Community Based Rehabilitation (CBR)

What is Community Based Rehabilitation?

Community Based Rehabilitation (CBR) originally began in the 1970s as a way to provide low-skilled rehabilitation for people with disabilities in low-income countries, and then in the 1980s it began to focus on people and community development. [1] 1989 World Health Organization (WHO) Handbook training for people with disabilities was released in the community to provide guidance and support to CBR programs and stakeholders. [2]

Community Based Rehabilitation

CBR was defined in 2004 by the International Labor Organization (ILO) the United Nations Educational Scientific and Cultural Organization (UNESCO) and WHO as “a process of working throughout community development to realign opportunities for poverty reduction and social equality inclusion of all persons with disabilities. CBR is implemented through a combination of efforts by people with disabilities themselves their families organizations and community and government and non-government health education working life and other related services.”[3]

[4]

Guidelines for Local Restoration

The Community Based Rehabilitation Guidelines help CBR practitioners around the world develop CBR Programs for a common understanding and approach for CBR around the world. [2] The Directive is heavily influenced by the Convention on the Rights of Persons with Disabilities (CRPD) and its. protocol of your choice. [2] .

The main target audience of the guidelines is CBR officials. The guidelines can also be and can be used by other CBR staff community development workers disabled organizations and self-help groups government officials various non-governmental and not-for-profit organizations research and study purposes. [2] .

The Guide is presented in seven booklets:

1. Booklet 1 consists of an introduction and an application chapter[2].
2. Booklets 2 -6 examine one of the five factors (health literacy social life and empowerment within the CBR matrix [2].
3. Document 7 is a supplementary document covering four specific issues (mental health HIV/AIDS leprosy and humanitarian crisis)[2].

The objectives of the guideline are[2]:

• To provide guidance on the development and implementation of CBR policies in accordance with the joint CBR position paper and the CRPD.
• To promote community-based CBR to contribute to disability in development processes and, in particular, poverty reduction.
• To assist stakeholders to meet the basic needs and enhance the lives of people with disabilities and their families by facilitating health education social and social services.
• To encourage stakeholders to facilitate the capacity of PWDs and their families through their inclusion and participation in development and decision-making processes.

Community Based Rehabilitation Matrix

The Community Based Rehabilitation Matrix is a framework for CBR programming. It has five main components: health education social life and empowerment and in each dimension there are five components.[2] The CBR Matrix provides an idea of the level of focus for effective CBR Function.[2]The following table lists the components of the CBR matrix including its properties.[2]

HealthResourcesLife social controlDevelopmentEarly childhoodskills developmentIndividual supportAdvocacy and communicationPreventionEarlyOwn workRelationships marriage and familyCommunity mobilizationNursingAir and beyondPaid workCulture and artsPolitics participationRehabilitationInformalEconomic activitiesRecreation recreation and sportsSelf-help groupsAssisted devices for lifelong learningSocial securityJusticeDisabled organizations

Community-Based Rehabilitation Principles

CBR principles are based on CRPD principles.[2] The principles are:

• Respect for the dignity of inherent individual liberty including freedom of choice and human liberty
• Non-discrimination
• Full and effective participation and participation in society
• Respect for difference and recognition of people with disabilities as part of diversity and humanity
• Equality of opportunity
• Accessibility
• Equality between men and women
• Respect for the evolving abilities of children with disabilities and respect for the rights of children with disabilities to preserve their identity.[2]

Are Local Rehabilitation Projects and Programs the Same ?

The table shown below explains the difference between CBR Services and CBR Services. [2] .

Table 2 Differences between community-based projects and programs CBR projects CBR projects are small in scale and focus on achieving very specific results within one component of the CBR matrix Short-term setting of start and end points. It can be started by locals if government support is limited Community groups and NGOs. Large in scale More complex than a project Often long-term with no firm completion date