This document provides an introduction to community-based rehabilitation (CBR). It discusses that CBR is a strategy that aims to rehabilitate, equalize opportunities, and socially integrate people with disabilities within their communities. The document outlines the aims of CBR, including prevention of disabilities, early detection and management, and empowering communities. It discusses aspects of CBR including medical, social, educational, and economic aspects. Finally, it notes some challenges of implementing CBR programs, such as lack of funds, cooperation among team members, and non-participation from communities.

1. CBR
YASH.GIRISHBHAI.PATEL

2. INTRODUCIONL
 ‘COMMUNITY BASED REHABILITATUIN’
 Is a strategy within community developed for the rehab,
equalization of opportunities and social integration of all the
people commune disabilities.
 CBR is implemented thro the combined efforts of the disable
people themselves their families and communities and the
apocopate health educational, vocational and social services.

3.  Mahatma Gandhi has said that India lives in its villages. It is
not passible to provide professional expertise across the
length and breadth of the land at the doorstep of the people
commen disability hence, we have to take up an approach
larger population.

4. AIMS
 Prevention of disabilities
 Identification of high risk infants and mothers.
 Early detection of disability and management.
 Assessment of felt needs of the people community disability
and the family.

5.  Home based or neighborhood based programs program.
 Parental involvement
 Play groups and integrated schooling for children.
 Organization for and by the people community disability.

6. BASIC CONCEPT
 Decentralization of responsibility and resource both human
and financial to community level organizations.
 Empowerment of the community to assume responsibility for
ensuring the of ensuring that all its members, inducing those
disabilities, achieve equal access to all the community and
that they are enabled fully to participate in the social,
economical and political life of the community.

7.  CBR is a systematized approach to helping people community
disability community in their own community making the
best use of local resources and helping the community
become a ware of their responsibility in this regard.

8.  CBR is a need based rehab. Done in the community at the
community leave by utilizing the contribution of the
community.

9.  CBR is a self –help movement based on:
 Awareness and concern of
 Initiatives from
 Planning from
 Resources from The community
 Implementation by
 Evaluation by
 Modification by
 Benefits to and from

10. GEITIERIA
 CBR programs must co-ordinate service delivery at the local
level.
 People community disabilities must be included in CBR
programs and they must have distinct decision making roles.
 The primary objective is the improvement of quality of life of
people community disabilities.

11.  To crate positive attitude to wards people community
disabilities.
 Providing assistance for people community all types of
disabilities.
 CRB programs must be flexible.

12. ASPECTS OF CBR
 CBR HAS FOUR IMPORTEANT ASPECTS:
 MEDICAL
 SOCIAL
 EDUCERIONAL
 ECOMOMICAL

13.  The medical aspect usually starts community evaluation of the
disability by a group of professionals.
 A comprehensive program is charted out, which is followed by
diligent grassroots level trained personal usually the relatives
of the patient are also trained.
 Whenever required, education is imparted to those who need
basic knowledge and skills.
 This gains more significance in children suffering from
cerebral palsy.

14.  The educational, vocational and avocational skills imparted
will provide a springboard for the patient to register himself
for a job or open up opportunities for self-employment and
avenues for economic betterment.
 The avenues of any CBR program depends upon factors like
cost effectiveness, individualized values as well as social
acceptability.

15. MEMBER OF THE CBR TEAM
 First and foremost : the patient
 THE OTHER MEMBER ARE
 His relatives
 CBR workers
 Locally available skilled workers e.g carpenter who could be
trained to make appliances and aids.
 Local leaders

16.  The school teacher
 Multi-purpose rehab worker (a trained person who can identify
disability and given the basic physiotherapy and prescribe
orthotics.)
 PHC staff, including medical officers and workers.
 District administrative officer.

17.  The foll members may provide specialized training and
disability identification services.
 PHYSIATRIST
 PHYSIOTHERAPIST
 OCCUPATIONAL THERAPIST
 ORTHOTIST AND PROSTHETIST

18. ROLE OF REHAB PROFESSIONAL
 The rehab professional whether he is medial, para-medial or
non-medial, is seen as a leader, teacher and guide instead of
as a health provider.
 He imparts training, demystifies the rehab concepts, solves
specific problem organizes the set-up and generally
functions as an advisor.

19. MODELS OF CBR
 WHO MODEL
 Uses trainers
 Booklets on health conditions.

20.  NEIGHBIURHOOD MODEL
 A resource center in the community adopts another center,
trains the personnel and in due course, this become another
recourse center.

21.  DRC MODELS:
 District rehab scheme
 Launched by government of India in jan:1985
 It has a considerable impact but was community located, not
community based.

22. PRINCIPLES OF CBR
 To change community attitude and behave to wards
disabilities.
 To keep disabled persona functioning in the community as
long as possible.
 To transfer appropriate health are knowledge to the
community.
 To assist in the chain from users services participants in the
health programme.

23.  To translate appropriate clinical or medical knowledge to self-
health skills.
 To increases the leave of knowledge in the disabled.
 To develop health care services for the disabled in the
community.

24. IMPLEMENTING THE CBR
 In order to provide rehabilitative or restorative medicine to all
the people, it is necessary to develop plans to implement the
CBR.
 To ensure its success, it is necessary to explain the
implicetions for al medical standers to the people.

25.  The public is so used to the institutional practice of rehab.
they will reluctant and possibly be angry if the patient are
deprived of treatment the in situation.
 To overcome these prejudices , the best way is to develop the
strategies great better public relation community requires
great communication skills and specific education
programmers not only to the public but also to the politicians,
administrators and professional workers.

26.  The press, professional, journals and short films should be
considered to participate in implementation of CBR.
 Physiology and biomechanics has got imp.imfromation to
contributor for this programme.

27. HYRDLES IN CBR
 Decrease interest and priorities du to social stratification.
 Lack of group interest and similarity.
 Heterogeneous community.
 Lack of funds.

28.  Lack of co-operation among rehab member.
 Non-active participation of community.
 Unproper guided rehab programme.
 Illiteracy.