The Role of Community Health Workers in the Mongolian CBR Programme
Purpose: This article aims to present the role of community health workers in the implementation of a comprehensive CBR Programme in rural Mongolia, and to explore the main challenges that arise in this specific geographical and socio-economic context.
Methods: Qualitative data were collected through semi-structured interviews with CBR workers from three selected provinces; short meetings and interviews with respective provincial level CBR coordinators complemented the information acquired. Additionally, a workshop with national level CBR stakeholders was carried out in order to review and discuss the findings.
Results: The study highlighted a number of practical barriers (including long distances and lack of transportation, low population density, and harsh climate conditions) which constrain the work of community health workers in the areas studied. In relation to disability, the study shed light on the difficulties found by community workers in shifting from a medical approach to disability to a new approach that emphasizes prevention and rehabilitation. Exploring interviewees’ experience in the five areas of CBR (health, education, livelihood, social, empowerment) the authors found that working in the areas other than health is perceived as difficult due to insufficient training as well as objective contextual barriers.
Conclusions: Despite many challenges, CBR represents a significant improvement for disability action in rural Mongolia. In this context, the local community health workers are well suited and willing to act as CBR workers; nonetheless, more training and some tailoring work to adapt the Programme to the context is needed if all potential results are to be achieved.
Limitations: This study did not include direct observation of CBR activities or consultation of beneficiaries and other stakeholders. Their involvement and consultation would certainly improve the understanding of all the issues raised.
Coleridge P (2006). CBR as part of Community Development and Poverty Reduction. In: Hartley S, ed. 2006. CBR as part of Community Development. A Poverty Reduction Strategy. London: University College London, Institute of Child Health, Centre for International Child Health. Ch. 2.
Deepak S, Kumar J, Ortali F, Pupulin E (2011). CBR Matrix and Perceived Training Needs of CBR Workers: a Multi-Country Study. Disability, CBR and Inclusive Development; 22 (1): 85-98.
Finkenflügel H (2006). Who is in…and for What? An Analysis of Stakeholders’ Influences in CBR, Asia Pacific Disability and Rehabilitation Journal, 17 (1).
Government of Mongolia (2006). Master Plan to Develop Education of Mongolia in 2006-2015. Ulaanbataar.
Gundelbal T, Salmon A (2011). The Mongolian Education Sector. The role of international volunteers. Ulaanbataar: VSO Mongolia.
Helander E, Mendis P, Nelson G, Goerdt A (1989). Training in the Community for People with Disability. WHO, Geneva.
ILO, UNESCO, WHO (2004). CBR. A Strategy for Rehabilitation, Equalisation of Opportunities, Poverty Reduction and Social Inclusion of People With Disabilities. Joint Position Paper, Geneva.
Johnson RS, Latha P, Metilda (2004). Needs Assessment of Programmes Integrating Community Based Rehabilitation into Health Activities, Asia Pacific Disability and Rehabilitation Journal, 15 (1): 69-74.
Narayan J, Reddy S (2008). Training of Trainers (TOT) Programme on Intellectual Disability for CBR Workers, Asia Pacific Disability and Rehabilitation Journal, 19 (1): 122-130.
Paterson J (1999). Community-Based Rehabilitation Workers in South India: their attitudes and their education, Asia Pacific Disability and Rehabilitation Journal, 10 (1)
Sharma M, Deepak S (2003). An Inter-Country Study of Expectations, Roles, Attitudes, and Behaviours of Community-Based Rehabilitation Volunteers. Asia Pacific Disability Rehabilitation Journal, 14(2): 179-190.
Sharma M, Deepak S, (2002). A case study of the Community Based Rehabilitation Programme in Mongolia. Asia Pacific Disability and Rehabilitation Journal, 13(1).
WHA (2005). Disability, including prevention, management and rehabilitation, Resolution 58.23, Geneva.
WHO (1978). Declaration of Alma Ata.
WHO (2003). International Consultation on Reviewing Community Based Rehabilitation (CBR). Helsinki, Finland, 22-28 May.
WHO, ILO, UNESCO, IDDC (2010). Community-Based Rehabilitation: CBR Guidelines, Geneva.
- There are currently no refbacks.
© Disability, CBR & Inclusive Development