Effectiveness of Competency-based Training of Village Rehabilitation Workers in Strengthening Their Community-based Rehabilitation Domains: A Policy Implication

This research paper investigates the effect of a targeted capacity building intervention on Village Rehabilitation Workers (VRWs) within the context of Community-Based Rehabilitation (CBR) Matrix domains in Kalaburagi, Karnataka, India. This research through its intervention approach is conducted to measure changes in VRWs' competencies across the CBR Matrix domains.  Key CBR Matrix domains under consideration include health, education, livelihood, social development and empowerment. The capacity building intervention as human capital intervention to improve knowledge and skills of the VRWs in the CBR, is tailored to address specific challenges and gaps identified within each domain, aiming to empower VRWs to enact positive change within their targeted communities i.e. Persons with Disabilities (PWDs).

The findings indicate a significant improvement in VRWs' competencies following the capacity building training. This improvement is observed across various CBR Matrix domains, showcasing the intervention's effectiveness in enhancing VRWs' capacity to address the multifaceted needs of their communities. From the study, it was observed that during the baseline phase, 73% (n =117) of the VRWs had low level of Competency, and 27%, (n=50) of the VRWs had medium level of Competency. End-line status after the intervention, the level of competencies in all domains of CBR has increased. The intervention reversed the VRW’s competencies as 69.2%, (n=128) of the VRWs achieved high level of competencies, and 30.8%, (n=57) of the VRWs achieved moderate level of competencies.

In conclusion, the research provides valuable insights into the competencies of VRWs attained to effectively implement the CBR-based programs for Persons with Disabilities in their locality. The findings aim to inform policy and practice dealing with the PWDs, guiding the development of targeted training programs and interventions to strengthen the capabilities of VRWs and foster a more inclusive and accessible healthcare environment for PWDs in rural communities.