Monitoring of community-based rehabilitation as empowerment: experiences from the Asia Pacific region

Michael Millington, Sainimli Tawake, Rosamond H. Madden, Joaquim Soares, Peter Sindu, Sue Lukersmith, Charlotte Scarf, Casper Fa'asala

    Research output: Contribution to journalArticlepeer-review


    The learning community experiences of a team of practitioners and academics provide
    the context for a discussion of the role of empowerment in monitoring community-based
    rehabilitation (CBR) programmes. The theme is monitoring as a source of empowered
    knowledge. The idea of empowerment is traced from the origins of CBR as a societal
    response to global injustice in health care, to its complex and unfinished expression in
    CBR practice, and on to its problematic impact on traditional monitoring practices. It is
    suggested that knowledge systems are socially constructed to serve the powerful, and that
    other social constructions are necessary to serve programmes designed to empower the
    oppressed. An innovative path is suggested for the development of an appropriate
    monitoring tool in a social justice frame that would strike a balance between external
    support and local control in CBR. The translation of empowerment into such a
    knowledge system is described through the developmental history of a monitoring toolkit
    built within the social justice frame. Designing and building the CBR Monitoring
    Manual & Menu (MM&M) brought academics and practitioners together as a learning
    community. The tool and community have completed the first iteration towards good
    practice in evidence-based monitoring, but more importantly, their work continues
    through on-going, and empowered discourse. The reflection on monitoring and
    empowerment resolves in lessons learned and an understanding that empowered
    knowledge lies in the people who design the system that defines it, and that monitoring is
    empowerment when people, process, and knowledge are united in community.
    Original languageEnglish
    Pages (from-to)25-40
    Number of pages15
    JournalKnowledge Management For Development Journal
    Issue number1
    Publication statusPublished - 2016


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