikheid van fosiel energie en verhoodge
stadspreiding.
Aanbevelings: Volgens die kriteria is ‘n paradigma verskuiwing nodig by WKRS om groen
en volhoubaar te raak. Op ‘n plaaslike skaal is dit nodig vir WKRS om die huidige
hospitaal terug te bou om groen te raak. Dit is nodig om energie veranderings te
ondergaan van nie hernubare tot volhoubare, hernubare energie bronne. Die Biostreek
verbruiking en verkryging moet gepraktiseer word terwyl plaaslike
gesondheidsbewegings gevestig word om te onderhandel met verskaffers en te fokus op
volhoubaarheid.
29
Fry, Stacey L. "Community-based rehabilitation programs' resources and recommendations for the University of Wisconsin-Stout Research and Training Center." Online version, 2001. http://www.uwstout.edu/lib/thesis/2001/2001frys.pdf.
Full text
30
De, Wet Caroline. "An analysis of the organizational framework of rehabilitation services at a community health centre in the Western Cape." Thesis, Stellenbosch : Stellenbosch University, 2014. http://hdl.handle.net/10019.1/86418.
Full textAbstract:
Thesis (MHumanRehabSt)--Stellenbosch University, 2014.<br>ENGLISH ABSTRACT:Background
In the past, a lack of policy guidelines in the area of rehabilitation often resulted in
underdeveloped or no rehabilitation services in many areas. This led to the development of
The South African National Rehabilitation Policy (NRP) which was finalised in 2000. This
policy is guided by the principles of development, empowerment and the social integration of
persons with disabilities. It aims to provide improved access to rehabilitation services for all
and forms part of a strategy to improve the quality of life of persons with disabilities.
South Africa ratified the United Nations Convention for the Rights of Persons with Disabilities
(UNCRPD) in 2001. The UNCRPD is an international rights based document and focuses on
equalisation of opportunities for people with disabilities and their inclusion in development.
Aim
The aim of thestudy was to describe and analyse the organizational framework of
rehabilitation services at the Gugulethu Community Health Centre (CHC) in Cape Town and
to determine if the framework used complied with the objectives of the National
Rehabilitation Policy.
Method
This was a case study that made use of both qualitative and quantitative methods of data
collection. The Kaplan framework, the objectives of the NRP and the five relevant articles of
the UNCRPD were used to design three questionnaires for data collection. The first
questionnaire was for service providers and answered by seven participants. The second
questionnaire was completed by the Facility Manager of Gugulethu CHC and the third
questionnaire was answered by the managers of 2 purposively sampled NGOs in Gugulethu.
Qualitative data was collected from interviews held with three of the service providers and
the facility manager as well as from two focus groups held with service users.
Results
The results of the study showed that there was some coherence between the rehabilitation
services provided and the objectives of the NRP such as good access to the service for
clients coming to the Centre for rehabilitation and adequate resources to provide assistive devices with. However, in other areas there was little or no adherence. Limited evidence of
intersectoral collaboration was found. There was no evidence of the inclusion of persons
with disabilities in the planning, implementation and managing of rehabilitation services.
Similarly services were not monitored and evaluated in a constructive way and while the
therapists did engage in skills development activities the suitability of the courses attended
for their role is questioned.
Conclusion
The findings showed a facility based curative rehabilitation service that was accessible for
clients who came to the facility, but did not expand to provide community based
rehabilitation. Thus it was concluded that the organisation in its current form lacked the
ability to effectively address the needs of the community that it served. At Gugulethu
Community Health Centre rehabilitation services need to be planned according to
community based rehabilitation strategies by the manager, the service providers and the
community. Only when implementation of the NRP and UNCRPD takes place will the
benefits become tangible to the entire community.
Key Words
Rehabilitation, Disability, National Rehabilitation Policy, UNCRPD, Organisational capacity.<br>AFRIKAANSE OPSOMMING: Agtergrond
In die verlede het ‘n gebrekaanbeleidsriglyne in die rehabilitasievelddikwelsgelei tot
onderontwikkelde of geenrehabilitasiedienste in baiegebiede. Die gevolghiervan was die
ontwikkeling van dieSuidAfrikaanseNasionaleRehabilitasieBeleid (NRB) wat in 2000
gefinaliseer is. Die fokusvan hierdiebeleid is ontwikkeling, bemagtiging en die
sosialeintegrasie van persone met gestremdhede. Die doel van die NRB is omtoeganklikheid
van rehabilitasiediensteviralmalteverbeter en ditvormdeel van die strategieom die
lewensgehalte van persone met gestremdhede to verbeter.
SuidAfrika het die VerenigdeNasies se Konvensievir die Regte van Persone met
Gestremdhede in 2001 bekragtig. HierdieKonvensie is ‘n
internasionaleregsgebaseerdedokument and fokus opgelykeregtevirpersone met
gestremdhede en hulinsluiting in ontwikkeling.
Doelstelling
Die doel van die studiewas om die organisatorieseraamwerk van die rehabilitasiedienste by
die GugulethuGemeenskapsGesondheidssentrum in Kaapstadtebeskryf enteontleed, ten
eindevastestel of die raamwerk, in ooreenstemming is met die doelwitte van die
NasionaleRehabilitasieBeleid.
Metode
`n Gevallestudie is gedoen. Data is deurmiddel van kwantitatiewe en
kwalitatiewemetodesingesamel. Die Kaplanraamwerk, doelwitte van die
NasionaleRehabilitasieBeleid en toepaslike 5 artikels van die VerenigdeNasie se
Konvensievir die Regte van Persone met Gestremdehede is
gebruikomdrievraelysteteontwerp. Die eerstevraelys was virdiensverskaffers en
sewedeelnemers het ditbeantwoord. Die tweedevraelys is deur die Fasiliteitsbestuurder van
GuguletuGemeenskapsGesondheidssentrumbeantwoord en die derdevraelysdeur twee
bestuurders van twee doelbewustegekoseNie-staatsOrganisasies in Guguletu. Onderhoude
is met drie van die diensverskaffers en die fasiliteitsbestuurdergebruikomkwalitatiewe data in
tesamelsowel as twee fokusgroepe met diensverbruikers.Resultate
Die resultate van die studietoondatdaarwel ‘n mate van belyningtussenrehabilitasiedienste
by die studiesentrum en die doelwitte van die NasionaleRehabilitasieBeleid is. Ditsluit in
goeietoeganklikheidna die diensvirklientewat die sentrumbesoekvirbehandeling en
voldoendebronneomhulpmiddelstevoorsien.In andergebiede was daaregter min of
geenbelyningnie. Daar is min bewyse van intersektoralesamewerking en geenbewyse van
die insluiting van persone met gestremdhede in die beplanning, implementering en bestuur
van die rehabilitasiedienstenie. Dienste is nie in ‘n opbouendemaniergemonitor of geevalueernie
en terwyl die terapeutewelaanontwikklingsprogrammedeelgeneem het, kan die
toepaslikheid van die kursussebevraagteken word.
Gevolgtrekking
Die bevindingswys op ‘n kuratiewerehabilitasiedienswattoeganklik is virklientewatna die
sentrum toe kom. Daar word egterniegemeenskapsbaseerderehabilitasieverskafnie.Dus, is
die gevolgtrekkingdat die organisasie in syhuidigevormnie die vermoe het om die behoeftes
van die gemeenskapwatditdien, effektiefaantespreeknie.Dierehabilitasiedienste by
GuguletuGemeenskapssentrummoetbeplan word
volgensgemeenskapsgebaseerderehabilitasiestrategiee, deur die bestuurder,
diensverskaffers en die gemeenskap. Eerswanneer die NasionaleRehabilitasieBeleid en die
VerenigdeNasie se Konvensievir die Regte van Persone met Gestremdhedetoegepas word
sal die helegemeenskapbaatvind by rehabilitasie.
31
Liebenberg, Handri. "A description and analysis of the organisational capacity of the rehabilitation services at TC Newman Community Day Centere." Thesis, Stellenbosch : Stellenbosch University, 2014. http://hdl.handle.net/10019.1/86671.
Full textAbstract:
Thesis (M Human RehabSt)--Stellenbosch University, 2014.<br>ENGLISH ABSTRACT: Rehabilitation services, mainly rendered by therapists employed by the Department
of Health, forms a critical part of the Primary Health Care (PHC) package of care.
Different policies, within the Department of Health (DOH), provide guidance on
rehabilitation service delivery. However, implementation of these policies remains a
challenge.
The current study aimed to describe and analyse the organisational capacity of
rehabilitation services at the study site and to assess how congruent the
rehabilitation service at the study site was with existing rehabilitation policy.
A descriptive methodology was applied making use of both quantitative and
qualitative methods in analyzing the organisational capacity of this study site and the
alignment of rehabilitation services offered, with the National Rehabilitation Policy
(NRP). The study used the Kaplan framework, the objectives of the NRP and specific
selected articles of the United Nations Convention on the Rights of Persons with
Disabilities (UNCRPD) to develop indicators to be used for the description and
analysis of the organisational capacity of the rehabilitation services at TC Newman
Community Day Centre. Questionnaires based on seven objectives from the NRP were developed to collect
quantitative data from five service providers, the facility manager of TC Newman
CDC and the managers of two Non- Governmental Organisations (NGO) working in
the drainage site. Face to face, audio recorded, semi- structured interviews were
used to collect qualitative data from the five service providers. A folder audit and
document review was used to enhance quantitative findings. After analysis of the
data, I still felt the need for additional information and thus developed an open ended
questionnaire for participants to complete.
Barriers (e.g. defaulting of clients, a lack of standard documentation, poor monitoring
and evaluation) and facilitators (e.g. outreach and support, competent staff and
multi-disciplinary team) were identified in implementing the NRP. Participants
highlighted the importance of accessing rehabilitation services with a focus on the
outreach to peripheral clinics and funded NGO’s. Intersectoral collaboration is
evident, but mainly with funded NGO’s. A lack of standardised documentation,
inadequate monitoring and evaluation systems and uniformed documentation were some of the challenges identified by participants. The absence of participation by
persons with disabilities was noted by all participants.
With reference to the organisational capacity, the participants had a good
understanding of rehabilitation within the PHC context. Participants felt confident in
delivering rehabilitation services and were able to identify shortcomings in service
delivery. It is concluded that rehabilitation services are not delivered exactly in
accordance with the objectives of the NRP. However the organisation demonstrated
capacity to deliver rehabilitation services at PHC level, but there is still a need to
enhance service delivery on community based level.
The results of this study gave me as a manager and implementer of health policy in
the District Health System the opportunity to gain deeper insight as to how
rehabilitation services are currently rendered. Results from the study highlighted how
coherent rehabilitation service delivery is with current policy in health and the
capacity of the organisation to deliver rehabilitation services.
This gave me the opportunity to adjust and review current rehabilitation service
delivery and implement changes, as the study progressed.<br>AFRIKAANSE OPSOMMING: Rehabilitasie word hoofsaaklik deur terapeute in die departement van gesondheid
gelewer binne fasiliteite en vorm ‘n belangrike deel van die Primêre Gesondheid
Sorg dienste (PGS). Daar is verskillende beleid binne die Departement van
Gesondheid beskikbaar, wat rehabilitasie definieer. Ten spyte van beleid, bly die
implimentering van hierdie beleide ‘n uitdaging.
Hierdie studie het ontstaan om the kapasiteit van die organisasie te beskryf, om
rehabilitasie dienste te implimenteer en ook te bepaal hoe hierdie dienste
ooreenstem met die Nasionale Rehabilitasie Beleid (NRB).
‘n Beskrywende metodologie was gebruik, wat uit ‘n kwantitatiewe en kwalitatiewe
deel bestaan het. ‘n Vraelys is ontwikkel op grond van die 7 doelwitte beskryf binne
die NRB. Dit is gebruik vir die versameling van kwantitatiewe data, by vyf
diensversakffers, `n gesondheidsbestuurder en die bestuurders van twee nieregerings
organisasies. Kwalitatiewe data is verkry deur onderhoude met die vyf
diensverskaffers. ‘n Oudit van pasiënt lêers en die evaluering van dokumente het
kwantitatiewe data versterk.
Na die analisering van data en die behoefte vir addisionele inligting, is ‘n oop-end
vraelys ontwikkel en versprei na deelnemers om te voltooi. Die studie het die organisatoriese kapasiteit van die organisasie ontleed deur
gebruik te maak van Kaplan se raamwerk vir organisasie kapasiteit en die doelwitte
van die NRB, asook sekere geselekteerde artikels uit die “United Nations Convention
of the Rights of Persons with Disabilities” UNCRPD.
Deelnemers het belangrikheid van toegang tot rehabilitasie dienste bevestig, met ‘n
fokus op uitreik na perifêre klinieke in die sub distrik en befondse Nie-Regerings
Organisasies (NRO). Intersektorale skakeling was beskryf, maar beperk tot befondse
NRO’s. Verskillende uitdagings soos bv. gestandardiseerde dokumentasie,
onvoldoende monitering en evalueringssisteme en die dokumentering van inligting
was geïdentifiseer. Die afwesigheid van persone met gestremdhede en hulle
deelname by terapie was genoem deur deelnemers. Verskillende uitdagings asook
fasiliteerders was geïdentifiseer deur deelnemers t.o.v die implementering van
bestaande beleid.
32
Bowers, Robert. "Impact of Community Based Rehabilitation Interventions in Five Districts of North West Bangladesh." Thesis, Griffith University, 2018. http://hdl.handle.net/10072/386314.
Full textAbstract:
Community-based rehabilitation (CBR) is an approach to rehabilitation and disability services first advocated to the world by the World Health Organization (WHO) in the late 1970’s as an approach for low- and middle-income countries. Originally conceptualized from a medical model, CBR has evolved considerably and is more commonly practiced as a biopsychosocial intervention. The flexible, multi-sectoral nature of CBR which is often applied using different approaches adapted for diverse contexts makes comparative research challenging.
Evidence for the impact of CBR is limited. Several literature reviews covering the period prior to 2002 have reported few studies and commented on the lack of quality evidence. The current study reviewed the literature from 2002 to 2017 and found that the trend is continuing with very few quality studies demonstrating the impact of CBR from the perspective of the end user. The author’s literature review used conventional quantitative criteria to assess rigour including the use of a control group, collecting baseline and follow-up data sets, and statistical significance. While some evidence for the impact of CBR was found in the health domain of the CBR matrix, evidence in other domains was very limited.
The aim of this study was to assess the impact of two CBR interventions in North West Bangladesh which were managed by The Leprosy Mission. Both interventions were based on the establishment of self-help groups and emphasised social and economic aspects of CBR. Capacity development, transfer of capital via seed capital, and self-advocacy were the primary activities.
The study was designed to be methodologically rigorous while not interfering with the intervention or the CBR groups. The study was designed to include samples of 500 people in each of two intervention groups and to have an additional 500 people in each of the two paired control groups, giving a total sample of 2000 people. Individuals in the control group were selected as part of a “pipeline” of individuals who would qualify to be group members in the future. All participants took part in assessments at the beginning of the study and two years later. They provided information to calculate per capita income and completed the short version of the World Health Organization Quality of Life assessment (WHOQOL-BREF). People with a disability completed the Participation Scale (P-Scale), and those that had leprosy-related disabilities also completed the Screening of Activity Limitation and Safety Assessment (SALSA) scale.
Additional demographic and socio-demographic information was collected as per routine practice in such interventions.
Baseline data comprising demographic, sociodemographic and outcome assessment scores were compared between each paired intervention/control cohort to assess any statistically significant differences. Differences were analysed using chi-square and Wilcoxon rank sum test. Any statistically significant differences were paired with the variable to indicate if a person was in the intervention or control cohort in a type two analysis of variance. If the potential confounder was found to explain the change in scores (pre vs post) the variable was retained for further analysis.
A backwards stepwise multiple linear regression was utilised to assess the change in each of the four domains of the WHOQOL-BREF, per capita income, P-Scale and SALSA, making a total of seven outcomes indicators for each of the paired cohorts. Finally, a quantile regression was then performed for each of the final formulae to visually assess the effect of the formula on multiple quantiles, and not merely the 50th quantile as reported by the linear regression.
Cohort 1, which was a new CBR intervention in a new geographic region, reported statistically significant improvements across all seven outcomes. Cohort 3, which consisted of new CBR groups in a geographic region with existing CBR groups, saw statistically significant improvements in per capita income, and the social and environment domains of the WHOQOL-BREF.
The changes reported in ten out of fourteen outcome indicators provide significant evidence for the impact of CBR in this intervention. The use of standardised assessments provides evidence that the impact of CBR can be more effectively measured, and suggests that noteworthy CBR interventions can be identified and emulated. This study utilised a rigorous approach and provided substantial evidence for the impact of CBR. While these outcomes cannot be claimed as evidence for all CBR interventions, they provide strong indications on which to plan future research and practice.<br>Thesis (PhD Doctorate)<br>Doctor of Philosophy (PhD)<br>School of Human Serv & Soc Wrk<br>Griffith Health<br>Full Text
33
Hughes, Paul. "Job placement strategies used by community rehabilitation programs and client employment outcomes a study of three diagnostic categories /." Online version, 2002. http://www.uwstout.edu/lib/thesis/2002/2002hughesp.pdf.
Full text
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Rhoda, Anthea. "The rehabilitation of stroke patients at community health centres in the Western Cape." Thesis, University of the Western Cape, 2010. http://etd.uwc.ac.za/index.php?module=etd&action=viewtitle&id=gen8Srv25Nme4_5654_1318838292.
Full textAbstract:
The rehabilitation of stroke patients can occur at different settings. These include in-patient settings, such as stroke units or general rehabilitation wards and out-patient settings, such as out-patient departments attached to hospitals, day hospital departments and the patientsâ home. In South-Africa, day hospitals have been upgraded and are now referred to as Community Health Centres which provide comprehensive health services to the population. In the Western Cape these centres are faced with the rehabilitation of stroke patients who have been discharged early from hospital during the acute stage or who have never been admitted to hospitals. To date there is a lack of best practice guidelines and formal evaluations in terms of efficacy and effectiveness of rehabilitation at these centres. The aim of the study was therefore to investigate the rehabilitation of stroke patients at Community Health Centres in the Metropole Region of the Western Cape. The structure, process and outcomes (SPO) model was used as a conceptual framework in this study.
35
Lee, Brenda J. "Consumer perspectives on rehabilitation and community integration, experiences of independence, dependence and interdependence." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1998. http://www.collectionscanada.ca/obj/s4/f2/dsk1/tape11/PQDD_0004/MQ40718.pdf.
Full text
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Nyagah, Cecilia Wairimu. "The Implementation of Inclusive Education and Community Based Rehabilitation in Embu Diocese - Kenya." Thesis, University of Reading, 2009. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.507016.
Full text
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Sebeh, Alaa Galal. "Evaluation of community based rehabilitation for disabled children in urban slums in Egypt." Thesis, University College London (University of London), 1996. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.362828.
Full text
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Mottershead, A. R. "The contribution of Community Service Orders to the education and rehabilitation of offenders." Thesis, University of Southampton, 1987. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.382181.
Full text
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Dambi, Jermaine Matewu. "A comparison of hospital-based and community-based models of cerebral palsy rehabilitation." Master's thesis, University of Cape Town, 2013. http://hdl.handle.net/11427/3009.
Full textAbstract:
Includes abstract.<br>Includes bibliographical references.<br>Cerebral palsy is a disabling and permanent condition which requires sustained rehabilitation over a long period of time. There is much debate as to which model of service delivery is most appropriate for children with cerebral palsy and their mothers. The aim of this study was to compare the efficacy and effectiveness of two models of service delivery currently offered in Harare, Zimbabwe. One of these is a hospital-based and the other a community-based service. A quasi-experimental study was done to determine the efficacy of two service delivery models from the perspective of caregivers and functional gains in children. Questionnaires were distributed to caregivers of children with CP at baseline and after three months. The caregivers were 46 in total, with twenty caregivers having children receiving rehabilitation services under an outreach program and 26 receiving services as outpatients at a central hospital. The caregivers’ health- related quality of life was assessed using the EQ-5D, the burden of care was measured using the Caregiver Strain Index, satisfaction with physiotherapy was assessed using the modified Medrisk satisfaction with physiotherapy services questionnaire and compliance was measured as an index of the met appointments from the scheduled appointments. Additionally, motor functional changes in children with CP were assessed at baseline and after three months using the Gross Motor Function Measurement (GMFM-88). Children receiving community based treatment children were significantly older than children in the hospital based group. However, the two groups were comparable in terms of sociodemographics of both children and caregivers at baseline. The correlation between age and change in score was tested and found to be non-significant (r=-.103, p=.497). Spearman’s rho indicated that as the level of severity increased in terms of GMFCS level, so the amount of improvement decreased (rho=-568, p<;.000). However, as age was significantly different between the two groups and there were more severely affected children in the community based treatment group, regression analysis was done to establish which factors predicted the amount of change in the GMFM Score. Dummy variables were created for the categorical variable of the group and the ordinal variable of GMFCS was dichotomised into level 3 and above and level 4 and below. The resulting model accounted for25% of the variance (adjusted R²= .25) after the score of one child was removed after residual analysis indicated that he/she had improved more than two standard deviations from the mean residual. The results indicate that, once age and category were controlled for, children in the community based treatment group improved 3.5 points more than children receiving hospital based services. Children who were more severely disabled showed 4.7 points less improvement, and for each month of age, children showed .04 less improvement, although this was not significant.
40
Eder, Rhonda. "School-to-work transition the collaborative relationship between schools and community rehabilitation programs /." Online version, 2000. http://www.uwstout.edu/lib/thesis/2000/2000ederr.pdf.
Full text
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Desta, Dolisso Daniel. "Attitudes toward disability and the role of community based rehabilitation programs in Ethiopia /." Joensuu : University of Joensuu, 2000. http://bibpurl.oclc.org/web/31388.
Full text
42
Mpezeni, Stella. "Community experiences of persons with lower extremity amputation in Malawi." University of the Western Cape, 2018. http://hdl.handle.net/11394/7034.
Full textAbstract:
Magister Scientiae (Physiotherapy) - MSc(Physio)<br>Persons with lower limb amputations (LLA) experience different challenges in
the community. These challenges include the physical, psychological and social
function of an individual. Little is known in Malawi on what persons with
lower limb amputations go through in the communities where they live.
Therefore, the study aimed at exploring and determining community experiences
of persons with LLA in Malawi. The study sought to address the following
objectives: 1) To determine the functional and psychological status of persons
with LLA in the community; 2) To explore and describe experiences on social
participation of persons with LLA in the community; 3). To explore experiences
on community re-integration following LLA.
43
Sin, Sukkyung. "THE RELATIONSHIP BETWEEN BURNOUT AND ROLE STRESSORS AMONG DIRECT SERVICE PROVIDERS AT CENTERS FOR INDEPENDENT LIVING IN REGION V." OpenSIUC, 2012. https://opensiuc.lib.siu.edu/dissertations/561.
Full textAbstract:
The purpose of this study is to determine the levels of burnout and role stresses among direct service providers at centers for independent living in Region V, and investigate the relationship between burnout and role stressors among the population. Results showed that the respondents have average level of emotional exhaustion, high level of depersonalization, and low level of personal accomplishment in categorization of MBI scores. When comparing with the MBI-HSS normative samples, it indicated that these providers experience higher burnout than overall samples and the sample in social services. The obtained results supported the previous view that CIL management problems including low salaries, high staff turnover, insufficient resources, excessive caseload, unsatisfactory reward, or general lack of control over job tasks and responsibilities that may effect to high burnout.
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Gordon, Carron D. (Carron Dahlia). "Correlates of cardiorespiratory health in elderly community-dwelling persons with stroke." Thesis, McGill University, 1996. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=24008.
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The age related decline in cardiorespiratory function is well known. However, less is known about the cardiorespiratory health of the elderly stroke survivor or of how stroke related impairment, disability and handicap relate to it. In order to determine the relationships between measures of impairment, disability, handicap and indicators of cardiorespiratory health, in elderly community-dwelling persons with stroke, a cross-sectional study involving forty-six elderly stroke survivors living in the city of Montreal, was conducted. Subjects were assessed on several indicators of cardiorespiratory health and measures of impairment, disability and handicap (disablement). All assessments were done in the subjects' homes by a physiotherapist. Several significant associations between measures of disablement and cardiorespiratory health were uncovered. The findings suggest that strength, mobility and function influence cardiorespiratory health, and reintegration to normal living post-stroke is affected by functional exercise capacity.
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Dinc, Uyaroglu Ilkay. "Architectural Implications Of Community Based/inclusive Rehabilitation Centers In The Light Of Universal Design." Master's thesis, METU, 2008. http://etd.lib.metu.edu.tr/upload/3/12610205/index.pdf.
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With the development of the concept of disability and consequently rehabilitation concept, today&<br>#8217<br>s achievements of rehabilitation centers are perceived different from the traditional ones. Conventional approach of rehabilitation was aiming at improving functional deficiencies of people with disabilities with the help of medical treatment. Within the last two decades depending upon the increasing in the awareness of idea of inclusivity in society there has been developed a shift from traditional medical based approach to more social based ones where rehabilitation has been perceived as a process to enhance the &<br>#8216<br>quality of life&<br>#8217<br>rather than a process of a medical curation of people with diverse disabilities. The new social-based rehabilitation approach refers community based rehabilitation strategy that aims to integrate various sectors of social life for the achievement of an effective rehabilitation while promoting inclusion of people with less or severe disabilities in social life.
It is stated in this thesis that the architectural program of a community-based rehabilitation centers can be elaborated with the parameters of Universal Design (UD) which not only responds to the shift in community-based rehabilitation approach while promoting inclusion in the society, but also has a potential to advance spacial formative characteristics of related centers in a more descriptive way. The ideas of equity and participation are the significant parameters of UD that are referred in the thesis in order to elaborate the supportive social services of an architectural program and to investigate spatial characteristics of community-based rehabilitation centers.
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Hammerton, Jacqueline Margaret. "An investigation into the influence of age on recovery from stroke with community rehabilitation." Thesis, University of Sheffield, 2003. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.401259.
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Yamaoka, Ayuchi. "SUPPORT SERVICES WITH COMMUNITY MEMBER FOR CRIME REHABILITATION AND PREVENTION BY JAPANESE CLASSIFIATION HOMES." OpenSIUC, 2020. https://opensiuc.lib.siu.edu/theses/2703.
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This thesis evaluated the new law since 2015 of the support services by Japanese Juvenile Classification Home (JCH) which is a detention facility for juveniles. The support services by the JCHs is providing psychological and educational individualized support who are facing crime-related or deliquency-related problems based on the requests from any individuals and organizations in community. It is based on the classification for the support services in the former law. This study also examined the role of population density among three categories of large, medium-sized, and small prefectures. The relationship between delinquent rates and support services for the juvenile population three years of before and after the new law among the three geographic categories was examined. Delinquent outcome rates significantly decreased among the geographic categories. By contrast, support services by the JCH rates significantly increased among all three geographic categories. Small and medium-sized had more the classification for support services and support services than large prefectures; their support services rate were higher than delinquent rates. With regard to common services, workshop (providing lecture or workshop to the group of people) was most major, institutional counseling (providing individualized services based on the request of organizations) was second, case conference (attending case conference of other organizations), and individual counseling(providing individualized services based on the request or individuals) was third. Most of these four types of services were provided more in small and medium-sized prefectures than large prefectures. The results supported the richness in social capital in small and medium-sized prefectures. Though this study did not examine the effects of support services by the JCH, but it suggested the needs in the community has been increased. Considering the basic characteristics of the support services, it could meet the Risk-Needs-Responsivity principle, but further information about the clients’ basic demographic, risk level, criminological needs and their responsivity is needed in the future.
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Cox, Jamie E. "A comparison study of sheltered work versus supported employment within community-based rehabilitation facilities." Online version, 2002. http://www.uwstout.edu/lib/thesis/2002/2002coxj.pdf.
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Nguyen, Trang Le. "Social work and a Community-based Rehabilitation Program for People with Disabilities in Vietnam." Thesis, Curtin University, 2017. http://hdl.handle.net/20.500.11937/68266.
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The research examined community based rehabilitation (CBR) as a means to enhance social and economic support for people with disability in a commune in Viet Nam. Mixed methods were used to collect information from people with disability, their families, CBR workers and policy makers. The research suggests that basic social work knowledge and skills could be integrated into training for the CBR core team to enable socio-economic support and mobilise resources in the community.
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Ackerman, Donna V. "The Impact of Teacher Collaboration in a Professional Learning Community on Teacher Job Satisfaction." ScholarWorks, 2011. https://scholarworks.waldenu.edu/dissertations/962.
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A dilemma in some local educational institutions is the lack of a supportive teacher community which could lead to decreased teacher job satisfaction. The purpose of this study was to describe to what extent teacher collaboration in a professional learning community (PLC) impacts teacher job satisfaction. Theoretical foundations by DuFour, Eaker and DuFour supported the relationships between PLC and teacher collaboration. Herzberg's theory of motivation and Maslow's hierarchy also served as frameworks in this study. An interpretive, qualitative research design was used to explore potential connections between collaboration and job satisfaction. Research questions addressed how scheduled school day collaborative time impacts teacher job satisfaction, job satisfaction changes due to a PLC environment, and the impact of teacher isolate on job satisfaction. Data included observations of collegial interactions, face-to-face interviews, recorded field notes and audio tapings captured during these data collecting events. Cross-referencing was applied between collection tools. Data were coded, categorized and analyzed following the process designed by Hatch. Ideal collaborative time and job satisfaction characteristics emerged as core themes. Specifically, scheduled collaboration provided a structure for developing strategies for meeting students' needs, and principal support for collaboration was shown to enhance teachers' perceptions of job satisfaction. Teachers also cited improved practices and enhanced collegial relationships as additional sources of increased job satisfaction. Implications for positive social change include improving teacher job satisfaction, which could assist in creating a positive, productive environment for teachers. This can result in more well planned learning environments and greater academic achievement for students.