Naeema A R Hussein El Kout, Sonti Pilusa, Khetsiwe Dlamini Masuku
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Despite the FSDR being commissioned, access to rehabilitation is a challenge for persons with disabilities and further compounded in rural communities.</p><p><strong>Objective: </strong>The study aimed to describe the barriers and facilitators that influenced the process of development, implementation and monitoring of the FSDR.</p><p><strong>Method: </strong>This qualitative study employed a single case study design. Data was collected through document analysis and in-depth interviews utilising the Walt & Gilson policy analysis framework that outlines the context, content, actors and process of policy development and implementation. In-depth interviews were conducted with twelve key informants (N=12) who were selected purposively for the study. Data obtained from the in-depth interviews were analysed using inductive thematic analysis.</p><p><strong>Results: </strong>We found many factors that influenced the implementation of the framework. Actor dynamics, insufficient resources, the rushed process, poor record-keeping, inappropriate leadership, negative attitudes of staff members and the insufficient monitoring impeded the successful implementation of the framework. While positive attitude, mentorship and support amongst the task team facilitated the implementation process, albeit with challenges.</p><p><strong>Conclusion: </strong>There is a need to address implementation gaps so that the FSDR is responsive to the current rehabilitation needs of persons with disabilities in South Africa.</p><p><strong>Contribution: </strong>This study may inform future disability policy, and can be used as a tool to advocate for the rights for persons with disabilities.</p>","PeriodicalId":45606,"journal":{"name":"African Journal of Disability","volume":null,"pages":null},"PeriodicalIF":1.3000,"publicationDate":"2022-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9772772/pdf/","citationCount":"0","resultStr":"{\"title\":\"A review of the framework and strategy for disability and rehabilitation services in South Africa.\",\"authors\":\"Naeema A R Hussein El Kout, Sonti Pilusa, Khetsiwe Dlamini Masuku\",\"doi\":\"10.4102/ajod.v11i0.893\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Rehabilitation is imperative for the successful integration of persons with disabilities into their social environments. 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引用次数: 0
摘要
背景：康复是残疾人成功融入社会环境的必要条件。2015-2020 年南非残疾和康复服务框架与战略》（FSDR）的制定旨在加强康复服务的可及性，并确保残疾人融入社区生活的各个方面。尽管南非残疾与康复服务战略已开始实施，但残疾人获得康复服务仍是一项挑战，而在农村社区，这一挑战更为严峻：本研究旨在描述影响家庭复员方案的制定、实施和监督过程的障碍和促进因素：这项定性研究采用了单一案例研究设计。通过文件分析和深入访谈收集数据，采用了 Walt & Gilson 政策分析框架，该框架概述了政策制定和实施的背景、内容、参与者和过程。深入访谈的对象是 12 位关键信息提供者（N=12），他们是为本研究有目的性地挑选出来的。我们采用归纳式主题分析法对深入访谈获得的数据进行了分析：我们发现了许多影响框架实施的因素。行为者动态、资源不足、过程仓促、记录不全、领导不当、工作人员态度消极以及监督不足等因素阻碍了框架的成功实施。尽管存在挑战，但工作组的积极态度、指导和支持促进了实施进程：结论：有必要解决实施过程中存在的差距，以便《南非残疾人康复战略》能够满足南非残疾人当前的康复需求：本研究可为未来的残疾政策提供信息，并可用作倡导残疾人权利的工具。
A review of the framework and strategy for disability and rehabilitation services in South Africa.
Background: Rehabilitation is imperative for the successful integration of persons with disabilities into their social environments. The Framework and strategy for disability and rehabilitation services (FSDR) in South Africa, 2015-2020.was developed to strengthen access to rehabilitation services and ensure the inclusion of persons with disabilities in all aspects of community life. Despite the FSDR being commissioned, access to rehabilitation is a challenge for persons with disabilities and further compounded in rural communities.
Objective: The study aimed to describe the barriers and facilitators that influenced the process of development, implementation and monitoring of the FSDR.
Method: This qualitative study employed a single case study design. Data was collected through document analysis and in-depth interviews utilising the Walt & Gilson policy analysis framework that outlines the context, content, actors and process of policy development and implementation. In-depth interviews were conducted with twelve key informants (N=12) who were selected purposively for the study. Data obtained from the in-depth interviews were analysed using inductive thematic analysis.
Results: We found many factors that influenced the implementation of the framework. Actor dynamics, insufficient resources, the rushed process, poor record-keeping, inappropriate leadership, negative attitudes of staff members and the insufficient monitoring impeded the successful implementation of the framework. While positive attitude, mentorship and support amongst the task team facilitated the implementation process, albeit with challenges.
Conclusion: There is a need to address implementation gaps so that the FSDR is responsive to the current rehabilitation needs of persons with disabilities in South Africa.
Contribution: This study may inform future disability policy, and can be used as a tool to advocate for the rights for persons with disabilities.
期刊介绍：
The African Journal of Disability, the official journal of CRS, AfriNEAD and CEDRES, introduce and discuss issues and experiences relating to and supporting the act of better understanding the interfaces between disability, poverty and practices of exclusion and marginalisation. Its articles yield new insight into established human development practices, evaluate new educational techniques and disability research, examine current cultural and social discrimination, and bring serious critical analysis to bear on problems shared across the African continent. Emphasis is on all aspects of disability particularity in the developing African context. This includes, amongst others: -disability studies as an emerging field of public health enquiry -rehabilitation, including vocational and community-based rehabilitation -community development and medical issues related to disability and poverty -disability-related stigma and discrimination -inclusive education -legal, policy, human rights and advocacy issues related to disability -the role of arts and media in relation to disability -disability as part of global Sustainable Development Goals transformation agendas -disability and postcolonial issues -globalisation and cultural change in relation to disability -environmental and climate-related issues linked to disability -disability, diversity and intersections of identity -disability and the promotion of human development.
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