IPHREHAB : Disabled people’s organization [DPO]

IPHREHAB

Disabled people’s organization [DPO]

—  Are membership organizations

—  Register as a legal entity

—  General body meetings are conducted every 1 or 3 yrs

—  By working with SHGs- meet the needs of disabled at local & wider level, & in short & long term.

 Initially- identify & understand the current situation & map services; then to identify what gaps exist & what is required 

CBR Personnel

1.     CBR workers are grass root workers-

a)      Act as local advocates on behalf of disabled

b)      Provide continuity of care & supervision

c)       Act as directors of community initiatives

d)      a positive role model

2.      Supervisors or medico social workers
3.      Professionals for referral

Working levels

     1.  National level- advocating  for policy change, CBR in curriculum of education, Fund raising, promoting CBR concept

     2.  District  level- training CBR Ws & committees, awareness activities, organizing referral system

     3.  Local level- work done by local committees – includes training of physically disabled, blind, deaf in their community 

CBR Resource Centre

•  Ex.- a school or a building provided by religious organizations or a separate house built for the purpose in slum areas
• Organize activities
•  Acts as an address for the community to receive communications & identity for the activities.

Evaluation

—  Means the activities which are done to see how a program is progressing

—  Monitoring & self assessment- two aspects

—  Benefits :

ü  Value of the program

ü  Making decisions to improve it

ü  Funding

Finding new knowledge about CBR

—  Too busy in implementing it- evaluation takes time

—  Skills to evaluate?

—  Means change in the routine to improve

—  Link it with discont. of the program

—  Promote the idea of evaluation in program before starting.

Transportation facilities

• —     Special  buses for the disabled- low platform & special seats are being implemented in  many places
• —              Even special parking facilities are made available 

IPHREHAB : COMMUNITY BASED REHABILITATION

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