1.CBR.ppt community based rehabilitation

2. Objectives:
• To understand the concept of community
based rehabilitation
• To know the objectives of CBR programs

3. Introduction to community-based rehabilitation (CBR)
By Dr. Asma (PT)
DPT(KMU), MSPT(KMU), CHPE (KMU), CHR (KMU), PhD*
(KMU)
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6. Definition
Community-based rehabilitation (CBR)
is community action to ensure that people with
disabilities have the same rights and opportunities as
all other community members. This includes, for
example, equal access to health care, education,
skills training, employment, family life, social
mobility and political empowerment.

8. 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)
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9. 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).
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10. 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).
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11. • 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).

12. What is CBR?

14. What is CBR?
CBR emphasizes the use of
mainstream, existing
resources, such as health
facilities, educational
institutions, community
services, and non-
governmental organizations
(ILO, UNESCO & WHO, 2010).

15. 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)
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16. What do CBR programs have
in common?
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 (e.g.
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)
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23. References
• Hartley, S., Finkenflügel, H., Kuipers, P., & Thomas, M. (2009).
Community-based rehabilitation: Opportunity and challenge.
Lancet, 374(9704), 1803-1804.
• 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), 326-334.

24. Learn more about CBR at
cbrbasics.weebly.com
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