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dc.contributor.authorGilmore, Brynne
dc.contributor.authorMacLachlan, Malcolm
dc.contributor.authorMcVeigh, Joanne
dc.contributor.authorMcClean, Chiedza
dc.contributor.authorCarr, Stuart
dc.contributor.authorDuttine, Antony
dc.contributor.authorMannan, Hasheem
dc.contributor.authorMcAuliffe, Eilish
dc.contributor.authorMji, Gubela
dc.contributor.authorEide, Arne Henning
dc.contributor.authorHem, Karl-Gerhard
dc.contributor.authorGupta, Neeru
dc.date.accessioned2018-01-08T09:47:36Z
dc.date.available2018-01-08T09:47:36Z
dc.date.created2017-10-30T10:15:15Z
dc.date.issued2017
dc.identifier.issn1478-4491
dc.identifier.urihttp://hdl.handle.net/11250/2476130
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.nb_NO
dc.language.isoengnb_NO
dc.publisherBioMed Centralnb_NO
dc.rightsNavngivelse 4.0 Internasjonal*
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/deed.no*
dc.titleA study of human resource competencies required to implement community rehabilitation in less resourced settingsnb_NO
dc.typeJournal articlenb_NO
dc.typePeer reviewednb_NO
dc.description.versionpublishedVersionnb_NO
dc.source.volume15nb_NO
dc.source.journalHuman Resources for Healthnb_NO
dc.source.issue1nb_NO
dc.identifier.doi10.1186/s12960-017-0240-1
dc.identifier.cristin1508803
dc.description.localcode© The Author(s). 2017 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/)nb_NO
cristin.unitcode194,65,30,0
cristin.unitnameInstitutt for nevromedisin og bevegelsesvitenskap
cristin.ispublishedtrue
cristin.fulltextoriginal
cristin.qualitycode1


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Navngivelse 4.0 Internasjonal
Except where otherwise noted, this item's license is described as Navngivelse 4.0 Internasjonal