Community-Based Rehabilitation Overview

Good Behavior is Heaviest

• Good behavior is the heaviest thing that can be placed on the balance of a believing slave on the Day of Judgment.

Community-Based Rehabilitation (CBR)

• Objectives:

  • Understand the concept of community-based rehabilitation
  • Learn the objectives of CBR programs

• Definition (Page 6):

  • CBR is community action ensuring people with disabilities have equal rights and opportunities.
  • Includes equal access to healthcare, education, skills training, employment, family life, social mobility, and political empowerment.

• Definition (Page 8):

  • CBR is a strategy within community development for rehabilitation, equalization of opportunities, poverty reduction, and social inclusion of people with disabilities.
  • Implemented through combined efforts of disabled people, families, communities, and appropriate health, education, vocational, and social services.

• What is CBR? (Page 9):

  • A primary health care initiative and comprehensive social model for addressing rehabilitation care in a community setting.
  • Emphasizes community participation, empowering the community to direct their own rehabilitation care, reinforcing human rights of persons with disabilities, and using existing community resources.

• What is CBR? (Page 10):

  • Extends the biomedical model of disability to incorporate social concerns.
  • Addresses exclusion of people with disabilities from mainstream education and discrimination in health services.
  • Development driven by participation from stakeholders in disability activism and people with disabilities.

• CBR Matrix (Page 12):

  • Five major dimensions of rehabilitation: health, education, livelihood, social, and empowerment.

• Components Needed for CBR Program (Page 17):

  • An action area with an apparent need
  • A receptive community
  • A resourceful and creative outside agency
  • People with disabilities needing services

• Steps of CBR (Page 18):

  • Identification of people needing rehabilitation services
  • Assessment of disabilities and needs
  • Providing basic services (PHC) like drugs, dressing, materials, protective footwear, counseling, and training in self-care
  • Referral to village health committee
  • Access to secondary/tertiary care centers
  • Support for socio-economic rehabilitation
  • Reviewing meetings of stakeholders for progress discussion
  • Coordination with social welfare departments

• Challenges of CBR (Page 20):

  • Lack of understanding of the concept
  • Rapid turn-over of civil servants/finance prioritization
  • Acceptance of CBR as a valid intervention
  • Poor management/planning of CBR

• Additional Challenges (Page 21):

  • Inter-ministerial rivalry (lack of communication)
  • Lack of evidence-based facts
  • Lack of coordination between government and NGOs
  • Weak structure of social welfare departments at the community level

• CBR Programs-Common Elements (Page 15):

  • National level support for resource coordination and policies
  • Human rights-based approach
  • Voluntary community participation
  • Motivated community health workers

• Intended Outcomes (Page 16):

  • Increased individual and community knowledge of disabilities
  • Community involvement in their own rehabilitation care
  • Collaborative delivery of rehabilitation by various sectors of society.
  • Reduced discrimination based on disability in healthcare and other factors like gender.
  • Improved access to rehabilitation services
  • Increased community participation in education, work, and community life

This quiz provides an overview of Community-Based Rehabilitation (CBR), highlighting its objectives, definitions, and significance for people with disabilities. Learn about the strategies for ensuring equal rights and opportunities within community development. Understand the role of various stakeholders in the successful implementation of CBR programs.