Definition of Disability
Disability includes impairments, activity limitations, and
participation restrictions.
Results from interaction between health conditions and
contextual factors.
Types: physical, sensory, intellectual, mental illness, multiple
disabilities.
3.
Magnitude of Disability
Globally: Over 1 billion people (~15% of world population).
India (Census 2011): ~2.21% of population (~26.8 million).
Rural areas report higher prevalence than urban.
Expected to rise with aging population and chronic diseases.
4.
Concept of Rehabilitation
Rehabilitation improves functioning and reduces disability.
Includes medical, psychological, vocational, and social
components.
Supports independence, participation, and quality of life.
5.
Need for Community-Based
Rehabilitation(CBR)
Institutional rehab is limited, costly, and less accessible.
CBR brings services to the community setting.
Involves local resources, is cost-effective and sustainable.
Enhances community ownership and inclusion.
6.
Historical Background ofCBR
Introduced by WHO in 1970s for low-income countries.
Response to lack of institutional rehab services.
Adopted in India through the National Programme for
Rehabilitation of Persons with Disabilities.
7.
Definition of CBR
CBR is a strategy for rehabilitation, equalization of
opportunities, and social inclusion.
Involves collaborative effort among persons with disabilities,
families, and communities.
8.
Objectives of CBR
Empower persons with disabilities and their families.
Enhance quality of life and reduce poverty.
Ensure equal rights and full participation.
Promote inclusive development.
9.
Principles of CBR
Inclusion, Participation, Empowerment, Sustainability, and
Multisectoral collaboration.
Community-driven and rights-based approach.
10.
Stakeholders in CBR
Persons with disabilities, families, community members.
Healthcare workers (ASHA, ANM), NGOs, CBOs.
Government departments: Health, Education, Social Welfare.
11.
Institutional vs Community-
BasedRehab
Institutional: costly, passive participation, less accessible.
CBR: cost-effective, active involvement, more inclusive.
12.
Rights-Based Approach in
CBR
UNCRPD promotes dignity, equality, and inclusion.
From medical model to social model of disability.
Rights-based means full participation in society.
13.
CBR Matrix Overview
WHO CBR Matrix: Health, Education, Livelihood, Social,
Empowerment.
Framework for planning, implementation, and evaluation.
Health Component ofCBR
Promotion and prevention: immunization, nutrition.
Medical care, rehabilitation, assistive devices.
Referral and follow-up.
16.
Education Component ofCBR
Access to inclusive and special education.
Early childhood and lifelong learning.
Teacher training and barrier-free schools.
17.
Livelihood Component ofCBR
Vocational training and employment support.
Support for self-employment and income generation.
Access to microcredit and markets.
18.
Social Component ofCBR
Participation in family, community, and cultural life.
Reduction of stigma and social barriers.
Inclusion in recreational activities.
19.
Empowerment Component of
CBR
Self-help groups, Disabled People’s Organizations (DPOs).
Leadership development, advocacy.
Participation in governance.
Role of HealthWorkers
Early identification and referral.
Community awareness and education.
Support with assistive devices and home care.
22.
Role of PHCTeam
Integrate CBR with existing health services.
Coordinate rehabilitation efforts at local level.
23.
Role of NGOsand CBOs
Service delivery in remote areas.
Capacity building and advocacy.
Community mobilization and awareness.
24.
Training and Capacity
Building
Train families, workers, and volunteers.
Focus: disability sensitization, assistive devices, communication
skills.
25.
Monitoring and Evaluation
Track rehab outcomes and participation.
Use community-based indicators and regular feedback.
26.
Indicators of Success
School enrollment, employment rate, SHG formation.
Increased accessibility and reduced stigma.
27.
National Policy forPersons
with Disabilities (2006)
Promotes equal opportunities, barrier-free environment.
Emphasizes community-based approaches.
28.
RPwD Act 2016
Recognizes 21 disabilities.
Legal rights for education, employment, and accessibility.
Penalties for discrimination.
29.
National Programme for
Rehabilitationof Persons with
Disabilities (NPRPD)
District-level services for rehabilitation.
Strengthens community participation and sustainability.
30.
Schemes under MoSJE
ADIP Scheme: Assistive devices.
DDRS: NGO support.
Skill development and financial aid.
Intersectoral Convergence
Jointaction by health, education, and social welfare sectors.
Integrated review platforms and services.
36.
Capacity Building
Digitaltools and training apps.
Training incentives for health workers.
Partnerships with educational institutions.
37.
Technology and Innovation
Use of mobile apps, tele-rehabilitation.
3D printed assistive devices.
Online training modules.
38.
Future Prospects
Integrationwith Health & Wellness Centres (AB-HWC).
Digital disability tracking and service mapping.
Evidence-based planning and innovation.
39.
Conclusion
CBR iskey to inclusive rehabilitation and social integration.
Promotes dignity, independence, and participation.
Requires strong community, policy, and multisectoral support.
