Disability and Rehabilitation Systems in LMICs Health System Strengthening

Improving Disability and Rehabilitation Systems in Low and Middle-income Countries: Some Lessons from Health Systems Strengthening

Pim Kuipers*

* Corresponding Author: Associate Professor, School of Human Services and Social Work, Griffith Health Institute,

Griffith University and Metro South Health, Brisbane, Australia.


Aim: This report seeks to draw attention to, summarise, and make inferences

from the “Good Health at Low Cost” studies for the area of disability and

rehabilitation service delivery.

Methods: Key findings from this series of important studies are identified.

Based on reflection, potential implications for CBR and inclusive development

systems in low and middle income countries are identified.

Conclusions: These studies underscore the importance of organisational,

political and systems thinking to improve service systems in low and middle

income countries. They reinforce the importance of sustained and visionary

political action and lobbying. They show that substantial improvements can be

made to service systems despite limited resources.

Implications: The advancement of CBR and disability-inclusive development

is dependent on effective systems in low and middle income countries.

Participatory research to inform such system strengthening is vital.