Enabling Factors for Effective Implementation and Sustainability of Community-Based Rehabilitation (CBR) in Malaysia
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This study investigates the enabling factors that contribute to the effective implementation and sustainability of Community-Based Rehabilitation (CBR), locally known as Program Pemulihan Dalam Komuniti (PDK), in Malaysia. Despite the expansion of PDK centres nationwide, challenges remain in sustaining high-quality rehabilitation services. Drawing on prior literature, this research examines the roles of workforce motivation, caregiver support, stakeholder collaboration, community participation, and service accessibility in fostering programme continuity. A qualitative methodology involving semi-structured interviews and focus group discussions with key stakeholders provided in-depth insights into operational and social determinants of PDK sustainability. The findings reveal that motivated and well-trained staff, active caregiver engagement, strong multi-stakeholder partnerships, inclusive community involvement, and accessible services are critical factors underpinning effective implementation. Workforce motivation and stakeholder collaboration emerged as particularly influential, shaping both programme quality and long-term viability. The study further highlights the need for structured caregiver support and enhanced service accessibility to ensure equitable rehabilitation outcomes. These results have implications for national policy and programme design, aligning with the United Nations Sustainable Development Goals (SDGs) by promoting inclusive education (SDG 4), decent work (SDG 8), good health and well-being (SDG 3), reduced inequalities (SDG 10), and partnerships for the goals (SDG 17). The research contributes to the literature by integrating human, social, and institutional factors into a comprehensive sustainability framework for PDK.
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Beh, W. F., & Abdul Latif, L. (2023). Stroke Community Rehabilitation Centre (SCORE): A community transformation program. Gateways: International Journal of Community Research and Engagement, 16(1), 1–8. https://doi.org/10.5130/ijcre.v16i1.8583
Blose, S., Chetty, V., Cobbing, S., & Chemane, N. C. (2024). Managers’ perceptions on the implementation of community-based rehabilitation in KwaZulu-Natal. South African Journal of Physiotherapy, 80(1), Article a1965. https://doi.org/10.4102/sajp.v80i1.1965
Bronfenbrenner, U. (1979). The ecology of human development: Experiments by nature and design. Harvard University Press.
Gilmore, B., MacLachlan, M., McVeigh, J., McClean, C., Carr, S., Duttine, A., Mannan, H., McAuliffe, E., Mji, G., Eide, A. H., Hem, K. G., & Gupta, N. (2017). A study of human resource competencies required to implement community rehabilitation in less resourced settings. Human Resources for Health, 15, Article 70. https://doi.org/10.1186/s12960-017-0240-1
Hasan, H., & Aljunid, S. M. (2019). Job satisfaction among Community-Based Rehabilitation (CBR) workers in caring for disabled persons in the east coast region of Peninsular Malaysia. BMC Public Health, 19, Article 208. https://doi.org/10.1186/s12889-019-6520-z
Hasan, H., Abdul Aziz, A. F., & Aljunid, S. M. (2021). Parents’ and caregivers’ satisfaction with community-based rehabilitation (CBR) services for children with disability in east coast states in Peninsular Malaysia. Health & Social Care in the Community, 29(1), 215–226. https://doi.org/10.1111/hsc.13084
Ismail, A., Sk Abd Razak, R., Ibrahim, H. M., Wan Ismail, W. M. A., Ibrahim, M. I., & Shafei, M. N. (2022). The economic burden and determinant factors of parents/caregivers of children with cerebral palsy in Malaysia: A mixed methods study. International Journal of Environmental Research and Public Health, 19(1), 475. https://doi.org/10.3390/ijerph19010475
Khairul, A. Y., Kannan, T. C., & Erna, F. P. (2024). The strain among caregivers of children with disabilities at the community-based rehabilitation centres in Kudat division of Sabah, Malaysia. Medical Journal of Malaysia, 79(Suppl. 1), 59–66. DOI not available.
United Nations. (2020). The Sustainable Development Goals report 2020. United Nations. https://doi.org/10.18356/9789210002996
Wahab, H. A., Sidek, S., & Mohd Faizal Lim, S. M. (2025). Assessing health service accessibility for Community-Based Rehabilitation (CBR) trainees in Malaysia: Implications for inclusive healthcare. Social Work in Public Health, 40(3), 133–147. https://doi.org/10.1080/19371918.2025.2449971
World Health Organization, UNESCO, International Labour Organization, & International Disability and Development Consortium. (2010). Community-based rehabilitation: CBR guidelines. World Health Organization. https://www.who.int/publications/i/item/9789241548052
Zimmerman, M. A. (1995). Psychological empowerment: Issues and illustrations. American Journal of Community Psychology, 23(5), 581–599. https://doi.org/10.1007/BF02506983
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