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Original Research
A review of the framework and strategy for disability and rehabilitation services in South Africa
Submitted: 22 May 2021 | Published: 15 December 2022
About the author(s)
Naeema A.R. Hussein El Kout, Department of Physiotherapy, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South AfricaSonti Pilusa, Department of Physiotherapy, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa
Khetsiwe Dlamini Masuku, Department of Speech Pathology and Audiology, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa
Abstract
Background: Rehabilitation is imperative for the successful integration of persons with disabilities into their social environments. The Framework and strategy for disability and rehabilitation services (FSDR) in South Africa, 2015-2020.was developed to strengthen access to rehabilitation services and ensure the inclusion of persons with disabilities in all aspects of community life. Despite the FSDR being commissioned, access to rehabilitation is a challenge for persons with disabilities and further compounded in rural communities.
Objective: The study aimed to describe the barriers and facilitators that influenced the process of development, implementation and monitoring of the FSDR.
Method: This qualitative study employed a single case study design. Data was collected through document analysis and in-depth interviews utilising the Walt & Gilson policy analysis framework that outlines the context, content, actors and process of policy development and implementation. In-depth interviews were conducted with twelve key informants (N=12) who were selected purposively for the study. Data obtained from the in-depth interviews were analysed using inductive thematic analysis.
Results: We found many factors that influenced the implementation of the framework. Actor dynamics, insufficient resources, the rushed process, poor record-keeping, inappropriate leadership, negative attitudes of staff members and the insufficient monitoring impeded the successful implementation of the framework. While positive attitude, mentorship and support amongst the task team facilitated the implementation process, albeit with challenges.
Conclusion: There is a need to address implementation gaps so that the FSDR is responsive to the current rehabilitation needs of persons with disabilities in South Africa.
Contribution: This study may inform future disability policy, and can be used as a tool to advocate for the rights for persons with disabilities
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Crossref Citations
1. Bridging the chasm between patients’ needs and current rehabilitation care: perceptions of adults presenting for primary care in the Eastern Cape
Maria Yvonne Charumbira, Thandi Conradie, Karina Berner, Quinette Abegail Louw
BMC Health Services Research vol: 24 issue: 1 year: 2024
doi: 10.1186/s12913-024-10564-5