Community-Based Rehabilitation in Settings of Armed Conflict, Natural Disaster, or Mass Displacement: A Scoping Review
Abstract
Purpose: Since its inception in 1978, CBR approaches have been implemented in many countries and settings. This study aimed to synthesise knowledge available in the scientific literature about health-related CBR programmes in settings affected by armed conflict, natural disaster or mass displacement.
Method: Databases searched in this scoping review were MEDLINE, CINAHL, EMBASE, PsycInfo and Google Scholar. Articles were included if they focused on health-related CBR undertaken in communities affected by armed conflict, natural disaster or mass displacement. Descriptive statistics and qualitative content analysis were used to analyse the selected articles.
 Results: Of the 5537 articles screened, 31 met the eligibility criteria. Collectively, they address diverse CBR programmes across crisis settings. Factors that promoted successful CBR implementation were strong community and family support, and the development of CBR activities tailored to local cultural and social contexts. Barriers included human resource limitations and insufficient collaboration. Authors of the selected articles made recommendations for CBR implementation in crisis settings, including prioritising efforts to enhance community involvement, investment in crisis preparedness, initiatives to increase disability awareness, and the adoption of long-term management strategies.
Conclusion: CBR programmes can make important contributions in crisis settings. Community involvement and access to resources are crucial for programmes to effectively respond to the needs of the individuals and communities they aim to serve and for the sustainability of these initiatives. The findings of this review can help to inform CBR stakeholders regarding opportunities and challenges for developing and carrying out CBR programmes in crisis settings, including initiatives to establish guidance or policy.Full text article
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