Community based rehabilitation

A.THIRUPPATHI
Stake Holders of CBR
 Different CBR programme recommendations:
• Awareness-raising
• Most powerful advocacy tools are living examples
of success and personal stories about discrimination
and how to overcome it.
• Evaluate the local situation and target the most
influential people schoolteachers, religious leaders,
community leaders, elders, etc.
• Use media as a tool - especially radio.
• Use drama as a tool to make prejudices visible.
 When Vajpayee touched Tamil
Nadu woman’s feet

She started a very successful banking

system in the villages in Tamil Nadu and is
a champion trying to reduce poverty and
debt grievances by empowering women
 Medical care

• To improve competence and capacity of

primary health care to make early
interventions, correct diagnoses, treatments
and referrals.
• To make referral specialists accessible at
regional or district levels.
 Rehabilitation and support services

• Social counselling, ADL and mobility training can

be effectively carried out in communities

• Physical rehabilitation and production of assistive

devices

• Sign language training and training of interpreters

• The district referral centre

 Education
• Special sign language medium classes for
deaf children in collaboration with
education authorities and the Association
of the Deaf
• Parent-driven community centres for
intellectually disabled children focusing on
skills training and care
• ADL and Braille training for blind children.
 Income maintenance and social security
• Facilitating access to loan schemes outside the CBR
programme such as the poverty reduction programmes,
NGO programmes and commercial bank initiatives.

• Involving DPOs in identification of viable business ideas

and back-up of loan schemes.

• Finding new innovative areas for skills training

• Facilitating vocational training schemes.

 Government and community commitment
• Include persons with disabilities in ordinary
community development programmes and poverty
reduction schemes.

• Provide community workers with back-up, continuous

training opportunities and incentives.

• Support a referral system at district level.

• Provide training and resources for education and

health systems.

• Provide assistive devices free of charge or at a low

cost.

• Support sign language development and interpreter

training.
 Support to DPOs

• Strong DPOs that can monitor government

performance, advocate the rights of their
members, advise development programmes
and provide peer counselling area
precondition for a successful change process.
 General recommendations
• To recognize that social change and fulfilment of human rights
• To recognize that development depends on the combined efforts
of a number of stakeholders.
Three guiding principles should be followed:
• Existing political and administrative structures should be used.
• Government at various levels is responsible for fulfilling the
human rights of its citizens.
• DPOs should have a major influence on priorities and design of
programmes.
 CBR is now defined as a community development
programme that has seven different components:

(i) Creation of a positive attitude towards people with

disabilities;
(ii) Provision of rehabilitation services;
(iii) Provision of education and training opportunities;
(iv) Creation of micro and macro income-generation
opportunities;
(v) Provision of care facilities;
(vi) Prevention of the causes of disabilities;
(vii) Monitoring and evaluation.
 Conclusion:
• Community-based Rehabilitation they target
many levels of society - not only the
community
• They address all issues affecting the quality of
life of persons with disabilities - not only
rehabilitation
• It will be a challenge to find a new title that
better describes the complexity of this
approach.
Thank you