Systematic Review: CBR in Low and Middle Income Countries
Community-based Rehabilitation for People with Disabilities in Low- and Middle-income Countries
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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.
- 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
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