Abstract
ABSTRACTOBJECTIVE To describe the implementation status of the Community-Based Rehabilitation in Chile.METHODS Quantitative, transversal and descriptive study. The scope was constituted by the 66 community-based rehabilitation centers in the Chilean Metropolitan Region that implemented Community-Based Rehabilitation until December 2016. The sampling was based on a census method, so all the community centers were contacted. A self-administered questionnaire designed based on the Community-Based Rehabilitation matrix defined by the World Health Organization was applied. The questionnaire was answered on-line by the coordinators of the strategy in their respective centers. The data analysis was performed using descriptive statistics.RESULTS A heterogeneous level of implementation of Community-Based Rehabilitation was identified, specifically in terms of the components of the matrix described by the World Health Organization. The most implemented component was Health; the Social, Livelihood and Empowerment components were moderately implemented; and the Education component was the least implemented.CONCLUSION The implementation of Community-Based Rehabilitation is mainly based on the Health component. The level implementation of the other components of the matrix needs to be increased, as well as interdisciplinary and intersectoral strategies to achieve greater social inclusion of people with disabilities.
Highlights
The Convention on the Rights of Persons with Disabilities (CRPD) defines that “the group of persons with disabilities includes all persons with long-term physical, mental, intellectual or sensory impairments who, in interaction with various barriers, may hinder their full and effective participation in society on an equal basis with others”[1].More than one billion people live with some form of impairment, which, according to 2010 population statistics, corresponds to 15% of the world’s population[2].The disability is associated with different factors of inequity that will lead to a situation of social, individual and familial exclusion
A heterogeneous level of implementation of Community-Based Rehabilitation was identified, in terms of the components of the matrix described by the World Health Organization
The implementation of Community-Based Rehabilitation is mainly based on the Health component
Summary
The Convention on the Rights of Persons with Disabilities (CRPD) defines that “the group of persons with disabilities includes all persons with long-term physical, mental, intellectual or sensory impairments who, in interaction with various barriers, may hinder their full and effective participation in society on an equal basis with others”[1].More than one billion people live with some form of impairment, which, according to 2010 population statistics, corresponds to 15% of the world’s population[2].The disability is associated with different factors of inequity that will lead to a situation of social, individual and familial exclusion. The main strategy defined by the World Health Organization (WHO) to achieve the reduction of these inequalities is the Community-Based Rehabilitation (CBR). This is a community development strategy for rehabilitation, equal opportunities and social inclusion, providing rehabilitation services in communities, and providing education and training opportunities to people with disabilities, their families and community members. Its scope has increased significantly over the past 30 years Today it involves local development for rehabilitation, equal opportunities, poverty reduction and social inclusion of people with disabilities[3]. This change in CBR has been associated with the paradigm change about disability and the ratification of the rights of disabled persons with the enactment of the Convention on the Rights of Persons with Disabilities[1]
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Free) 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call
