Describing community-based rehabilitation services in Indonesia by using The International Classification of Service Organization in Rehabilitation 2.0.
Boya Nugraha, Irma Ruslina Defi, Riri Prima Yolanda and 6 others
PMID 33624830WHAT IT FOUND
Eight community-based rehabilitation services in Indonesia were described using a structured framework.
Services relied on unpaid village cadres who collaborated with health professionals, provided free care in homes, and focused on early detection, education, and referral rather than direct clinical treatment.
Key findings
01Community-based rehabilitation services in Indonesia are delivered by unpaid village cadres who collaborate with health professionals and provide free services in the community and patients' homes.
02The primary roles of these cadres are early detection, data collection, teaching families basic activities of daily living, and facilitating referrals, rather than providing direct clinical rehabilitation treatment.
03The International Classification of Service Organization in Rehabilitation 2.0 successfully described these community-based services, covering provider context and service delivery dimensions.
STILL TO COME
How it was doneWhat they foundWhat it means for PTsWhat it means for OTsWhat it means for SLPs
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What it does not show
The study used convenience sampling and only surveyed 8 services in 3 cities, so the findings do not represent all community-based rehabilitation services in Indonesia. The ICSO-R 2.0 framework lacks quantitative value sets for its dimensions, leading to incomprehensive data collection. The study describes service structures and roles but does not report patient outcomes or clinical efficacy. Data collection relied on interviews with cadres, which may introduce reporting bias.
Declared interests
No specific funding sources or conflicts of interest declarations are provided in the supplied text.
The easy way to misread this
Do not interpret this paper as evidence that community-based rehabilitation cadres provide direct clinical therapy. The paper explicitly states that cadres perform early detection, education, and referral, while direct treatment occurs in health centers or hospitals.