Professional Documents
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of
COMMUNITY BASED
REHABILITATION FORUM
COMMUNITY BASED
REHABILITATION FORUM
An introduction to
C
Community
Based
Rehabilitation
B
R
of Persons with Disabilities
COMMUNITY BASED
REHABILITATION FORUM
COMMUNITY BASED
REHABILITATION FORUM
WHAT
WHAT IS CBR?
Mainstream
Your Boat
Side stream
COMMUNITY BASED
REHABILITATION FORUM
Major Objectives
The major objectives of CBR as listed in the
joint position paper are:
COMMUNITY BASED
REHABILITATION FORUM
Evolution of
Concepts in CBR
Disability and Rehabilitation
Disability is no longer viewed as merely
the result of impairment.
Evolution of
Concepts in CBR
Disability and Rehabilitation
Professionals (medical and other) who
provide rehabilitation services have the
responsibility to provide relevant
information to PWDs / their families so that
they can make informed decisions to
enable them to lead a fulfilling life.
COMMUNITY BASED
REHABILITATION FORUM
Evolution of
Concepts in CBR
Human Rights
CBR promotes the rights of PWDs to live
as equal citizens within the community, to
enjoy health and well being, to participate
fully in educational, social, cultural, religious,
economic and political
activities.
COMMUNITY BASED
REHABILITATION FORUM
Evolution of
Concepts in CBR
Poverty
There is a strong correlation between
disability and poverty.
COMMUNITY BASED
REHABILITATION FORUM
Evolution of
Concepts in CBR
Poverty
In 2000, the UN Member States adopted
the Millennium Declaration and set eight
Millennium Development Goals (MDGs) to
guide the implementation of the
Declaration.
All the goals are relevant to disability and
three goals are of particular concern to
PWDs and their families:
COMMUNITY BASED
REHABILITATION FORUM
Eradicate severe
poverty and
hunger.
nder
e
g
e
t
o
m
o
r
P
equality and
n.
e
m
o
w
r
e
w
empo
COMMUNITY BASED
REHABILITATION FORUM
Achieve
universal
primary
education.
Evolution of
Concepts in CBR
Inclusive Communities
Inclusive commonly used with reference
to educational provision that welcomes all
children. It can also be applied to policies
and services in health, skills training and
employment and to community life in
general.
COMMUNITY BASED
REHABILITATION FORUM
Evolution of
Concepts in CBR
Inclusive Communities
The concept of an inclusive community
means that communities adapt their
structures and procedures to facilitate the
inclusion of PWDs, rather than expecting
them to change to fit in with existing
arrangements.
COMMUNITY BASED
REHABILITATION FORUM
Evolution of
Concepts in CBR
Role of DPOs
An ideal CBR programme promotes DPOs:
to enable PWDs to understand disability
and discrimination and
Evolution of
Concepts in CBR
Role of DPOs
COMMUNITY BASED
REHABILITATION FORUM
Evolution of
Concepts in CBR
Role of DPOs
DPOs need:
to educate all PWDs about their rights and
to advocate for action to ensure the
realization of these rights
COMMUNITY BASED
REHABILITATION FORUM
Evolution of
Concepts in CBR
Role of DPOs
DPOs are made to play proactive and
meaningful roles in the initiation,
implementation and evaluation of CBR
programmes.
COMMUNITY BASED
REHABILITATION FORUM
BASIC PRINCIPLES OF
A CBR PROGRAMME
HOW
COMMUNITY BASED
REHABILITATION FORUM
BASIC PRINCIPLES OF
A CBR PROGRAMME
Inclusion
Inclusion means the removal of all kinds
of barriers which block PWDs from
access to the mainstream.
BASIC PRINCIPLES OF
A CBR PROGRAMME
Inclusion
Inclusion also means convergence
that is, the involvement of PWDs in the
campaigns, struggles and activities of
other oppressed groups which are not
centred exclusively on disability issues,
such as children living on the streets,
farmers, land rights and environment,
womens groups.
COMMUNITY BASED
REHABILITATION FORUM
BASIC PRINCIPLES OF
A CBR PROGRAMME
Participation
Participation means the involvement of
PWDs as active contributors to the CBR
programme from policy making to
implementation and evaluation, for the
simple reason that they know best what
they need.
COMMUNITY BASED
REHABILITATION FORUM
BASIC PRINCIPLES OF
A CBR PROGRAMME
Participation
Participation also means PWDs being a
critical resource within any CBR
programme providing training, making
decisions etc.
BASIC PRINCIPLES OF
A CBR PROGRAMME
Sustainability
The benefits of the programme must be
lasting.
BASIC PRINCIPLES OF
A CBR PROGRAMME
Sustainability
Strong links between GOs, NGOs, CBOs
and DPOs will contribute towards
sustainability.
COMMUNITY BASED
REHABILITATION FORUM
BASIC PRINCIPLES OF
A CBR PROGRAMME
Empowerment
Empowerment means that local people,
and specifically PWDs and their families,
make the programme decisions and
control the resources.
COMMUNITY BASED
REHABILITATION FORUM
BASIC PRINCIPLES OF
A CBR PROGRAMME
Empowerment
The empowerment of women is central to
any programme.
COMMUNITY BASED
REHABILITATION FORUM
BASIC PRINCIPLES OF
A CBR PROGRAMME
Advocacy
COMMUNITY BASED
REHABILITATION FORUM
BASIC PRINCIPLES OF
A CBR PROGRAMME
Advocacy
Advocacy is a collective notion not an
individualistic one. It means selfdetermination.
COMMUNITY BASED
REHABILITATION FORUM
ESSENTIAL COMPONENTS OF
A CBR PROGRAMME
1.
The programme should cover all types of PWDs who need rehabilitation services.
2.
3.
The programme should have access to or generate a good and effective referral
system.
4.
The programme should aim at full integration of the PWD into his / her community.
5.
The programme needs to have committed and well trained community members as
service providers.
6.
The programme should have gender and disability focus and balance.
7.
The programme should strike a balance between provision of service delivery and
empowering the PWD, family and community through regular transfer of skills.
8.
The programme should facilitate the formation and strengthening of the disabled
peoples movement to ensure that the rights of the PWDs are not denied through
advocacy at local, state and national level.
COMMUNITY BASED
REHABILITATION FORUM
HEALTH
EDUCATION
EMPOWERMENT
SOCIAL
EARLY
CHILDHOOD
DEVELOPMENT
SKILLS
DEVELOPMENT
SELF-HELP
GROUPS
LEGAL
PROTECTION
PREVENTIVE
NON-FORMAL
INCOME
GENERATING
ACTIVITIES
DISABLED
PEOPLE'S
ORGANIZATION
CULTURE &
RELIGION
CURATIVE
FORMAL
SCHOOL
ACCESS TO
FINANCIAL
SERVICES
SOCIAL
MOBILISATION
SPORTS &
LEISURE
HIGHER
OPEN
EMPLOYMENT
POLITICAL
EMPOWERMENT
RELATIONSHIP
MARRIAGE &
FAMILY
ECONOMIC
CONTRIBUTION &
SOCIAL PROTECTION
LANGUAGE &
COMMUNICATION
PROMOTIVE
REHABILITATIVE
ASSISTIVE
DEVICES
COMMUNITY BASED
REHABILITATION FORUM
LIVELIHOODS
SPECIAL/
TRANSITORY
PERSONAL
ASSISTANCE
WHO MATRIX
COMMUNITY BASED
REHABILITATION FORUM
COMMUNITY BASED
REHABILITATION FORUM
COMMUNITY BASED
REHABILITATION FORUM
MOVING TOWARDS
AN EFFECTIVE CBR
PROGRAMME
COMMUNITY BASED
REHABILITATION FORUM
COMPONENTS NEEDED
TO BEGIN A PROGRAMME FOR
THE REHABILITATION OF PWDs
Look out for.
1.
2.
3.
4.
COMMUNITY BASED
REHABILITATION FORUM
Challenges of CBR
Lack of understanding of concept.
Rapid turn over of civil servants.
Acceptance of CBR as a valid intervention.
Finance / Prioritization.
Poor Management / planning of CBR
Inter Ministerial Rivalry - Lack of communication
Evidence based facts not made available
Lack of co-ordination between the Government and NGOs
Absence of a coherent community level strategy
Limited competence and capacity of decentralizing services
Limited models of good practices
Social welfare department often has a weak structure at community level
Government is preoccupied with basic needs
Governments do not include disability as a cross cutting issue.
COMMUNITY BASED
REHABILITATION FORUM
COMMUNITY BASED
REHABILITATION FORUM