Abstract

GUAJARDO-CORDOBA, Alejandro et al. Community-based Rehabilitation (CBR) Strategy evaluation from the community and local rehabilitation centers' perspective. rev.fac.med. [online]. 2015, vol.63, suppl.1, pp.41-50. ISSN 0120-0011.  https://doi.org/10.15446/revfacmed.v63n3sup.49333.

Background. The Community-based rehabilitation, in the case of Chile, stands out as a public policy of government's agencies and assumed directly by governments authorities such as the Chilean Ministry of Health-MINSAL and the National System of Disabled People-SENADIS. Thus, the evaluation of the RBC strategy in Chile is needed from the programmatic point of view due to its national or regional impact. Based on the foregoing reasons, and considering that the RBC strategy in Chile began to be implemented linked to the primary care centers, since 2008, without having been assessed even at the beginning of the present study (January 2011), through this research it was sought to assess, from the perspective of the community and the local teams of rehabilitation that currently implement this strategy, the different levels of intervention mainly expressed through the components of communal intervention and management. Objective. Thus, the main purpose of this investigation was to assess the social impact perceived and the social acceptability of the CBR strategy from the perspective of the community and the local rehabilitation teams. Materials and Methods. The methodological framework was defined within the parameters of a qualitative study of descriptive and transversal nature. The study's universe corresponded to the municipalities that counted with the CBR programs that are being developed nation-wide as part of the national disability and health rehabilitation policy. The criteria that guided the sampling process were those of relevance and information sufficiency, therefore a structural sampling was chosen. The data processing was conducted by a semantic-oriented content analysis, following an intensive strategy; all the information that was produced during the field phase was analyzed. Results. The obtained results demonstrate CBR as a strategy that involves various forms of implementation and development that is related to the local history, the community's profile, the users' profiles and the relationships between the municipality and the rehabilitation program. Conclusions. The study identifies, within the CBR strategy, three action models; the bio-medial, bio-psychosocial and communal one.

Keywords : Community Health Services; Rehabilitation; People with Disabilities; Program Evaluation; Community Participation.

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