The education of health workers in community-based rehabilitation: methodologies and technologies of community intervention directed to people with disabilities


Regina C; Elui
Valeria M.C.; Chaves
Thais C.


Curriculum Planning / Community Oriented Medical Education


University of Sao Paulo


This study’s objective was to analyze the inclusion of people with disabilities in society and family and to identify their health needs in order to implement teaching-learning actions. It was conducted in Brazil through the University of São Paulo,  during 2011 and 2012.

Summary of Work

This is a qualitative study with a methodological approach using the following data collection techniques: life histories and systematic observation. The study’s subjects were individuals with congenital or acquired disabilities living in the coverage area of a Family Health Unit in the city of Ribeirão Preto, SP, Brazil.

  • Epidemiological Profile of a population segment
  • Production technologies of teaching-learning for health professionals to work in communities
  • To create interdisciplinary training programs for Community-based Rehabilitation
Summary of Results

The results indicate that the individuals are

  • Restricted to their homes and are socially isolated;
  • Social exclusion and physical, geographical and psychosocial barriers in the area;
  • Social vulnerability with a lack of economic and human resources for the family to provide care;
  • Generalized lack of information about the problem involving the condition and care provided to disabled people. 

 There is a need to create teaching methodologies directed to health workers to enable the use of technologies to be used in communities and community-based rehabilitation together with PHC facilities in order to meet the aforementioned needs.

Take-home Messages

There is a need for a social approch about disability, because there are many social determinants of health indices in people with disability. Therefore, It's necessary to create teaching-learning methodologies that enable students in the field of health for community-based rehabilitation.


Barnes C., Oliver M. & Barton L. (2002). Disability studies today. Cambrige, UK: Policy Press in association with Blackwell Publishers.


Brasil. (2008). Ministério da Saúde. Secretaria de Atenção à Saúde. Política Nacional da Pessoa Portadora de Deficiência. Brasília.


Cooper, R.A., Cooper, M.A., McGinley, E.L., Fan, X. & Rosenthal, J.T. (2012). Poverty, Wealth and Health Care Utilization: a geographic assessment. Journal Urban Health, 89: 828-847.


Gannon, B & Nolan, B. (2007). The impact of disability transitions on social inclusion. Social Science & Medicine, 64: 1425-1437.


funding provided by FAPESP

Summary of Work
Summary of Results

Health needs include:

  • psychosocial care; access to Primary Health Care (PHC) services; 
  • rehabilitation, involving the need to create home care programs, develop community-based actions and interventions within the area;
  • provide assistive technology, equipment; instruct/guide families concerning disability and care;
  • promote prevention and early diagnosis; encourage greater cooperation among health teams;
  • establish coping strategies.
Take-home Messages
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