Systematic Review: CBR in Low and Middle Income Countries

Karl Report

Community-based Rehabilitation for People with Disabilities in Low- and Middle-income Countries

Download the Report here:

About the Review:

This review, funded by 3ie and published by the Campbell Collaboration Library of Systematic Reviews in September 2105, reviewed the evidence on the impact of community-based rehabiliation (CBR) on the lives of people with disabilities and their carers in low- and middle-income countries.

Key Findings:

  • Fifteen studies meeting the search criteria were identified
  • The studies included used different types of community-based rehabilitation interventions and targeted different types of physical and mental disabilities.
  • Randomised controlled trials suggested a beneficial effect of CBR amongst people with physical disabilities
  • Non-randomised studies showed mixed results, with one study on stroke showing CBR less favourable than hospital-based rehabilitation
  • Findings on benefit for people with mental disorders suggest modest benefit
  • Majority of studies’ weak design and need for methodological rigour in future studies to build stronger evidence

Authors: Valentina Iemmi, Lorna Gibson, Karl Blanchet, K Suresh Kumar, Santosh Rath1, Sally Hartley, Gudlavalleti VS Murthy, Vikram Patel, Joerg Weber, Hannah Kuper

For further information on this report, including to request a Word.doc version, please contact or

Comments are closed.