Managers’ perceptions on the implementation of community-based rehabilitation in KwaZulu-Natal
Background: Community-based rehabilitation (CBR) is a World Health Organization (WHO) strategy for social inclusion, equalisation of opportunities and provision of essential services for people with disabilities (PWDs). Community-based rehabilitation is a multi-sectoral strategy that requires all st...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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AOSIS
2024-01-01
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| Series: | South African Journal of Physiotherapy |
| Subjects: | |
| Online Access: | https://sajp.co.za/index.php/sajp/article/view/1965 |
| _version_ | 1797336120201052160 |
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| author | Sithembiso Blose Verusia Chetty Saul Cobbing Nomzamo Chemane |
| author_facet | Sithembiso Blose Verusia Chetty Saul Cobbing Nomzamo Chemane |
| author_sort | Sithembiso Blose |
| collection | DOAJ |
| description | Background: Community-based rehabilitation (CBR) is a World Health Organization (WHO) strategy for social inclusion, equalisation of opportunities and provision of essential services for people with disabilities (PWDs). Community-based rehabilitation is a multi-sectoral strategy that requires all stakeholders to participate equally in its implementation. KwaZulu-Natal has implemented CBR for over two decades, with various stakeholders at the forefront of implementation. However, the status of stakeholder engagement, collaboration and coordination is unknown.
Objective: The objective of our study was to understand how CBR is implemented in KwaZulu-Natal and the roles of each stakeholder in its implementation, with a focus, on managers from government and non-governmental organisations.
Method: A descriptive explorative approach using semi-structured interviews was used to collect data from 20 managers from various stakeholders involved in implementing CBR in KwaZulu-Natal. Data were transcribed and analysed using thematic analysis.
Results: The findings revealed five dominant themes: (1) the understanding of concepts, (2) missed opportunities for implementing CBR, (3) barriers to implementing CBR, (4) benefits to implementing CBR and (5) recommendations for future implementation.
Conclusion: A formal management structure with clear roles and responsibilities was fundamental for implementation. Collaboration, coordination and planning were believed to be the critical roles of managers in the implementation of CBR. Training, awareness and sharing of resources among stakeholders were also identified as important factors in implementing CBR in KwaZulu-Natal.
Clinical implications: Our study will assist managers and clinicians to improve their planning and implementation of CBR. |
| first_indexed | 2024-03-08T08:49:33Z |
| format | Article |
| id | doaj.art-9858e2e79a4d4a128609d729935bd7c4 |
| institution | Directory Open Access Journal |
| issn | 0379-6175 2410-8219 |
| language | English |
| last_indexed | 2024-03-08T08:49:33Z |
| publishDate | 2024-01-01 |
| publisher | AOSIS |
| record_format | Article |
| series | South African Journal of Physiotherapy |
| spelling | doaj.art-9858e2e79a4d4a128609d729935bd7c42024-02-01T12:49:43ZengAOSISSouth African Journal of Physiotherapy0379-61752410-82192024-01-01801e1e910.4102/sajp.v80i1.19651566Managers’ perceptions on the implementation of community-based rehabilitation in KwaZulu-NatalSithembiso Blose0Verusia Chetty1Saul Cobbing2Nomzamo Chemane3Department of Physiotherapy, Faculty of Health Sciences, University of KwaZulu-Natal, DurbanDepartment of Physiotherapy, Faculty of Health Sciences, University of KwaZulu-Natal, DurbanDepartment of Physiotherapy, Faculty of Health Sciences, University of KwaZulu-Natal, Durban, South Africa; and Department of Physiotherapy, Faculty of Health Sciences, University of Toronto, TorontoDepartment of Physiotherapy, Faculty of Health Sciences, University of KwaZulu-Natal, DurbanBackground: Community-based rehabilitation (CBR) is a World Health Organization (WHO) strategy for social inclusion, equalisation of opportunities and provision of essential services for people with disabilities (PWDs). Community-based rehabilitation is a multi-sectoral strategy that requires all stakeholders to participate equally in its implementation. KwaZulu-Natal has implemented CBR for over two decades, with various stakeholders at the forefront of implementation. However, the status of stakeholder engagement, collaboration and coordination is unknown. Objective: The objective of our study was to understand how CBR is implemented in KwaZulu-Natal and the roles of each stakeholder in its implementation, with a focus, on managers from government and non-governmental organisations. Method: A descriptive explorative approach using semi-structured interviews was used to collect data from 20 managers from various stakeholders involved in implementing CBR in KwaZulu-Natal. Data were transcribed and analysed using thematic analysis. Results: The findings revealed five dominant themes: (1) the understanding of concepts, (2) missed opportunities for implementing CBR, (3) barriers to implementing CBR, (4) benefits to implementing CBR and (5) recommendations for future implementation. Conclusion: A formal management structure with clear roles and responsibilities was fundamental for implementation. Collaboration, coordination and planning were believed to be the critical roles of managers in the implementation of CBR. Training, awareness and sharing of resources among stakeholders were also identified as important factors in implementing CBR in KwaZulu-Natal. Clinical implications: Our study will assist managers and clinicians to improve their planning and implementation of CBR.https://sajp.co.za/index.php/sajp/article/view/1965community-based rehabilitationrehabilitationdisabilitystakeholderscbr managerscollaborationpeople with disabilitiescbr workers |
| spellingShingle | Sithembiso Blose Verusia Chetty Saul Cobbing Nomzamo Chemane Managers’ perceptions on the implementation of community-based rehabilitation in KwaZulu-Natal South African Journal of Physiotherapy community-based rehabilitation rehabilitation disability stakeholders cbr managers collaboration people with disabilities cbr workers |
| title | Managers’ perceptions on the implementation of community-based rehabilitation in KwaZulu-Natal |
| title_full | Managers’ perceptions on the implementation of community-based rehabilitation in KwaZulu-Natal |
| title_fullStr | Managers’ perceptions on the implementation of community-based rehabilitation in KwaZulu-Natal |
| title_full_unstemmed | Managers’ perceptions on the implementation of community-based rehabilitation in KwaZulu-Natal |
| title_short | Managers’ perceptions on the implementation of community-based rehabilitation in KwaZulu-Natal |
| title_sort | managers perceptions on the implementation of community based rehabilitation in kwazulu natal |
| topic | community-based rehabilitation rehabilitation disability stakeholders cbr managers collaboration people with disabilities cbr workers |
| url | https://sajp.co.za/index.php/sajp/article/view/1965 |
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