Table 3 Summaries of additional minor nodes

CBR worker, local supervisor – role, recruitment

CBR workers are fundamental to CBR practice. In planning and policy making, priority should be given to ensuring CBR workers have adequate training, work conditions, incentives, role clarity and management support.

Volunteers

Volunteers need clear mechanisms and strategies for support in CBR Projects.

Planning

Clear and logical planning is very important for CBR.

Policy

Government and NGO policy impacts substantially on CBR practice, and therefore CBR projects and staff should be supported to inform and influence policy across respective agencies and departments.

Family involvement

Enhanced involvement of families in CBR will require a number of different approaches, including motivation, appropriate models, greater information and enhanced support.

Medical rehabilitation, clinical, therapy

Evaluations indicate that there is a need for debate and research on the place of, and the strategies used in, medical and clinical rehabilitation in CBR.

Evaluation and monitoring

The development (and/or dissemination) of evaluation and monitoring tools which measure effectiveness, outcomes and long term outcomes in an accessible, yet comprehensive manner must be prioritised.

Target disability type

A key issue for specialised focus in CBR is to assist people with intellectual disability.

Administrative

CBR practice would benefit from enhanced procedures and frameworks for client-related data management and financial administration.

Coverage, service provision

Expanding coverage in CBR requires cautious planning to balance quality and extent, as well as local community responsiveness.

Staff development

Staff development is an important investment into the sustainability of a project, for which careful planning is required.

Specific technology or skill

CBR training should include the need for disability-specific skill acquisition.

Attitudes to people with disabilities

CBR projects must seek social and community attitude change, primarily through training and awareness-raising.

Grass-roots orientation

CBR should seek a greater grass-roots orientation through family and child led processes, greater inclusion of local cultural factors, and through seeking alternatives to prescriptive outreach models.

Research

CBR needs applied, project level research, particularly with a community-wide focus.

Public relations & publicity

Public relations and publicity are important considerations for a CBR project.