Empowered to Differ : Stakeholders' Influences in Community-Based Rehabilitation
MetadataShow full item record
Since the advent of Community-based rehabilitation (CBR) in 1976, many developing countries have conducted CBR projects. CBR has been presented as a relevant and costeffective way to provide rehabilitation services to people with disabilities. Twenty-five years later it was concluded that, despite the growing amount of literature on the topic, the evidence base for CBR is still fragmented and therefore its effectiveness cannot be sufficiently established. In this thesis, a theoretical model based on the competency levels of the different stakeholders involved in CBR is presented. In addition, an analysis of the stakeholders involved is carried out in order to study the process of CBR. Finally, CBR projects in Southern Africa (i.e. Zimbabwe) have been analysed to determine the influence of these stakeholders on the CBR process. The stakeholders involved in CBR projects are highly interdependent and rely on each other to achieve programme and individual objectives. However, the interests of these stakeholders conflict on several issues. One of these issues is the need for a specialised competency level versus a broad competency level, and another is their orientation regarding the individual versus society. On the basis of these two issues, this thesis concludes by providing four scenarios for the further development of CBR.