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. 2021 Feb 24;53(3):2763. doi: 10.2340/16501977-2804

Table II.

Community-Based Rehabilitation (CBR) service delivery profile in different cities in Indonesia

City, Province CBR 1 CBR 2 CBR 3 CBR 4 CBR 5 CBR 6 CBR 7 CBR 8
CBR 1-6: Bandung, West Java Tanah Datar, West Sumatra Gowa, South Sulawesi
Governmental Level CBR 1-2: District CBR 3-6: Sub-District District City
ICSOR Dimension, categories, sub categories
CBR Ujung Berung CBR Bandung Wetan CBR Cibangkok CBR Batu Nunggal CBR Binong CBR Samoja Batipuh, Tanah Datar, Sumbar Gowa
2 Service Delivery
2.1 Health strategies CBR 1–6: Promotion, prevention, treatment, maintenance
CBR 7–8: Promotion (cou nselling to the community), prevention, maintenance
2.2 Service goals CBR 1–6: Recovery, improvement of health status, optimising functioning
CBR 7: Optimising functioning (improvement of self-care)
CBR 8: Recovery, improvement of health status, optimising functioning
2.3 Target groups
2.3.1 Health condition groups CBR 1–6: C erebral palsy, amputees, stroke, lower back pain, elderly, down syndrome, senile, dementia, autism, limb loss, diabetes mellitus, children with special needs
CBR 7: Cerebral palsy, down syndrome, mental retardation
CBR 8: Polio/paralysed, elderly, stroke, cannot walk, senile/dementia, cerebral palsy, down syndrome
2.3.2 Functioning groups CBR1 & 2: Swallowing, cognition
CBR 3 & 4: Gait, balance, vocational, mental hea lth
CBR 5 & 6: Balance, vocational, mental health
CBR 7: Motion problems, speech, hearing, learning problems, visual impairment
CBR 8: Walking problems, fine motor, communication problems, mental health
2.3.3 Other target groups CBR 1-6: G roups of people with rehabilitation needs: children, elderly, workers children children, elderly
2.4 Modes of referral CBR 1–6: Direct access (patient self-referral), referral by health professionals, health services, other organisations
CBR 7: Direct access (patient self-referral), referral by health professionals
CBR 8: Direct access (patient self-referral), referral by health professional s, other organizations (school for children with disabilities)
2.5 Location of service delivery
2.5.1 Characteristics of location CBR 1-6: Urban, community, home of users Rural, centralized, community, home of users Urban, community, home of users
2.5.2 Catchment area CBR 1-6: Only serve people in the respective administrative area (maximum 100 people).
CBR 1-6: Although the CBR is at the city or district level, they only serve within the sub-district where the CBR is located
Serves the citizens in the area of PHC Batipuh II (± 10,000 people) Serves the citizens of Gowa (6 sub-districts)
2.6 Facility CBR 1-6: B uilding (only for meeting and administrative-related issue; integrated with Posyandu),
CBR 1-6: ambulance car (collaboration with the public health centre), or using car from the head district.
Building (part of public health center)
2.7 Setting
2.7.1 Levels of care CBR 1-6: Primary
2.7.2 Mode of service delivery CBR 1-6: Home and community; other setting of service delivery (collaboration with other foundations) Outpatient, home and community Home and community
2.7.3 Phase of healthcare CBR 1-6: Post-acute rehabilitation
CBR 1-6: Long-term/chronic rehabilitation
Habilitation and long-term/chronic rehabilitation care Post-acute rehabilitation and long-term/chronic rehabilitation care
2.8 Integration of care CBR 1-8: Continuum of care; collaboration with health professionals
2.9 Patient-centredness Shared decision-making; patient, individual rehabilitation plan, family or other caregiver’s education and empowerment; patient, family or other caregiver’s integration into the rehab process; involvement of peer counsellors; involvement of patients as prosumers
2.10 Aspect of time and intensity CBR 1–6: Number and duration of treatment sessions. Once a month or based on request; total duration of treatments depend on the type and degree of disability; no fixed service hours (conditional)
CBR 7: Intermittent treatments (CBR cadre collect data, early detection, and give guidance book based on type of disability to the parents). Evaluation is done every month; further detailed evaluation every 6 months
CBR 8: Intermittent treatments, minimum once a month visit; total duration depends on the degree of disability; no fixed service hours (conditional)
2.11 Rehabilitation team CBR 1–6: Only cadres at CBR centre, but work in collaboration with other health professionals, including PT, PRM, GP, psychologist, nurse
CBR 7: CBR cadre, collaboration with GP and PRM
CBR 8: Health and health-related professionals; patients as part of the rehabilitation team; counselling, patients as part of the rehabilitation team; team supervision
2.11.1 Professions, competencies CBR cadres: 6 CBR cadres:12 CBR cadres: 12 CBR cadres: 27 CBR cadres: 5 CBR cadres: 15 CBR cadres: 27 Physician: 1
CBR cadres: 26
2.11.2 Interaction approaches CBR 1–7: Counselling, education
CBR 8: Team supervision, counselling, etc.; meetings of the whole team; team integrated education and training; immediate team involvement
2.12 Reporting and documentation CBR 1–8: Treatment parameters, electronic records, paper documents
2.13 Funding of service delivery
2.13.1 Source of money CBR 1–8: No payment for services
2.13.2 Criteria of payment CBR 1–8: No payment for services
2.14 Other categories of service delivery N.A