Norris Lucy K
Programme Development Department, Motivation Charitable Trust, United Kingdom.
Afr J Disabil. 2017 Sep 8;6:350. doi: 10.4102/ajod.v6i0.350. eCollection 2017.
Only 2% of people with disabilities in developing countries have access to basic services and rehabilitation.
To bridge this gap, Motivation has been running Peer Training activities since 1993 and has identified that there is a growing need for Peer Training. The overall aim of Peer Training is for wheelchair users (Peer Trainers) to provide others (with similar disabilities) with the relevant knowledge on health issues, rights and skills to achieve a basic level of independence and greater quality of life.
To test the impact of Peer Training, Motivation created a knowledge, skills and well-being questionnaire, which has been trialled in two locations: Kenya and Malawi.
Overall, Motivation found that most participants reported an increase in knowledge, skills and well-being, supporting their experience that this training provides vital information and support mechanisms for wheelchair users in low- and middle-income countries. Further work is needed to ensure this tool measures the impact of Peer Training and lessons learnt have been identified to strengthen the methodology.
Although Peer Training is not a replacement for rehabilitation services, Motivation believes it is an effective way to not only increase knowledge and skills of persons with disabilities but also reduce the sense of social isolation that can often be a result of disability.
在发展中国家，只有2%的残疾人能够获得基本服务和康复服务。
为了弥补这一差距，“动力”组织自1993年以来一直在开展同伴培训活动，并发现对同伴培训的需求日益增长。同伴培训的总体目标是让轮椅使用者（同伴培训师）向其他（有类似残疾的）人提供有关健康问题、权利和技能的相关知识，以实现基本的独立水平并提高生活质量。
为了测试同伴培训的效果，“动力”组织创建了一份知识、技能和幸福感问卷，并在肯尼亚和马拉维两个地区进行了试验。
总体而言，“动力”组织发现大多数参与者报告称知识、技能和幸福感有所提高，这支持了他们的经验，即这种培训为低收入和中等收入国家的轮椅使用者提供了重要信息和支持机制。需要进一步开展工作以确保该工具能够衡量同伴培训的效果，并已确定了吸取的经验教训以加强方法。
尽管同伴培训不能替代康复服务，但“动力”组织认为它不仅是增加残疾人知识和技能的有效方式，而且还能减少通常因残疾而导致的社会孤立感。
