Community-based rehabilitation for people with disabilities in Vietnam: Two models for one target

Abstract

This case study investigated two models of community-based rehabilitation for people with disabilities (CBR) in Vietnam. One model is carried out by Charity Association of Quang Tri province in central Vietnam. The other model is conducted by Center “For Tomorrow” in Ha Noi. The study aimed to find lessons for replicating and and developing CBR models across the country. The study was conducted in late 2016 with three tasks: i) Gathering and syntherizing information on formation, development and operation of the two models; ii) Identifying advantages, disadvantages, successes and lessons learned from the two models; iii) Making recommendation for replication of the models. Research methods used include desk review, focus-group discussion, in-depth interview, and observation. Reports, documents, and papers on the formation and development of the two models were gathered and reviewed There were 8 focused-group discussion with leaders of the two models, with community leaders, and with head of clubs for PWDs in communities. A total of 30 visits with observations and in-depth interviews with PWDs and families, physicians, social workers, and volunteers of the two models were carried out. CBR guidelines of WHO/ILO/UNESCO were used as framework for analysis of the two models. Results from the reseach indicate that both CBR models have been implemented comprehensively and successfully, contributing to improvement of material and spiritual life of people with disabilities (PWD) and their families. Both models followed the CBR guidelines, fully integrated 5 elements–health, education, livelihood, empowerment, and social, in to their CBR programs. Recommendations for replication of the two models include integrating vocational training and job promotion into rehabilitation, mobilizing community resources, mobilizing and selecting volunteers, and conducting communication to imprrove knowledge of PWDs and their families, and of communities on CBR, as well as on their roles in implementing CBR.