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Edorium Journal of

Disability and Rehabilitation

 
     
Original Article
 
Development of community based rehabilitation in Thailand: A case study in Samut Sakhon Province
Tavee Cheausuwantavee
Associate Professor, Rehabilitation Services Department, Ratchasuda College, Mahidol University, Nakornprathom, Thailand

Article ID: 100034D05TC2017
doi: 10.5348/D05-2017-34-OA-10

Address correspondence to:
Tavee Cheausuwantavee
111 Ratchasuda College, Mahidol University
4th Phuttamonton Road
Salaya, Phuttamonton District
Nakornprathom Province
Thailand, 73170

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How to cite this article
Cheausuwantavee T. Development of community based rehabilitation in Thailand: A case study in Samut Sakhon Province. Edorium J Disabil Rehabil 2017;3:79–88.


ABSTRACT

Aims: To set up and conduct a community based rehabilitation (CBR) in urban area based on significant variables and particular conditions of previous meta-analysis studies.
Methods: This study is participatory action research (PAR). The one particular community in Samut Sakhon Province, Thailand was purposively selected. The 13 CBR research participants were purposively and voluntarily recruited including officials of local, regional government and community hospital, volunteers, persons with disabilities (PWDs) and their care givers, and researchers. Verbatim of focus groups, participatory observations and field notes were undertaken. Those data were interpreted through thematic coding and analytic induction.
Results: Community based rehabilitation project was purposively set up with four significant independent variables including age, education level, occupation or position, and work experience as characteristics of CBR workers suggested by previous meta-analysis. Participatory action research was still contributive strategy for CBR development in terms of mechanism of consciousness raising, understanding collaboration and addressing CBR matrix. However, uncompleted PAR and CBR cycles, no more sectors of stakeholders and particular services with health focus of CBR matrix were limitation and challenges.
Conclusion: This study proves that PAR with significant characteristics of participants is important CBR development. It will be more successful should other challenges of CBR will be also addressed.

Keywords: Community based rehabilitation, Community, Disability, Participation


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Acknowledgements
This article was also part of research titled “The Development of Holistic Community- Based Rehabilitation”. Many thanks to all participants, especially ten participants who lived and worked in community for their project participation, movement and data providing and also two coordinators of research project Mr. Chinapong Krisingsom and Ms. Jarunda Junjam for their filed and activity coordination, tape recording and transcription writing. Special thanks Dr. Donald Persons for his support in English editing the manuscript.

Funding
This research was supported by Mahidol University (Grant 2015).
Author Contributions
Tavee Cheausuwantavee – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of submission
The corresponding author is the guarantor of submission.
Source of support
None
Conflict of interest
Authors declare no conflict of interest.
Copyright
© 2017 Tavee Cheausuwantavee. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.



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