This document discusses community-based rehabilitation (CBR). It defines CBR as a strategy that aims to provide rehabilitation, equal opportunities, poverty reduction, and social inclusion for all people with disabilities through the combined efforts of people with disabilities, their families, and communities, along with health, education, vocational and social services. The document outlines the history, objectives, principles, components, advantages, and outcomes of CBR. It emphasizes community participation, empowerment, and using existing community resources. CBR programs typically have national support, a human rights approach, voluntary community participation, and motivated community health workers. Intended outcomes include increased community knowledge and involvement in rehabilitation as well as reduced discrimination and improved access to services and participation for
16. Definition CBR
• Definition“Community-based rehabilitation (CBR)
is a strategy within community development for
the rehabilitation, equalization of opportunities,
poverty reduction and social inclusion of all
people with disabilities.
• CBR is implemented through the combined
efforts of disabled people themselves, their
families and communities, and the appropriate
health, education, vocational and social services.”
(ILO, UNESCO & WHO, 2004)Presented by
cbrbasics.weebly.com
18. What is CBR?
• CBR is a primary health care initiative and
comprehensive social model for addressing
rehabilitation care in a community setting. It
emphasizes community participation,
empowering the community to direct their
own rehabilitation care, reinforcing human
rights of persons with disabilities, and using
existing community resources (Sharma, 2004).
27. • What is CBR?
• CBR extends the biomedical model of
disability to incorporate social concerns, such
as the exclusion of persons with disabilities
from mainstream education and
discrimination in health services.
• Its development has been driven by
participation from stakeholders in disability
activism and persons with disabilities (Hartley,
Finkenflügel, Kuipers, & Thomas, 2009).
28. • What is CBR?
• The new understanding of CBR can be
represented by the CBR matrix which includes
5 major dimensions of rehabilitation:
• Health,
• Education,
• Livelihood,
• Social, And
• Empowerment (ILO, UNESCO & WHO, 2010).
29. • What is CBR?
• CBR emphasizes the
1. Use Of Mainstream,
2. Existing Resources,
3. Such As Health Facilities,
4. Educational Institutions,
5. Community Services, And
6. Non-governmental Organizations (ILO,
UNESCO & WHO, 2010).
30. What do CBR programs have in
common?
Although CBR programs vary, common elements
of sustainable programs include:
• National level support in coordinating
resources and policies
• A human rights-based approach
• Voluntary participation from the community
• Motivated community health workers(ILO,
UNESCO & WHO, 2004)
31. OUTCOMES OF CBR
• Intended outcomes from CBR:
• Individual and community knowledge of disabilities
increases
• The community is involved in their own rehabilitation
care, and rehabilitation is delivered with collaboration
from various sectors of society
• Discrimination on the basis of disability and other
factors (eg. gender) in the health sector is reduced
• Access to rehabilitation services is improved
• Persons with disabilities more actively participate in
education, work, and community life(ILO, UNESCO &
WHO, 2010)
32. references
• Hartley, S., Finkenflügel, H., Kuipers, P., & Thomas, M.
(2009). Community-based rehabilitation: Opportunity
and challenge. Lancet, 374(9704)
• ILO, UNESCO & WHO (2004). Community-based
rehabilitation for and with people with disabilities.
Joint Position Paper.Geneva: UN
• .ILO, UNESCO & WHO (2010). Introductory booklet -
Community-based rehabilitation - CBR
guidelines.Geneva: UN.
• Sharma, M. (2004). Viable methods for evaluation of
community-based rehabilitation programs. Disability
and Rehabilitation, 26(6),