Thesis (MHumanRehabSt)--Stellenbosch University, 2014. / ENGLISH ABSTRACT:Background
In the past, a lack of policy guidelines in the area of rehabilitation often resulted in
underdeveloped or no rehabilitation services in many areas. This led to the development of
The South African National Rehabilitation Policy (NRP) which was finalised in 2000. This
policy is guided by the principles of development, empowerment and the social integration of
persons with disabilities. It aims to provide improved access to rehabilitation services for all
and forms part of a strategy to improve the quality of life of persons with disabilities.
South Africa ratified the United Nations Convention for the Rights of Persons with Disabilities
(UNCRPD) in 2001. The UNCRPD is an international rights based document and focuses on
equalisation of opportunities for people with disabilities and their inclusion in development.
Aim
The aim of thestudy was to describe and analyse the organizational framework of
rehabilitation services at the Gugulethu Community Health Centre (CHC) in Cape Town and
to determine if the framework used complied with the objectives of the National
Rehabilitation Policy.
Method
This was a case study that made use of both qualitative and quantitative methods of data
collection. The Kaplan framework, the objectives of the NRP and the five relevant articles of
the UNCRPD were used to design three questionnaires for data collection. The first
questionnaire was for service providers and answered by seven participants. The second
questionnaire was completed by the Facility Manager of Gugulethu CHC and the third
questionnaire was answered by the managers of 2 purposively sampled NGOs in Gugulethu.
Qualitative data was collected from interviews held with three of the service providers and
the facility manager as well as from two focus groups held with service users.
Results
The results of the study showed that there was some coherence between the rehabilitation
services provided and the objectives of the NRP such as good access to the service for
clients coming to the Centre for rehabilitation and adequate resources to provide assistive devices with. However, in other areas there was little or no adherence. Limited evidence of
intersectoral collaboration was found. There was no evidence of the inclusion of persons
with disabilities in the planning, implementation and managing of rehabilitation services.
Similarly services were not monitored and evaluated in a constructive way and while the
therapists did engage in skills development activities the suitability of the courses attended
for their role is questioned.
Conclusion
The findings showed a facility based curative rehabilitation service that was accessible for
clients who came to the facility, but did not expand to provide community based
rehabilitation. Thus it was concluded that the organisation in its current form lacked the
ability to effectively address the needs of the community that it served. At Gugulethu
Community Health Centre rehabilitation services need to be planned according to
community based rehabilitation strategies by the manager, the service providers and the
community. Only when implementation of the NRP and UNCRPD takes place will the
benefits become tangible to the entire community.
Key Words
Rehabilitation, Disability, National Rehabilitation Policy, UNCRPD, Organisational capacity. / AFRIKAANSE OPSOMMING: Agtergrond
In die verlede het ‘n gebrekaanbeleidsriglyne in die rehabilitasievelddikwelsgelei tot
onderontwikkelde of geenrehabilitasiedienste in baiegebiede. Die gevolghiervan was die
ontwikkeling van dieSuidAfrikaanseNasionaleRehabilitasieBeleid (NRB) wat in 2000
gefinaliseer is. Die fokusvan hierdiebeleid is ontwikkeling, bemagtiging en die
sosialeintegrasie van persone met gestremdhede. Die doel van die NRB is omtoeganklikheid
van rehabilitasiediensteviralmalteverbeter en ditvormdeel van die strategieom die
lewensgehalte van persone met gestremdhede to verbeter.
SuidAfrika het die VerenigdeNasies se Konvensievir die Regte van Persone met
Gestremdhede in 2001 bekragtig. HierdieKonvensie is ‘n
internasionaleregsgebaseerdedokument and fokus opgelykeregtevirpersone met
gestremdhede en hulinsluiting in ontwikkeling.
Doelstelling
Die doel van die studiewas om die organisatorieseraamwerk van die rehabilitasiedienste by
die GugulethuGemeenskapsGesondheidssentrum in Kaapstadtebeskryf enteontleed, ten
eindevastestel of die raamwerk, in ooreenstemming is met die doelwitte van die
NasionaleRehabilitasieBeleid.
Metode
`n Gevallestudie is gedoen. Data is deurmiddel van kwantitatiewe en
kwalitatiewemetodesingesamel. Die Kaplanraamwerk, doelwitte van die
NasionaleRehabilitasieBeleid en toepaslike 5 artikels van die VerenigdeNasie se
Konvensievir die Regte van Persone met Gestremdehede is
gebruikomdrievraelysteteontwerp. Die eerstevraelys was virdiensverskaffers en
sewedeelnemers het ditbeantwoord. Die tweedevraelys is deur die Fasiliteitsbestuurder van
GuguletuGemeenskapsGesondheidssentrumbeantwoord en die derdevraelysdeur twee
bestuurders van twee doelbewustegekoseNie-staatsOrganisasies in Guguletu. Onderhoude
is met drie van die diensverskaffers en die fasiliteitsbestuurdergebruikomkwalitatiewe data in
tesamelsowel as twee fokusgroepe met diensverbruikers.Resultate
Die resultate van die studietoondatdaarwel ‘n mate van belyningtussenrehabilitasiedienste
by die studiesentrum en die doelwitte van die NasionaleRehabilitasieBeleid is. Ditsluit in
goeietoeganklikheidna die diensvirklientewat die sentrumbesoekvirbehandeling en
voldoendebronneomhulpmiddelstevoorsien.In andergebiede was daaregter min of
geenbelyningnie. Daar is min bewyse van intersektoralesamewerking en geenbewyse van
die insluiting van persone met gestremdhede in die beplanning, implementering en bestuur
van die rehabilitasiedienstenie. Dienste is nie in ‘n opbouendemaniergemonitor of geevalueernie
en terwyl die terapeutewelaanontwikklingsprogrammedeelgeneem het, kan die
toepaslikheid van die kursussebevraagteken word.
Gevolgtrekking
Die bevindingswys op ‘n kuratiewerehabilitasiedienswattoeganklik is virklientewatna die
sentrum toe kom. Daar word egterniegemeenskapsbaseerderehabilitasieverskafnie.Dus, is
die gevolgtrekkingdat die organisasie in syhuidigevormnie die vermoe het om die behoeftes
van die gemeenskapwatditdien, effektiefaantespreeknie.Dierehabilitasiedienste by
GuguletuGemeenskapssentrummoetbeplan word
volgensgemeenskapsgebaseerderehabilitasiestrategiee, deur die bestuurder,
diensverskaffers en die gemeenskap. Eerswanneer die NasionaleRehabilitasieBeleid en die
VerenigdeNasie se Konvensievir die Regte van Persone met Gestremdhedetoegepas word
sal die helegemeenskapbaatvind by rehabilitasie.
| Identifer | oai:union.ndltd.org:netd.ac.za/oai:union.ndltd.org:sun/oai:scholar.sun.ac.za:10019.1/86418 |
| Date | 04 1900 |
| Creators | De Wet, Caroline |
| Contributors | Visagie, S., Mji, G., Stellenbosch University. Faculty of Medicine and Health Sciences. Dept. of Rehabilitation Studies. |
| Publisher | Stellenbosch : Stellenbosch University |
| Source Sets | South African National ETD Portal |
| Language | en_ZA |
| Detected Language | Unknown |
| Type | Thesis |
| Format | 146 p. : ill. |
| Rights | Stellenbosch University |
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