A study of human resource competencies required to implement community rehabilitation in less resourced settings

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dc.contributor.authorGilmore, Brynneen_ZA
dc.contributor.authorMacLachlan, Malcolmen_ZA
dc.contributor.authorMcVeigh, Joanneen_ZA
dc.contributor.authorMcClean, Chiedzaen_ZA
dc.contributor.authorCarr, Stuarten_ZA
dc.contributor.authorDuttine, Antonyen_ZA
dc.contributor.authorMannan, Hasheemen_ZA
dc.contributor.authorMcAuliffe, Eilishen_ZA
dc.contributor.authorMji, Gubelaen_ZA
dc.contributor.authorEide, Arne Hen_ZA
dc.contributor.authorHem, Karl-Gerharden_ZA
dc.contributor.authorGupta, Neeruen_ZA
dc.date.accessioned2017-10-02T05:23:39Z
dc.date.available2017-10-02T05:23:39Z
dc.date.issued2017-12
dc.date.updated2017-09-24T04:09:26Z
dc.descriptionCITATION: Gilmore, B., et al. 2017. A study of human resource competencies required to implement community rehabilitation in less resourced settings. Human Resources for Health, 15:70, doi:10.1186/s12960-017-0240-1.
dc.descriptionThe original publication is available at https://human-resources-health.biomedcentral.com
dc.description.abstractBackground: It is estimated that over one billion persons worldwide have some form of disability. However, there is lack of knowledge and prioritisation of how to serve the needs and provide opportunities for people with disabilities. The community-based rehabilitation (CBR) guidelines, with sufficient and sustained support, can assist in providing access to rehabilitation services, especially in less resourced settings with low resources for rehabilitation. In line with strengthening the implementation of the health-related CBR guidelines, this study aimed to determine what workforce characteristics at the community level enable quality rehabilitation services, with a focus primarily on less resourced settings. Methodology: This was a two-phase review study using (1) a relevant literature review informed by realist synthesis methodology and (2) Delphi survey of the opinions of relevant stakeholders regarding the findings of the review. It focused on individuals (health professionals, lay health workers, community rehabilitation workers) providing services for persons with disabilities in less resourced settings. Results: Thirty-three articles were included in this review. Three Delphi iterations with 19 participants were completed. Taken together, these produced 33 recommendations for developing health-related rehabilitation services. Several general principles for configuring the community rehabilitation workforce emerged: community-based initiatives can allow services to reach more vulnerable populations; the need for supportive and structured supervision at the facility level; core skills likely include case management, social protection, monitoring and record keeping, counselling skills and mechanisms for referral; community ownership; training in CBR matrix and advocacy; a tiered/teamwork system of service delivery; and training should take a rights-based approach, include practical components, and involve persons with disabilities in the delivery and planning. Conclusion: This research can contribute to implementing the WHO guidelines on the interaction between the health sector and CBR, particularly in the context of the Framework for Action for Strengthening Health Systems, in which human resources is one of six components. Realist syntheses can provide policy makers with detailed and practical information regarding complex health interventions, which may be valuable when planning and implementing programmes.en_ZA
dc.description.urihttps://human-resources-health.biomedcentral.com/articles/10.1186/s12960-017-0240-1
dc.description.versionPublisher's version
dc.format.extent14 pages
dc.identifier.citationGilmore, B., et al. 2017. A study of human resource competencies required to implement community rehabilitation in less resourced settings. Human Resources for Health, 15:70, doi:10.1186/s12960-017-0240-1
dc.identifier.issn1478-4491 (online)
dc.identifier.otherdoi:10.1186/s12960-017-0240-1
dc.identifier.urihttp://hdl.handle.net/10019.1/102289
dc.language.isoen_ZAen_ZA
dc.publisherBioMed Central
dc.rights.holderAuthors retain copyright
dc.subjectPeople with disabilities -- Services foren_ZA
dc.subjectPublic health -- Medical personnel -- Developing countriesen_ZA
dc.subjectCommunity health services for people with disabilities -- Cost effectivenessen_ZA
dc.titleA study of human resource competencies required to implement community rehabilitation in less resourced settingsen_ZA
dc.typeArticle
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