CBR

QU, YUN

MD., Msc., MOT., PhD

 

 

HRS VS CBR
1. Introduction
Community
Community:
organization of active citizens
All our pre existing relationships:
family
Friends
Colleauges
acquaintences
CBR
collaboration
Leaders
Disabilities
Families
concerned citizens
History
The CBR strategy
25 ago
the rights and participation
disabilities people organizations (DPOs) 
2. Community Based Rehabilitation (CBR)
2.1 Concept of CBR

CBR is implemented
combined efforts
disabilities themselves
their families
 organizations and communities
the relevant governmental
Nongovernmental
combined efforts
Health
Education
vocational,
Social
other services.
2.2 Major Objectives
Objective 1 disabilities people
to maximise physical and mental abilities
to access regular services   and opportunities
to become active contributors to the community and society
Objective 2 community
to promote and protect the human rights of disabilities
to change the community
2.3 Evolution of Concepts in CBR
its definition and major objectives not changed
change
concepts
Stakeholder
2.3.1 Disability and Rehabilitation
Disability not viewed as impairment

environmental barriers causes disability.
 ICF
includes body structure and function

focuses on
Rehabilitation services
Rehabilitation

 now viewed as

what services disabilities can participation
2.3.2 Human Rights
to live as equal citizens
to enjoy health and well being
to participate
Educational
Social
Cultural
 religious
Economic
political activities.
girls and boys with disabilities
equal rights
to schooling
to work
social activities.
2.3.3 Poverty
strong correlation between disability and poverty.
Poverty leads to increased disability
disability leads to poverty
2.3.4 Inclusive
Communities
educational
policies and services in health
skills training
employment
community life in general
CBR benefits all people
 
For example
Access makes life easier
2.3.5 Role of DPOs
educating all people with disabilities
their rights
Collaborating with partners
services
opportunities
3. Initiates CBR
NGOs.
community development committee
organizations of people with disabilities
4. Essential Elements of CBR
Community and DPO involvement
National policies
a management structure
different government ministries
NGOs
other stakeholders (multi sectoral collaboration).
Country approaches
I. National policies, coordination and
resource allocation
II. Recognition of the need for CBR.
III. The willingness respond to disabilities.
IV. The presence of motivated community workers.
To address these important elements of CBR, action is needed at
national, intermediate district and local levels.
4.1 National Level
co ordination and allocation

 resources

 CBR programmes
4.1.1 National Policies
disabilities
policies and legislation for the rehabilitation
equalization of opportunities
social and economic inclusion

4.1.2 National Co ordination of CBR
national level co ordinating body

multi sectoral collaboration

CBR programme
4.1.3 Management Structure for CBR
government

leading managerial role.
4.1.4 Allocation of Resources
allocation of funds
aimed at poverty
encourage NGOs, businesses and the media to support CBR
4.1.5 CBR Programmes without National Support
A CBR programme links to governmental
 greater impact than
A CBR programme working in isolation
4.2 Intermediate District Level
Each country decides how to manage its CBR programme at different levels.
4.2.1 CBR Managers
the ministry

provides

the organizational framework
4.3 Community Level
representatives of the community
Involved
Implementation
Evaluation
4.3.1 Recognition of the Need for CBR
the need for CBR

Before

programme starts
4.3.2 Community Involvement
CBR begin leadership
existing community development committee
other structure
chief of the village
the mayor of the town.
4.3.3 Community Workers
Community workers
volunteers
Members
People with disabilities
their family members
Sometimes teachers,
health care workers,
Social workers
Other interested members
CBR Place
schools,
training centres,
work places
home
others
5. Multi sectoral Support for CBR
multi sectoral collaboration

to support the community
to address the individual needs
to enhance the role of DPOs
5.1 Support from the Social Sector
NGO
individuals with disabilities
family members
 community resources
5.2 Support from the Health Sector
“health”
Health
 ?°a state of complete physical, mental and social well being and not merely the absence of disease or infirmity?. (WHO)

The Declaration of Alma Ata that Primary Health Care (PHC) is the key to attaining health for all.
PHC needs
Providing
Promotive
Preventive
Curative
rehabilitative
The health care system
medical care
rehabilitation services
assistive devices.
Physical therapy
Occupational therapy
speech therapy
prosthetics and orthotics
corrective surgeries
The health sector
rehabilitation is part of PHC
rehabilitation provide training to PHC personnel
the  rehabilitation services
must collaborate with all the other services within the health care system.
education,
labour
social affairs
5.3 Support from the Educational Sector
Education for All
Good co operation between communities and the education sector
imperative
5.4 Employment and   Labour Sector
Disabilities

learn employable skills and gain practical experience

Productive and decent work

social and economic integration

5.5 Support from NGOs
non governmental organizations (NGOs)

contribute to

CBR programme.
5.6 Support from the Media
Newspapers, radio
television
the internet
5.7 Collaboration for Support to the Community
Collaboration

CBR

 work well
6. Further Development of CBR
Rural areas

needs

CBR
6.1 Expansion and Scaling up of CBR Programmes
Existing CBR programmes

&

NGOs
6.1.1 Gender Equality
girls and women as boys and men
Education
work
social opportunities
6.1.2 Inclusion of All Age Groups
middle age & Older people
education
develop work skills
6.2 Training for CBR
formal training
ensure effective management of programmes
meaningful participation of DPOs
satisfactory delivery传递 of services from CBR workers and professionals
6.2.1 Management Training
train the manager
 to carry out tasks
identifying the people who need services
co ordinating with the community and sectors
keeping records.
6.2.2 Training for DPOs
DPOs

liaisons

between the community and the national and intermediate/district levels
6.2.3 Training for Service Delivery
the community CBR workers
the professionals

provide specialised services.
Thanks!

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