地方政府和以社区为基础的发育性残疾康复:不让任何人掉队。

IF 1.3 Q4 RESPIRATORY SYSTEM Public Health Action Pub Date : 2023-03-21 DOI:10.5588/pha.22.0027
P Jose, S S Kumar, B A Chandru, S Sundaram, S M Vijayanand, V R Kutty, R P Varma
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引用次数: 0

摘要

背景:在印度喀拉拉邦,BUDS(不是缩写)机构组成了一个以社区为基础的康复倡议,旨在为受发育性残疾影响的儿童和家庭提供帮助。目的:探讨地方政府在基层医疗服务机构的建立和运作中的作用。设计:我们采用定性方法,包括文献回顾和对培训师、发育障碍儿童家长和当选代表的深度访谈。结果:BUDS由Kudumbasree创建,这是一个分散的妇女赋权和扶贫倡议。我们的研究结果表明,地方政府通过建立基础设施、治疗设备、运输和财政拨款,以及通过开发人力资源、协助参加财政援助和保险方案,以及与教育和卫生部门协调,在促进扩大方面发挥了作用。所研究的各机构在现有的基础设施、工作人员和服务方面的方案执行情况差别很大。这些机构在2019冠状病毒病大流行期间实际关闭,但继续以其他方式运作。结论:尽管实施情况不尽相同,但地方政府支持扩大BUDS机构,从而为喀拉拉邦的包容性和综合教育和残疾人康复创造了更多空间。过去20年的扩张和2019冠状病毒病大流行期间的措施表明,该模式具有复原力和可持续性。
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Local governments and community-based rehabilitation for developmental disabilities: leaving no one behind.

Setting: The BUDS (not an acronym) institutions comprise a community-based rehabilitation initiative for children and families affected by developmental disabilities in Kerala, India.

Objective: To explore the role of local governments in the establishment and functioning of BUDS institutions.

Design: We used qualitative approaches comprising document review and in-depth interviews with trainers, parents of children with developmental disabilities and elected representatives.

Results: BUDS was created by Kudumbasree, a decentralised women empowerment and poverty alleviation initiative. Our findings illustrate the role of local governments in facilitating expansion through the establishment of infrastructure, therapy equipment, transportation and financial allocation for these, as well as through the development of human resources, assistance with enrolment for financial assistance and insurance programmes, and coordination with education and health sectors. Programme implementation varied considerably regarding available infrastructure, staffing and services among the institutions studied. The institutions were physically closed during the COVID-19 pandemic but continued to function in alternative ways.

Conclusion: Despite variable implementation, local governments have supported the expansion of BUDS institutions, thereby creating more spaces for inclusive and integrated education and rehabilitation of persons with disabilities in Kerala. The expansion over the past two decades and measures during the COVID-19 pandemic suggest resilience and sustainability of the model.

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来源期刊
Public Health Action
Public Health Action RESPIRATORY SYSTEM-
自引率
0.00%
发文量
29
期刊介绍: Launched on 1 May 2011, Public Health Action (PHA) is an official publication of the International Union Against Tuberculosis and Lung Disease (The Union). It is an open access, online journal available world-wide to physicians, health workers, researchers, professors, students and decision-makers, including public health centres, medical, university and pharmaceutical libraries, hospitals, clinics, foundations and institutions. PHA is a peer-reviewed scholarly journal that actively encourages, communicates and reports new knowledge, dialogue and controversy in health systems and services for people in vulnerable and resource-limited communities — all topics that reflect the mission of The Union, Health solutions for the poor.
期刊最新文献
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