Beruflich Dokumente
Kultur Dokumente
of
COMMUNITY BASED
REHABILITATION FORUM
COMMUNITY BASED
REHABILITATION FORUM
An introduction to
C
Community Based
B Rehabilitation
R
of Persons with Disabilities
COMMUNITY BASED
REHABILITATION FORUM
Community Based Rehabilitation (CBR)
brings rehabilitation know-how to
villages and urban slums, and CBR
personnel facilitate people to take
responsibility for their own lives!
COMMUNITY BASED
REHABILITATION FORUM
WHAT
WHAT IS CBR?
CBR is a systematized approach
within general community development
whereby Persons with Disabilities are enabled
to live a fulfilling life
within their own community,
making maximum use of local resources
and helping the community become aware of its responsibility in
ensuring the inclusion and equal participation of PWDs.
In the process, PWDs are also made aware of their own role and
responsibility, as they are part of the community.
COMMUNITY BASED
REHABILITATION FORUM
The Joint position paper
defines CBR as:
a strategy within general
community development for the
rehabilitation, equalization of
opportunities and social inclusion of
all people with disabilities.
CBR is implemented through the combined
efforts of PWDs themselves, their families,
organizations and communities, and the
relevant governmental and non-governmental
health, education, vocational, social and other
services.
COMMUNITY BASED
REHABILITATION FORUM
What do we see in the picture?
Your Boat
Mainstream
Side stream
COMMUNITY BASED
Source: Mainstreaming Disability, ADD
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
COMMUNITY BASED
REHABILITATION FORUM
Evolution of
Concepts in CBR
Disability and Rehabilitation
COMMUNITY BASED
REHABILITATION FORUM
Evolution of
Concepts in CBR
Human Rights
COMMUNITY BASED
REHABILITATION FORUM
Evolution of
Concepts in CBR
Poverty
COMMUNITY BASED
REHABILITATION FORUM
Evolution of
Concepts in CBR
Poverty
COMMUNITY BASED
REHABILITATION FORUM
Eradicate severe Achieve
poverty and universal
hunger. primary
education.
ro mo t e g ender
P
equality and n.
r w o me
empo w e None of these goals
can be effectively
achieved without the
inclusion of PWDs
COMMUNITY BASED
REHABILITATION FORUM
Evolution of
Concepts in CBR
Inclusive Communities
COMMUNITY BASED
REHABILITATION FORUM
Evolution of
Concepts in CBR
Inclusive Communities
COMMUNITY BASED
REHABILITATION FORUM
Evolution of
Concepts in CBR
Role of DPOs
COMMUNITY BASED
REHABILITATION FORUM
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
COMMUNITY BASED
REHABILITATION FORUM
HOW
BASIC PRINCIPLES OF
A CBR PROGRAMME
COMMUNITY BASED
REHABILITATION FORUM
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.
It covers the participation of women in all
processes and decision-making, and that
of other groups who are typically not
listened to or excluded.
COMMUNITY BASED
REHABILITATION FORUM
BASIC PRINCIPLES OF
A CBR PROGRAMME
Sustainability
The benefits of the programme must be
lasting.
The activity initiated through the CBR
programme must be sustainable beyond
the immediate life of the programme itself
able to continue beyond the initial
intervention and thrive independently
of the initiating agency.
COMMUNITY BASED
REHABILITATION FORUM
BASIC PRINCIPLES OF
A CBR PROGRAMME
Sustainability
COMMUNITY BASED
REHABILITATION FORUM
BASIC PRINCIPLES OF
A CBR PROGRAMME
Empowerment
COMMUNITY BASED
REHABILITATION FORUM
BASIC PRINCIPLES OF
A CBR PROGRAMME
Empowerment
COMMUNITY BASED
REHABILITATION FORUM
BASIC PRINCIPLES OF
A CBR PROGRAMME
Advocacy
COMMUNITY BASED
REHABILITATION FORUM
BASIC PRINCIPLES OF
A CBR PROGRAMME
Advocacy
COMMUNITY BASED
REHABILITATION FORUM
So far we have reflected on:
The emergence of the concept of CBR
The meaning (WHAT) of CBR
The Major Objectives of CBR
Evolution of concepts in CBR
Basic Principles of a CBR Programme:
inclusion, participation, sustainability, empowerment and advocacy
COMMUNITY BASED
REHABILITATION FORUM
GOAL: HUMAN RIGHTS ~ SOCIO-ECONOMIC DEVELOPMENT ~
POVERTY ALLEVIATION
COMMUNITY BASED
REHABILITATION
PRINCIPLES: PARTICIPATION ~ INCLUSION ~ SUSTAINIBILITY ~ SELF ADVOCACY
EARLY
PROMOTIVE SKILLS SELF-HELP LEGAL
CHILDHOOD
DEVELOPMENT GROUPS PROTECTION
DEVELOPMENT
INCOME DISABLED
PREVENTIVE CULTURE &
NON-FORMAL GENERATING PEOPLE'S
RELIGION
ACTIVITIES ORGANIZATION
ACCESS TO
CURATIVE FORMAL SOCIAL SPORTS &
FINANCIAL
SCHOOL MOBILISATION LEISURE
SERVICES
ASSISTIVE ECONOMIC
SPECIAL/ CONTRIBUTION & LANGUAGE & PERSONAL
DEVICES
TRANSITORY SOCIAL PROTECTION COMMUNICATION ASSISTANCE
COMMUNITY BASED
REHABILITATION FORUM
WHO MATRIX
Multi-sectoral Support for CBR
COMMUNITY BASED
REHABILITATION FORUM
Multi-sectoral Support for CBR
COMMUNITY BASED
REHABILITATION FORUM
Multi-sectoral Support for CBR
COMMUNITY BASED
REHABILITATION FORUM
Multi-sectoral Support for CBR
COMMUNITY BASED
REHABILITATION FORUM
Multi-sectoral Support for CBR
COMMUNITY BASED
REHABILITATION FORUM
Multi-sectoral Support for CBR
Support from the Employment and Labour
Sector:
Collaboration with the employment and labour sectors is
essential to ensure that both youth and adults with
disabilities have access to training and work opportunities at
community level. Productive and decent work in a conducive
environment is essential for the social and economic
integration of individual PWDs.
Equal employment opportunities through national policies
and legislation; open labour market; apprenticeships with
master trainers or local businesses; on-the-job training;
mentoring entrepreneurs with disabilities and providing
advice on current and emerging skills requirements to
vocational training centres; access to credit and self
employment.
COMMUNITY BASED
REHABILITATION FORUM
Multi-sectoral Support for CBR
COMMUNITY BASED
REHABILITATION FORUM
MOVING TOWARDS
AN EFFECTIVE CBR
PROGRAMME
The following aspects of CBR need to be strengthened
to make programmes more effective:
1. Community Involvement and Ownership
2. Multi-sectoral collaboration in CBR programmes
3. Involvement of DPOs in CBR programmes
4. Scaling up CBR programmes
5. CBR programmes to be used as an effective tool for
poverty reduction
6. Evidenced based practice
COMMUNITY BASED
REHABILITATION FORUM
Who Initiates CBR ?
Community action for CBR is often initiated
by a stimulus from outside the community,
most likely ministries or NGOs.
Following initial discussions with
representatives from outside the community,
ideally it is the community which decides
whether CBR will become part of its ongoing
community development activities.
COMMUNITY BASED
REHABILITATION FORUM
COMPONENTS NEEDED
TO BEGIN A PROGRAMME FOR
THE REHABILITATION OF PWDs
Look out for.
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
We look forward to a tomorrow
COMMUNITY BASED
REHABILITATION FORUM