Education, rehabilitation, livelihood and after care of persons with disabilities

1. Education, Rehabilitation,
Livelihood and After care of
persons with disabilities

2. Education program for children with disabilities
include:
• Special Education: Segregated education in
specialized classes in special school/institution

3. • Integrated education program: for children
with disabilities in mainstream system but with
some special arrangements, like- resource
teacher, resource room, hostel for them etc.

4. • Inclusive education: in non formal & formal
school system, all children attends schools near
to their home & reads under regular teacher

5. Educational intervention
• Efforts to be made to continue the education.
• Pre school training, parents counselling
• Special training in speech and language (like sign language)
• Orientation and mobility training for children with visual disabilities
• Day to day living and practices training and skill development
• Co-curricular activities
Disability friendly infrastructures
• Ramps with railings
• All staircases must have side railing, disability friendly lifts and toilets
• Low vision indicators
• Sufficient lights, wide doors, Clean and matte finished blackboard or whie
board
Vocational intervention
• Efforts be made to promote vocational training for earning according to need
• Exploring the type and extent of vocational training suiting the level of
disability.
• One should be caring, sympathetic and supportive in assisting the learner
with disability.
• Vocational training centers, suitable for level of disability by their placement.

6. Government and different NGOs/INGOS implement
inclusive education in segregated and uncoordinated
way. Little intervention has been made for promotion of
inclusive education in Bangladesh.
As per rules of business - Education of the children with
disabilities is under the purview of the Ministry of Social
Welfare and is executed by the Department of Social
Services (DSS)

7. Rehabilitation
• The basic objective of rehabilitation is to restore the
physical, social and psychological potential to a level,
so that the person can independently function and
carry on an independent life.
• Prevent disability and return to leading life in society.
• Maximum level of restoration through different
interventions.
• Training in vocational or occupational interventions
(job training or on job training) to suit working with
residual disability and earn a lively and independently.

8. Rehabilitation approaches or strategies
Community
based
Institution
based
Outreach
services
Strategies

9. Community Based Rehabilitation (CBR)
CBR refers to the delivery of basic services to persons with disabilities
within their community, including all services necessary to improve
the participation and functioning in daily activity.
UNESCO and WHO define CBR, as:
“A strategy within community development for rehabilitation,
equalization of opportunities, and social inclusion for all children and
adults with disabilities. CBR is implemented through the combined
efforts of people with disabilities themselves, their families and
communities, and appropriate health, education, vocation and social
services.”
The basic concept of CBR centres on decentralizing responsibility and
resources, both human and financial, to community level
organizations. CBR models are based on a collaborative relationship
between the Allied Health Professional, Community Based Workers
and the broader community.

10. CBR is a strategy of developing rehabilitation services in the
community so as to equalization of opportunity for all.
• Attempt for social integration of persons with disabilities in
community
• There is a collective effort of persons with disabilities,
family and community in rehabilitation
• Along with physical exercise, health education and
vocational
• Training are imparted for self independent working and
earning

11. Institutional Based Rehabilitation
• Persons with disabilities are provided training in hospitals/
rehabilitation centers.
• Exercises under supervision.
• Functions as a referral center for community rehabilitation
center.
Outreach Programmes
The experts from hospital visit the community or home for
providing education & training to persons with disabilities in:
• Self Care
• Communication
• Vocational Guidance
• Camps are also organized from time to time in rural area where
community facility is not available.
• Efforts are on to integrate the community rehabilitation centers
with institutions to provide maximum rehabilitation coverage to
all parts of the country.

12. Livelihood opportunities for the persons with
disabilities
Rural livelihoods:
Farm-based, Pisci-culture, Animal husbandry, Non-farm based (cottage industry,
trading)
Urban area options:
• Formal sector – government sector, private sector, small- scale industries
• Informal sector - with contractors, shops, establishments, in households
Sheltered employment:
For multiple and severely disabled persons
Objective – provide fulfilment, job satisfaction and training on an ongoing basis
for personal development in order that he realises his full potential
Self-employment:
By offering credit linkages (through microfinance in rural areas) and direct
lending there are various ways of promoting self employment

13. After care
• Regular follow up, health checkups, referrals
• Family, peer counselling
• Availability of assistive devices & maintenance
• Home maintenance and modifications including
repairs/maintenance, installation of handrails and ramps
• Goods and equipment such as a walking frame or raised
toilet seat
• Allied health including occupational therapy, dietitian
services, and physiotherapy
• Counselling of person with disability
• Adaptation of home, workplace, school/academic
institution as per the need of the person with disability

14. Thanks