the CBR Approach?
Institutionalised rehabilitation account for 10 - 15% of rehabilitation
needs of people with disabilities while 85 - 90% needs can be achieved
through the community.
Number of professionals in this field was limited whereas a rehabilitation
team can provide the different components of rehabilitation.
Expensive equipment and aids had to be handled and maintained by competent
staff whereas the community could in addition develop low cost equipment
to suit their needs.
Systems for medical, special and vocational rehabilitation were centred
on medical model - a model not always appropriate for developing countries.
Perception that disabled people were difficult to treat, train and educate,
with the lack of humane approach had to be overcome with families and
caregiver bridging his need at community level.
governments can rarely be accounted on to finance the total cost of
service delivery in all their communities - the basic services must
be built on resources that are available locally within the community.
[Einar Helander, Prejudice and Dignity - An Introduction to Community
Based Rehabilitation, ISBN'92]
of Community Based Rehabilitation
Such a Community based approach has several advantages. The most difficult
barriers faced by most disabled people are the negative attitudes held
by others in the community. When rehabilitation services are provided
in the person's home community, these attitudes and stereotypes are
chipped away on a daily basis; in the case of young children, they are
never allowed to develop. The extended family forms the basic fabric
of society in most developing countries. Community based training uses
the extended family as the cornerstone for the rehabilitation process.
It also assures that the training provided will be appropriate. The
final issue is cost effectiveness. [Lawrence F Campbell in J Kirk Horton's
1990 'A Training Guide for Field Workers']
CBR approach also sees the establishment of Voluntary Workers. These
volunteers frequently assist the foundation and there are many ways,
which they are able to help:
one particular client at home.
Being a committee
member for one of our regional centers.
and financial support .
in special events, displays and projects.
a child with disability to read and write.
with people with disabilities in social activities.
special skills: doctors, nurses, teachers, lawyers.
and making special equipment.
and computer skills training.
transport for people and children with disabilities