Background: Public stigma, or negative community-held beliefs, about children with disabilities (CWDs) often leads to negative outcomes for CWD and their families. This study considers the effectiveness of four community-level interventions to reduce public stigma in two Lusaka, Zambia communities. Methods: This feasibility study describes four…

The government of Botswana has undertaken a variety of actions, from the incorporation of special preventive programs in the basic health service to the establishment of an interministerial National Council for the Handicapped. Journal availability: see EC 133 861. (Author)

This paper presents a disability prevention framework for community-based rehabilitation services, by conceptualizing early intervention in terms of primary, secondary, and tertiary levels of prevention. The framework views prevention as the effort to reduce a disability's expression, duration, or extended impact. (Author/JDD)

Scaling-up (the expansion or development of organizational activities of nongovernmental agencies to achieve greater impact) in community-based rehabilitation is described by using case study materials from industrialized and less-developed countries (India, Canada, and Indonesia) and focusing on differences in structural characteristics of…

This paper examines the magnitude of the problem of disability facing developing countries; the traditional response to this challenge and its ineffectiveness; the emergence of community-based rehabilitation (CBR); its underlying assumptions and effectiveness in terms of staff training, interagency partnerships, and parental and community…

This study examined the internal validity and reasons for false positives for the Ten Question Screen (with and without probes), used by community workers in developing nations to assess type and severity of disability. Results support the use of the screen but only if paired with measurements of hearing and visual impairments. (DB)

The paper summarizes the incidence and status of disability in Indonesia and reports on rehabilitation services and facilities. The paper reports that 3.11% of the population is disabled and breaks down this number into those physically or orthopedically disabled (0.85%), visually disabled (0.90%), hearing/speech disabled (0.31%), mentally…

The institution-based model for providing services to individuals with disabilities has limitations in both developing and developed countries. The community-based rehabilitation model was positively evaluated by the World Health Organization as an alternative approach, but the evaluation is questioned on methodological and philosophical grounds.…

Eight community rehabilitation workers (CRW), 5 supervisors, and 45 people with disabilities and family members in South Africa identified CRW learning needs that should be addressed through a continuing education program. All three groups identified the need for skills in advocacy and public education, social work, community development, and…

This article addresses cultural influences on the family care and community-based rehabilitation of people with disabilities in Asia, especially Hong Kong. Considered are factors influencing the Hong Kong family, the caregiver role, the role of community development, and implications for policy and service delivery in newly industrialized cities…

This booklet is intended as an introductory guide to community-based rehabilitation (CBR) services in developing nations. The first section examines the magnitude of the problem; the failure of existing services to meet this challenge; and the need for a model appropriate to developing countries. The second section briefly describes the CBR…

The paper presents a rationale for and evaluation of community-based rehabilitation (CBR). A CBR program implemented with 53 preschool disabled children in rural areas of Guyana found that the children's development improved significantly; the parents were willing to be involved; and parents' attitudes toward their children, themselves, and their…

This paper explores the origins, differences, and similarities of community-based rehabilitation, which developed in southern countries, and independent living, which developed in northern countries, for persons with disabilities. Although both approaches share a broad definition of rehabilitation and values emphasizing community and consumer…

This paper reviews research and evaluates information gathered on disabilities and service development in South Asia, especially India and Pakistan. The concept of "community-based rehabilitation" (CBR), which stresses the need for rehabilitation efforts rooted in the context of local cultural concepts, is discussed. The paper emphasizes…

This study identified easily available nonprofessional resources for screening and identifying individuals with disabilities in India's rural areas, evaluated the efficacy of the resources, and identified community resources to facilitate long-term social self-management of individuals with disabilities. National Service Scheme volunteers from two…