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  Subjects -> DISABILITY (Total: 103 journals)
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Disability, CBR & Inclusive Development
Number of Followers: 17  

  This is an Open Access Journal Open Access journal
ISSN (Print) 2211-5242
Published by VU e-Publishing Homepage  [1 journal]
  • Inclusive Education in Pakistan: Role of Teachers’ Sense of

    • Abstract: N/A Published on 2022-11-03 10:11:52
  • Outcomes of Cognitive-Communication Intervention in Traumatic Brain
           Injury: a Case Study

    • Abstract: Purpose: Traumatic brain injury (TBI) is an acquired non-progressive condition, resulting in distinct deficits of cognitive communication abilities such as naming, word-finding, self-monitoring, auditory recognition, attention, perception and memory. Cognitive-communication intervention in TBI is individualised, in order to enhance the person’s ability to process and interpret information for better functioning in family and community life. The present case study illustrates the cognitive-communicative disturbances secondary to TBI and its intervention outcomes in a female adult in India.Method: The 43-year-old subject attended 20 sessions of cognitive-communication intervention which followed a domain-general adaptive training paradigm, with tasks relevant to everyday cognitive-communication skills.Results: Improvements were found in perception, short-term and working memory, with reduction in perseverations and naming difficulties.Conclusion: Rehabilitation of clients with moderate to severe head injury can be done effectively through the appropriate selection of goals and activities relevant to the functional needs of each individual. Published on 2022-11-03 09:31:27
  • Pushing Down the Walls: Advocating for “Rehabilitation for
           All” in South Africa

    • Abstract: This article aims to advocate for providing rehabilitation to all South Africans in the context of achieving universal health coverage. The potential benefits of accessible rehabilitation for South Africans with chronic disease and disability are described and supported by a description of national and international policies that promote the delivery of primary healthcare services (including rehabilitation) into or near people’s homes.  A discussion follows on why the ‘walls’ separating professional silos need to be broken down to ensure that rehabilitation can be provided in a cost-effective and sustainable manner. The authors also suggest ways in which advocacy efforts can be strengthened to assist in this call for “rehabilitation for all”. Published on 2022-11-03 09:29:16
  • Access to Public Healthcare Rehabilitation Services by Persons with
           Disabilities in South Africa: a Scoping Review

    • Abstract: Purpose: The South African National Health System, funded by National Health Insurance, aims to ensure universal access to quality healthcare for all South Africans. The aim of this scoping review was to explore barriers and facilitators experienced by persons with disabilities when accessing rehabilitation services in public healthcare facilities in South Africa. For this scoping review, disability was seen as defined in the International Classification of Functioning, Disability and Health (ICF), and access was understood to include availability, accessibility, acceptability, and affordability of rehabilitation.Method: Sources were included if they were published between 2012 and 2021, in English, and contained primary research undertaken in South Africa pertaining to accessibility to public healthcare facilities for rehabilitation by persons with disabilities. Following Joanna Briggs Institute guidelines, the search included CINAHL, EBSCOhost, Scopus, Web of Science, PubMed, Science Direct, SciELO, and Google Scholar. Rayyan was used to screen sources for eligibility. Ineligible sources were removed, based on titles and abstracts, and the eligibility of remaining sources was confirmed in the full texts review. Although 70 sources were identified and screened, only 19 were found to be eligible for inclusion.  Data was extracted on Microsoft Excel and Word templates. Analysis and synthesis were done using Microsoft Excel and Taguette.Results: The findings showed that the most prominent barrier restricting the access of persons with disability to rehabilitation was affordability. Other barriers were availability and acceptability of services. Physical access to rehabilitation was affected by inaccessible transport and community mobility, social and community barriers. The facilitators that were most prevalent were personal attitudes, family and friends - societal and community - and governmental support.Conclusion and Implications: This scoping review confirmed that access to rehabilitation services in public healthcare facilities in South Africa is a multifaceted issue, which requires a multisectoral approach to achieve sustainable and effective solutions. Intersectoral and interprofessional approaches by public healthcare rehabilitation service providers and stakeholders are necessary to improve access to services.Better reliance on facilitators that are already in place should improve access to rehabilitation services. This includes improved collaboration with community leaders, family members and users of disability services. Published on 2022-11-03 09:26:36
  • Resilience and Coping by Parents of Children with Intellectual Disability
           in Kerala, South India

    • Abstract: Purpose: This study examined the relationship between the resilience and coping mechanisms of the parents of children with intellectual disability.Method: Study participants were recruited from special schools and neighbourhood groups of parents of children with special needs in Kerala, a southern state of India. Around 121 parents completed the Connor-Davidson Resilience Scale and Coping Strategies Screen. The correlational analysis revealed a significant relationship between their coping strategies and resilience.Results: Problem focussed coping strategies such as problem-solving skills, taking professional assistance, seeking information about managing the condition, taking time to discuss the ways of handling child’s condition with the family members/significant others and having recreational activities improved parental resilience. Whereas, emotion focused coping strategies for example, reliance on religious leaders for emotional support, weeping, blaming fate and doing nothing decreased their resilience. Rehabilitation professionals may plan interventions to expand problem focused coping skills so as to improve their resilienceConclusion: The findings have specific applications in developing interventions for parents of children with intellectual disability. Published on 2022-11-03 09:24:05
  • Hearing, Speech and Language Outcomes in Children with Cochlear Implants:
           a Comparison between ADIP Scheme and Self-Financed Scheme

    • Abstract: Purpose: Cochlear implants (CIs) are of immense benefit to children with severe to profound hearing impairment. While cochlear implants under the ADIP scheme cost a lot to the public exchequer, parents spend considerable amounts on CI surgery under the self-financed scheme. This study aimed to find and compare outcomes of cochlear implants in children who availed of the ADIP scheme and those who were implanted under a self-financed scheme. The secondary aim was to elicit the views of parents on the challenges their wards faced under the ADIP scheme for cochlear implants.Method: The study focused on twelve children who received cochlear implants under the ADIP scheme and twelve children who received implants under a self-financed scheme at a tertiary care health centre. The baseline for measurement of various outcomes was a minimum of six months post implantation. Cochlear implant outcomes were compared using MAIS/IT-MAIS, SIR, CAP, and ISD tests. Interviews were also conducted with the parents of children who received cochlear implants under the ADIP scheme, for information regarding the challenges they faced.Results: There was a significant difference (p<.05) between the two groups in the scores of CAP and reception, speech, and cognition subsections of the ISD scale. The scores of the ADIP group were significantly lower in these domains. The possible reasons might be a lack of funds, not visiting the therapy centre regularly, loss of wages during a visit to the therapy centre, lack of family support, and insufficient time to repeat therapy activities at home. There was no significant difference in age, CI age, and CI usage duration between the two groups.Conclusion and Implications: Compared to children implanted under the self-financed scheme, children implanted under the ADIP scheme are significantly lacking in a few domains of communication skills. The efficacy of the ADIP scheme for cochlear implantation can be evaluated and policy change can be advocated based on this study. The study has outlined some modifications to this welfare scheme in order to fill the observed lacunae and widen the scope of its reach. Published on 2022-11-03 09:21:42
  • COP27 Climate Change Conference: Urgent Action needed for Africa and the

    • Abstract: N/A Published on 2022-11-03 09:19:28
  • Rehabilitation for All'

    • Abstract: N/A Published on 2022-11-03 09:18:25
  • Integrating Traditional Bone-Setting and Orthopaedic Medicine Practices in
           the Management of Fractures in Nigeria: Community-Based Rehabilitation
           Model in Perspective

    • Abstract: Despite the documented advancements in orthodox medicine, traditional bonesetters (TBS) continue to be well patronised for the management of musculoskeletal injuries in low- and middle-income countries such as Nigeria. However, the practice of traditional bone-setting is often marred by the lack of trust and belief among orthodox healthcare practitioners on the one hand, and the serious post-fracture complications associated with this practice, on the other. The identified downsides have resulted in the stakeholders’ call for the integration of TBS into the national orthodox healthcare services in Nigeria. Despite efforts toward the integration, implementation and realisation remain unfulfilled. One identified potential missing link is the lack of a community-oriented pathway such as the community-based rehabilitation (CBR) model in the previous efforts. This brief review aims to elucidate the concept of CBR in relation to the proposed integration process. It highlights the need for integration, the notions of the CBR model as well as the conceptual framework for CBR. CBR has been showcased as a globally accepted model which encompasses pragmatic strategies or policies for community managers and stakeholders in a wide range of areas for people in need of essential services. It can be a suitable model for integrative management of fracture cases. Published on 2022-08-05 09:42:32
  • A Rapid Review of the Roles of Community Rehabilitation Workers in
           Community-based Mental Health Services in Low- and Middle-Income Countries

    • Abstract: Purpose: The term Community Rehabilitation Worker (CRW) encompasses a group of mid-level health workers introduced within healthcare systems to increase accessibility to health- care services for individuals within the community sphere. This study aimed to summarise the current knowledge on the role of community rehabilitation workers in community-based mental health services in low- and middle- income countries.Method: Between the 10th and 17th of July, 2020, searches were conducted on the following databases: Cochrane, EbscoHost, Primo, and Pubmed. The search strategy identified 521 individual records, 4 of which were included in this review: 2 qualitative descriptive studies, 1 quantitative descriptive study and 1 conceptual study.Results: Across the 4 studies, eight roles of community rehabilitation workers were identified in relation to mental health services: home visits, client illness management, referral, documentation and administration, client and family education, community education, intersectoral collaboration and mediation. There was no data found on the role of community rehabilitation workers in mental health services in low- and middle- income countries specifically, indicating a gap in research. Conclusion: There is a need to improve knowledge and understanding of the roles and responsibilities of community rehabilitation workers where mental health service provision is concerned. The data summarised in this review could be utilised to educate health professionals regarding the role of community rehabilitation workers. Published on 2022-08-05 09:39:12
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