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Community-based rehabilitation (CBR) now emphasizes a rights-based approach, but service gaps persist in low-resource settings. A new ICF-based model aims to standardize CBR interventions and improve implementation research for better service delivery.

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Area of Science:

  • Rehabilitation Medicine
  • Public Health
  • Disability Studies

Background:

  • Community-based rehabilitation (CBR) has evolved over 40 years towards a rights-based framework.
  • Accountability for service delivery is increasingly placed on local authorities.
  • Concerns exist regarding the coverage of medical rehabilitation services in low-resource countries.

Purpose of the Study:

  • To address the service gap in medical rehabilitation within low-resource countries.
  • To strengthen the evidence base for diverse, real-world CBR implementation.
  • To propose a standardized assessment and intervention model for CBR.

Main Methods:

  • Review of the evolution and current state of CBR.
  • Analysis of the need for standardized tools in CBR implementation research.
  • Development of a model based on the International Classification of Functioning, Disability, and Health (ICF).

Main Results:

  • CBR has shifted to a rights-based approach, enhancing accountability.
  • Standardizing tools are crucial for scaling up CBR and advancing implementation research.
  • An ICF-based assessment and intervention model for CBR has been proposed.

Conclusions:

  • The proposed ICF-based model offers a standardized framework for CBR.
  • This standardization can facilitate scaling up and improve implementation research.
  • Addressing service gaps in low-resource settings remains a critical focus for CBR.