Community-Based Rehabilitation Services in Low and Middle-Income Countries in the Asia-Pacific Region: Successes and Challenges in the Implementation of the CBR Matrix

Roi Dennis Adela Cayetano (1), Jeananne Elkins (2)
(1) Northeastern University, Boston, MA, United States,
(2) Emory University Division of General Medicine and Geriatrics, and Division of Physical Therapy, Atlanta, GA, United States
https://doi.org/10.5463/dcid.v27i2.542

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Issue
Vol. 27 No. 2 (2016): Summer 2016
Submitted
September 14, 2020
Published
September 7, 2016
Keywords:
    Community-based rehabilitation (CBR), Asia-Pacific region, physical therapy impact, progress, barriers
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Abstract

Purpose: This literature review aims to explore the importance of physical therapy services and the increasing awareness of CBR, specifically related to challenges in its implementation in low and middle-income countries in the Asia-Pacific region.

Method: A literature review of multiple databases was conducted to locate relevant articles written within the past five years. The databases used for the search were Google Scholar, Cochrane Library, CINAHL, and PubMed.

Results: Thirteen articles about CBR were included in the literature review. These consist of studies on the quality of life, access to healthcare services, and barriers to CBR, as well as about the impact of CBR to LMICs and stakeholders. The articles demonstrate the vast potential of CBR, especially in LMICs in the Asia-Pacific region, with a significant positive impact on the lives of people with disabilities.

Conclusion: CBR has improved the quality of life, access to medical services, functional independence, autonomy, community inclusion, and empowerment of people with disabilities in LMICs in the Asia-Pacific region. However, challenges in the implementation of CBR remain. These include lack of awareness and understanding of CBR, and physical, environmental, socio-economical and personal barriers.

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Authors

Roi Dennis Adela Cayetano
Northeastern University, Boston, MA
roidennis@gobeyondpt.com (Primary Contact)
Jeananne Elkins
Emory University Division of General Medicine and Geriatrics, and Division of Physical Therapy, Atlanta, GA
Author Biographies

Roi Dennis Adela Cayetano, Northeastern University, Boston, MA

Dr. Cayetano began his practice of physical therapy in the Philippines, where he worked with a wide range of patients, sparking an interest in community-based physical therapy services (CBR). Since coming to the United States, he has graduated with his Doctor of Physical Therapy degree from Northeastern University and currently works in different inpatient settings.  Dr. Cayetano's current goal is to gain professional certification in neurological physical therapy and to start a private practice clinic.

Jeananne Elkins, Emory University Division of General Medicine and Geriatrics, and Division of Physical Therapy, Atlanta, GA

Dr. Jeananne Elkins earned a PhD in Health Services Research from Texas A&M University, a DPT from Northeastern University, a MPH from The School of Rural Public Health at Texas A&M Health Sciences Center, and a BSPT from Texas Woman's University. She currently teaches the Capstone Research Class for transitional DPT students at Northeastern University. She is an Advanced Fellow in Geriatrics at the Birmingham/Atlanta VA GRECC. She holds dual appointments in the School of Medicine as Assistant Professor at Emory University in the Division of General Medicine and Geriatrics and the Division of Physical Therapy. 

1.
Cayetano RDA, Elkins J. Community-Based Rehabilitation Services in Low and Middle-Income Countries in the Asia-Pacific Region: Successes and Challenges in the Implementation of the CBR Matrix. DCIDJ [Internet]. 2016 Sep. 7 [cited 2025 Aug. 28];27(2):112-27. Available from: https://dcidj.uog.edu.et/index.php/up-j-dcbrid/article/view/226
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