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Abstract
Purpose: In this paper, we measure the effectiveness of Community-Based Rehabilitation (CBR) programmes in promoting the well-being of people with disabilities and removing the barriers to their participation in family and community decision-making processes. Method: To evaluate the impact of the CBR programme, we use data from a large-scale control study in Karnataka, India. Propensity score matching is used to evaluate the impacts on disabled persons after 2, 4 and 7 years of entering the CBR. The theoretical framework for the analysis is based on the CBR guidelines, which are combined with the International Classification of Functionings (ICF), the United Nations Convention on the Rights of People with Disabilities (UN CRPD) and Amartya Sen’s capability approach. Results: CBR has a positive impact on the well-being of persons with disabilities participating in the programme and particularly on their participation within the family and the society at large. Conclusions: CBR programmes have a multidimensional and positive impact on individual and collective capabilities; on individual, agency and social empowerment.
- Implications for Rehabilitation
Community-Based Rehabilitation (CBR) can make a lasting difference in the life of persons with disabilities.
CBR improves participation and inclusion of persons with disabilities in the family and in the community.
Acknowledgements
We are grateful to Parul Bakhshi and Ramesh Giriyappa for their research support and to Hannah Kuper and Fabrizia Mealli for their suggestions. We also wish to thank the persons and organisations that participated in the initial definition of S-PARK/CBR research protocol, especially Alana Officer and Chapal Khasnabis from WHO/DAR and the members of Scientific Advisory Group and their organisations and institutions: K. Devapitchai, M. V. Jose, Mary Kutty, Leela, M. Mahesh, K. Nagamma, M. Natrajan, K. R. Rajendra, H. Rao, K. Srinivasan, T. V. Srinivasan, R. Vardhani, M. Vaz and J. C. Victor. We also thank the staff of the two CBR projects under MOB and SRMAB, the survey participants, members of RCG and the research facilitators and AIFO India office for their support without which this research would not have been possible. Finally, we are especially grateful to the people of Mandya and Ramanagaram districts who participated in the survey with patience and courtesy.