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基于社区的康复/社区包容性发展在 COVID-19 大流行期间的运作:对定性数据的二次分析。

Community-based rehabilitation/community based inclusive development functioning during the COVID-19 pandemic: A secondary analysis of qualitative data.

机构信息

School of Public Health, Addis Ababa University, Addis Ababa, Ethiopia.

School of Rehabilitation Therapy, Queen's University, Kingston, Ontario, Canada.

出版信息

PLoS One. 2024 Jan 5;19(1):e0296274. doi: 10.1371/journal.pone.0296274. eCollection 2024.

Abstract

INTRODUCTION

The coronavirus (COVID-19) became a global pandemic in March 2020 and impacted nations worldwide not only because of the disease but also because the containment measures-imposed created ripple effects for the populations in each country. The COVID-19 pandemic disproportionately affected vulnerable groups, such as persons with disabilities. This study aimed to understand the impact of COVID-19 on the function of Community-Based Rehabilitation (CBR)/Community-Based Inclusive Development (CBID) across nations and for their target communities-persons with disabilities. The current article also described some measures CBR/CBID programs took in light of service closure to facilitate access to needed services for persons with disabilities.

METHODS

We conducted a secondary analysis of qualitative data to understand the impact of COVID-19 on the functioning of CBR/CBID programs and their target communities. The original qualitative data were collected through online dialogues among CBR/CBID partners across five regions of the world, facilitated for understanding of their practices on five other topics.

FINDINGS

COVID-19 significantly impacted the function of CBR/CBID programs across the world. Many services were halted due to public health measures, such as maintaining social distancing or lockdowns. The COVID-19 pandemic also had a negative impact on access to health, education and livelihood support for persons with disabilities. Additionally, many people with disabilities did not have access to COVID-19 related information and services like vaccines. However, we found that technology played a significant role in revitalizing CBR/CBID programs during COVID-19. CBR/CBID service providers across five regions used online platforms to disseminate information about COVID-19. Professionals also used technology to provide rehabilitation and educational services to people with disabilities through online platforms.

CONCLUSION

Our findings suggest that technology can play a vital role in continuing many services (e.g., CBR/CBID) that cannot be offered in person during crises like COVID-19. However, it is important to remember that technology may not be accessible to many individuals with disabilities, specifically those who reside in rural areas and who experience adverse situations like financial constraints. Additionally, many persons with disabilities may not have the necessary knowledge and skills to use technology. CBR personnel must consider that before adopting technology to provide services under CBR programs.

摘要

简介

2020 年 3 月,冠状病毒(COVID-19)成为全球大流行,不仅因为该疾病,还因为实施的遏制措施对每个国家的民众产生了连锁反应,从而对各国产生了影响。COVID-19 大流行对弱势群体(如残疾人)产生了不成比例的影响。本研究旨在了解 COVID-19 对国家间社区为基础的康复(CBR)/社区包容型发展(CBID)以及其目标群体残疾人功能的影响。本文还介绍了 CBR/CBID 计划在服务关闭的情况下为残疾人提供所需服务所采取的一些措施。

方法

我们对定性数据进行了二次分析,以了解 COVID-19 对 CBR/CBID 计划及其目标社区运作的影响。原始定性数据是通过世界五个区域的 CBR/CBID 合作伙伴之间的在线对话收集的,这些对话有助于了解他们在其他五个主题上的实践情况。

结果

COVID-19 对全球 CBR/CBID 计划的运作产生了重大影响。由于公共卫生措施,如保持社交距离或封锁,许多服务已经停止。COVID-19 大流行也对残疾人获得健康、教育和生计支持产生了负面影响。此外,许多残疾人无法获得与 COVID-19 相关的信息和服务,如疫苗。然而,我们发现技术在 COVID-19 期间振兴 CBR/CBID 计划方面发挥了重要作用。五个区域的 CBR/CBID 服务提供商使用在线平台传播有关 COVID-19 的信息。专业人员还通过在线平台为残疾人提供康复和教育服务。

结论

我们的研究结果表明,在像 COVID-19 这样的危机期间,技术可以在继续提供许多无法亲自提供的服务(例如 CBR/CBID)方面发挥重要作用。然而,重要的是要记住,技术可能无法为许多残疾人所使用,特别是那些居住在农村地区和面临经济拮据等不利情况的残疾人。此外,许多残疾人可能不具备使用技术的必要知识和技能。在采用技术为 CBR 计划下的服务提供服务之前,CBR 人员必须考虑到这一点。

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