Advancing inclusive development through community-based rehabilitation: a systematic literature review

Area of Science:

• Disability Studies
• Rehabilitation Science
• Public Health

Background:

• Community-Based Rehabilitation (CBR) is a global strategy for disability inclusion, particularly in low- and middle-income countries.
• Empirical evidence on CBR effectiveness is fragmented across disciplines.
• This study synthesizes research on CBR and empowerment interventions for persons with disabilities.

Purpose of the Study:

• To systematically review and synthesize empirical evidence on the outcomes of CBR programs.
• To examine the effectiveness of empowerment-oriented interventions for persons with disabilities.
• To identify key findings regarding participation, empowerment, and well-being.

Main Methods:

• Systematic literature review following PRISMA guidelines.
• Database searches using keywords related to disability, CBR, and empowerment.
• Inclusion of peer-reviewed studies reporting empirical findings on CBR outcomes.

Main Results:

• Nine empirical studies were included, utilizing diverse methodologies (cross-sectional, mixed-methods, qualitative, quasi-experimental).
• CBR participation consistently correlated with enhanced social inclusion, empowerment, participation, and service access.
• Quasi-experimental designs offered stronger evidence of effectiveness, while qualitative studies illuminated experiential aspects of empowerment.

Conclusions:

• CBR programs demonstrably enhance participation and empowerment for individuals with disabilities.
• Future research requires strengthened evaluation designs and comprehensive outcome measurement.
• This synthesis supports the development of more effective, inclusive community rehabilitation strategies.