The document discusses community-based rehabilitation (CBR) as a strategy for rehabilitation, equal opportunities, and social inclusion for people with disabilities. It defines CBR as efforts by people with disabilities, their families, and communities combined with support from health, education, and social services. The principles of CBR are solidarity and dignity. A good CBR program builds on community resources, involves coordination between government programs and hospitals, and has commitment from professionals and politicians.

1. NATIONAL CONFERENCE ON, APPROACH THE FUTURE OF HEALTH-
SOCIAL INTEGRATION AND REHABILITATION SOLUTION
21ST Nov 2015
NEWER PERSPECTIVE IN
COMMUNITY BASED REHABILITATION
Prof. Saramma Samuel
Principal
R.v.s college of nursing
Sulur, coimbatore

2. A NORMALPEACEFUL DAY AT A VILLAGE

3. PEOPLE COMMUTING TO WORK USING DIFFERENT MODES OF TRANSPORTATION

4. DAILY ROUTINES AT COLLEGE, HOSPITALS, OFFICES AND IN THE
PLAYGROUND

5. UNTIL DISASTER STRIKES SUDDENLY

6. NEWER PERSPECTIVE IN
COMMUNITY BASED REHABILITATION

7. EMBEDDED IN
PRIMARY
HEALTH CARE
PEOPLE WITH
DISABILITY
(HANDICAP)
EARLIER CONCEPTS OF REHABILITATION

8. Definition of Community based
Rehabilitation
CBR is "a strategy within general
community development for
rehabilitation, equalization of
opportunities, and social inclusion
of all people, implemented
through the combined efforts of
people with disabilities
themselves, their families and
communities, and the appropriate
health, education, vocational, and
social services" (ILO, UNESCO, &
WHO, 2004).
MULTISECTORAL APPROACH

9. MULTISECTORAL/MULTIDISCIPLINARY
• CLOSE CO-ORDINATION
• COLLABORATION
• CO-OPERATION
BETWEEN GOVT/NON
GOVT
• DECENTRALISATION OF
RESPONSIBILITY,
RESOURCES (5Ms)

10. GOAL &Objectives of CBR
To promote a
development that will
allow the society to live
a life of dignity.
- Rehabilitative services
provided
- Elimination
environmental barriers
- Providing
compensation for
disabled people
- Sensitization of society

11. Principles of CBR
Solidarity
Dignity

12. COMPONENTS OF CBR
• Creating a positive attitude
towards people who need CBR
• Provision of functional
rehabilitation services
• Provision of Education &
Training
• Creating micro & macro income
generation opportunities.
• Provision of care facilities
• Prevention of causes of
disabilities
• Management, monitoring and
evaluation

13. CBR MATRIX

14. THE SECTORS INVOLVED IN CBR
1.Affected people
2.Families of affected people
3.Communities
4.Governments (local, regional, national)
5.Non governmental Organizations, local, regional
and national)
6.Medical professionals, allied health, educators,
social scientists and others
7.The private sector ( business and industry)

15. Advantage of CBR Programmes
• Home based
• Less expensive
• Existing
community
responses and
resources
• Focus on quality
rather than
quantity
• Multiple
approaches
based on
community needs

16. Limitations of CBR Programmes
• Different priorities. CBR programme
should therefore be focusing on
essential needs.
• Complex Organization- Multisectorial
• Low field activity- Educated workers
rarely go to field and also find hard to
communicate with low educated
people.
• Low Social status to CBR worker-
Frontline CBR is low profile job so less
educated workers may influence quality
of services provided
• Lack of community ownership-
Breakdown of traditional social structure
that contribute to several problems
• Expensive approach- as focus on quality

17. Good CBR Programme
•Build on widespread and existing
resources of community
•Ideas and skills which are existing in
minds of family members, community and
affected members
•Has inbuilt community level programmes
•Part of national agenda in dealing with
disability
•Coordination between various govt
programmes
•Hospital to add CBR component to their
outreach services
•Professional and political commitment

18. THANK YOU