This document summarizes information about community-based rehabilitation (CBR) from multiple sources. It notes that around 150-190 million people experience disabilities globally, disproportionately affecting vulnerable groups. CBR is a strategy that empowers people with disabilities to access education, employment, health and social services through a community-based approach. The guidelines were developed over 6 years through a collaborative international process. CBR aims to promote the inclusion of people with disabilities in their communities and access to core development sectors like health, education and livelihoods.

1. |
CBR

2. |
Global Situation
 15% of Global Population, 1 in 7!
 Around 150 -190 million adults (2 -
4%) experience significant difficulties
functioning.
 Disability prevalence is increasing due
to Ageing, NCDs and Injuries.
 Disproportionately affects vulnerable
populations: women, older people and
poor households
 Disability prevalence higher in low
income countries

3.  People with disabilities have
generally poorer health, lower
education achievements, fewer
economic opportunities and higher
rates of poverty than people without
disabilities.
 People with disabilities more likely
to experience greater social
isolation and decreased
participation in community life.
 Greater barriers to accessing
services in low income countries.
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The World Report
on Disability

4. |
What is CBR?
 Community based rehabilitation (CBR) is a strategy for achieving
Community Based Inclusive Development. It is focused on
enhancing the quality of life of people with disabilities and their
families, it’s about meeting basic needs and ensuring inclusion in
local communities and improving access to services.
 CBR is a multi-sectoral ‘community based’ approach that
empowers people with disability to access and equally benefit from
education, employment, health and social services. CBR changes
individuals, communities and local services.
 CBR is implemented through the combined efforts of people with
disabilities, their families, organisations and communities, relevant
government and non-government health, education, vocational,
social and other services.

5. CBR is a dynamic and evolving
strategy which has changed
significantly in last 33 years
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6. |
CBR Guideline Development
 Nearly 6 years of work, partnership
among 3 UN Agencies and 26
NGOs
 Contribution from more than 150
people and peer reviewed by 26
experts, including people with
disabilities.
 Nearly 300 organizations from 29
countries took part in the field
validation.
 A consensus document: an
example of partnership and
working together

7. CBR – Community Based Inclusive Development (CBID)
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 Empowerment - nucleus or
foundation of any CBR
progam
 People with disabilities and
their family members leading
in decision-making processes
 Focused approach across
four key sectors, may then
move beyond.

8. CBR Guidelines: major shift
Making key development sectors inclusive
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CBR
EMPOWERMENT

9. |

10. |
Maslow's Hierarchy of Needs - Basic needs first
Abraham Maslow
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Self-actualization
Esteem
Empowerment
Social needs
Love and belonging
Family, inclusion, participation
Safety needs
Health, education, finance, well-being
Basic needs
Food, water, shelter

11. |

12. |
Disabled people are the change-agents
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National government
Local government,/
NGOs
Community leaders,
teachers, health
workers
Community
members
Person with
disability &
family

13. |
CRPD and CBR
 CRPD – guiding approach & high level framework that
influences through changes in policies and programmes.
 The CBR Guidelines adopted the same CRPD principles.
 CBR – makes the CRPD real.
 CBR provides and promotes access to a range of services
 Articles: living independently (19), personal mobility (20),
access to information (21), family and marriage (23),
education (24), health (25), habilitation & rehabilitation
(26), work & employment (27)…

14. |
CBR and Incheon Strategy
1. The Incheon Strategy provides the
Asian and Pacific region, and the world,
with the first set of regionally agreed
disability-inclusive development goals.
2. Strategy comprises 10 goals, 27 targets
and 62 indicators.
3. Reduce poverty and enhance work and
employment prospects is the first goal.
4. UNESCAP promoting CBR as a key
strategy for realization of Incheon
strategy and goals.

15. CBR is a multisectoral community-based
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strategy

16. |
The link between CBR and MDGs
A strategy for less resourced settings
MDG Countries CBR Countries
Source: UNDP

17. |
Disability Inclusive Development
Disability inclusive Development is both a process and an outcome
Inclusive development’ occurs when the ‘good development changes’
benefit all the community. Inclusive development ‘includes’ people
with disabilities, they participate and benefit equally from the
development process around them.
Inclusive development respects the diversity that disability brings and
appreciates that it is a normal part of the human experience.
Inclusive development sets out to achieve equality of human rights
for people with disabilities as well as full participation, and access
to, all aspects of society.

18. |

19. |
Disability Inclusive Development (DID)
and CBR
 CBR – Community-based inclusive development
 CBR is “localised DID”
 CBR can support both parts of the ‘twin track’ approach.
 CBR programmes are typically CBR specific
 CBR approaches support mainstreaming.

20. |
3 Types of CBR Programmes Evolving
1. CBR as a Disability
Specific / targeted
Programmes
Triple-track
Approach
3. People with
disability and other
groups -
development for all
2. Mainstreaming
Disability Across
key sectors
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Often rehabilitation,
assistive devices, early
intervention, livelihood
and disability specific
services.

21. CBR is about changing culture and practice
 Stigma and prejudice to understanding
 Exclusion to inclusion
 Top-down approach to multisectoral bottom-up approach
 From a passive receiver to active contributor
 Basic needs and then beyond.
 If it doesn’t empower its not CBR!
 Start with what you have and add as you go
 CBR evolves and grows.
 Everyone everywhere – reaching those who need it most
 |
Beyond disability – inclusive community development

22. Thank you