A Low-intensity Approach for Early Intervention and Detection of Childhood Disability in Central Java: Long-term Findings and Implications for “Inclusive Development”
Purpose: This paper describes a qualitative follow-up study, conducted eight years after completion of a low-intensity early intervention and detection of childhood disability project in Central Java, Indonesia. The original project sought to increase the level of skills and engagement of existing community health volunteers, for the support of children with disabilities. This followup study explored long-term outcomes and implications for the inclusive development approach.
Method: Semi-structured interviews were conducted with 18 of the original volunteers. Interview notes were translated and thematically categorised.
Results: While the study was qualitative and descriptive, results indicate that despite the low intensity of the project, some early detection and prevention activities were still going on eight years later.
Conclusions: The study suggests that a low-intensity initiative such as this, which is closely aligned with the goals of a government department, may indeed achieve some ongoing change by extending the focus of the department towards disability-related concerns.
Implications: Implications are drawn for the emerging area of “inclusive development”, which similarly seeks to promote change in mainstream services for the benefit of people with disabilities.
CBR-DTC (2003). Evaluation Report: Community Based Rehabilitation Project: 2001 - 2002. Unpublished report. CBR-DTC.
Filmer D (2008). Disability, Poverty, and Schooling in Developing Countries: Results from 14 Household Surveys. The World Bank Economic Review, 22(1), 141-163. http://dx.doi.org/10.1093/wber/lhm021
Lysack C, Krefting L (1993). Community-based rehabilitation cadres: their motivation for volunteerism. Int J Rehabil Res, 16(2), 133-141. http://dx.doi.org/10.1097/00004356-199306000-00005. PMid:8349400
Shields L, Hartati L E (2003). Nursing and health care in Indonesia. Journal of Advanced Nursing, 44(2), 209-216. http://dx.doi.org/10.1046/j.1365-2648.2003.02785.x. PMid:14521687
Stubbs S (2009). Inclusive development, IDDC Paper. from http://www.makedevelopmentinclusive.org/inclusivedevelopment.php?spk=en
Suharto E (2006). Roles of social workers in Indonesia: Issues and challenges in rehabilitation for people with disability. Paper presented at the Vocational Rehabilitation for Persons with Disabilities (NVRC). from http://www.policy.hu/suharto/Naskah%2520PDF/CibinongDifableSocialWork.pdf.
Tjandrakusuma H, Krefting D, Krefting L (2002). Changing CBR Concepts in Indonesia: Learning from Programme Evaluation. from http://digitalcommons.ilr.cornell.edu/gladnetcollect/434
UN (2007). United Nations. Convention on the Rights of Persons with Disabilities and Optional Protocol. Geneva: United Nations.
UNESCO (2000). Indonesia. The EFA 2000 Assessment: Country Reports Retrieved 08 November, 2010, from http://www.unesco.org/education/wef/countryreports/indonesia/rapport_1.html
WHO (1978). Primary Health Care. Report of the International Conference on Primary Health Care Alma-Ata, USSR, 6–12 September 1978, from http://whqlibdoc.who.int/publications/1978/9241541288_eng.pdf
WHO, UNESCO, ILO, & IDDC (2010). CBR guidelines for community based inclusive development. Geneva: World Health Organisation
- There are currently no refbacks.
© Disability, CBR & Inclusive Development