The User-Service Interface in Disability Programmes in Low Income Countries: the Negotiation of Values

Since the rise of the primary care movement in the 1970's the old model of institutional rehabilitation for disabled children has been replaced by a community-based approach. The practice of community-based approaches to disability has been more patchy than the principles guiding it. In this working paper Chris Leather reviews the historical aspects of community-based rehabilitation programmes. He considers models for interventions under this umbrella, and for the user-provider relationship. He goes on to consider the evidence base for what works in disability programmes and as a result considers issues relating to the design and evaluation of interventions. Finally he goes on to consider questions for further research and evaluation of relevance to policy makers.

Discussion paper for the ODA Research Work Programme "Improved Care of Diseases of Childhood"

A separate annex is also available and the document is also available on Word format: http://194.82.244.65/odaload.htm