IPHREHAB
Community based rehabilitation CBR]
1) Community based rehabilitation [CBR] is a
strategy within community development for the rehabilitation, equalization of
opportunities & social integration of all people with disabilities.
2) CBR is implemented through combined efforts of
disabled people themselves, their family & communities, & the
appropriate health, education, vocational & social services.
3) At global level→ 7- 10 % of popln. Disabled
& in India→ 5 % of popln.
4) CBR concept was developed by WHO at late 1970s→
concentrating mainly on health, later ILO & UNESCO joined to make it a
multi -sectoral approach- covering all aspects of life.
5) To ensure that people with disabilities are able
to maximise their physical & mental abilities, to access regular services
& opportunities, & to become active contributors to the community &
society at large.
6) To activate communities to promote & protect
the human rights of people with disabilities through changes within the
community, for ex.- by removing barriers to participation.
7) Health – state of complete physical, mental
& social wellbeing & not merely an absence of disease or infirmity
& includes the ability to lead a socially & economically productive
life.
8)
First level of contact btw individual &
health system & is closest to the people
9) CBR is fully consonant with the concept of PHC-
promotes awareness, self reliance & responsibility for rehab within
community. Encourages the use of simple
methods & tech. that are acceptable, affordable, effective &
appropriate for the local setting.
10)
The most rehab activities can be carried out in
the pts own community.
CBR has 7 different components:
1.
Provision of rehab services
2.
Empowerment, Education & training
opportunities
3.
Creation of income generation opportunities
4.
Long term care facilities
5.
Prevention of causes of disabilities
6.
Monitoring & evaluation
7.
Creation of positive attitude
Empowerment
— Of
disabled & their family
— Of
community by 5 approaches:
1)
Social mobilization
2)
Political participation
3)
Language & communication
4)
Self help groups
5)
Disabled people s organizations
Social mobilization
— To
bring people & resources together to achieve a particular task
— Purpose-
to get disability into social consciousness of community & integrate it
into all development programs
— Advocacy
& negotiation skill is required to mobilize community
— Advocacy-
to ask & persuade, negotiation- what is required & what not.
Political participation
— Political
& economic approach is most powerful
— Means-
people using their power as citizens to take part in & shape the decisions
that affect their lives
a) a common goal shared by all & originates
from needs of the members
b)
a set of rules & regulations to work
together
c)
shared responsibility among members
d)
democratic decision making
e)
leadership from within the group
Training of the Group on how to:
ü
Prepare an agenda
ü
Conduct meetings
ü
Resolve differences
ü
Learn from failure
ü
Delegate tasks
Effects of political participation
— INCREASED awareness of political processes
— INCREASED awareness of civic rights
— INCREASED awareness of civic responsibilities
— Ability
to exercise civic rights & responsibilities
— INCREASED knowledge of how to benefit from policies & programs
— Ability
to get grievances redressed through political processes
Communication & language
— It’s
an essential part of social, cognitive & emotional growth
— It
connects us to our family & community
— CBR
has a key role in working with people with disabilities, to improve their
ability to express themselves & engage with others
Self help group
— Enable
disabled to advocate for themselves & take responsibility for their own
development
— Characteristics
of SHGs :
ü
Plan & review progress
ü
Speak in public with confidence
ü
Analyze- links btw. Disability, poverty &
discrimination
ü
Create link with other existing programe of
different issue
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