CBR Vs IBR

CBR vs IBR-CBR subject. Download [15.00 KB]. Author Amisha Angle Posted on December 2, 2016. Leave a Reply Cancel reply.Community Based Rehabilitation: With CBR, the locus of control should be with the community.

1. CBR Vs IBR PhysioAadhar

2. Objective

3. D efinition Utilization of Existing capacities of the Handicapped person, by the combined & co-ordinated use of Medical ,Social, Educational & Vocational measures to the optimum level of his functional ability Sunder

4. Existing capacities Optimum level of functional ability

5. CBR CBR is a strategy within general community development for the rehabilitation, equalization of opportunities and social inclusion of all people with disabilities. a strategy for enhancing the quality of life of the disabled people by improving service delivery, by providing more equitable opportunities and by promoting and protecting their human rights

6. CBR is implemented through the combined efforts of people with disabilities themselves, their families, organizations and communities, and the relevant governmental and non-governmental health, education, vocational, social and other services. i.e. it promotes multi- sectoral collaboration. It promotes rights and participation of people with disabilities and strengthens the role of their organizations in countries around the world. It aims as ‘ a society for all ’.

7. Approaches for CBR development- 1994- ILO,UNESCO,WHO, but still many people with disabilities do not receive rehabilitation services unable to participate equally in education, training, work, recreation or other activities in their community or wider society The strategy promotes community leadership and full participation of people with disabilities and their organizations.

8. AIMS of CBR A . Individually focused aims 1.Direct service to PWD and their families 2.Family support to caregivers 3.Vocational development 4.Empowerment B. Community focused aims - (PARAS) 1.Attitude change 2.Sustainability 3.Advocacy 4.Providing education 5.Research

9. Principles of CBR 1. Change community attitude 2. To keep disabled persons functioning 3. Transfer health care knowledge 4. Participation in health care program 5. Increase level of knowledge 6. Develop health care services

10. Advantages of CBR Wide coverage service can be achieved Community interaction and the empowerment Affordability Build up of manpower and resources Comprehensive and holistic development Awareness and acceptance Sustainability Wise use of local resources Need based planning

11. Disadvantages of CBR Improper care due to lack of specialized trainee Difficulties with evaluation Reducing the importance of professional services Unreliability of community involvement Limitation of local resources Difference in large scale co-ordination and co-operation

12. Participants in CBR People with disabilities Families of PWD Communities Government Non governmental organizations

13. Institutional Based Rehabilitation All the rehabilitation process should start as early as possible and as such it becomes a parallel process to the treatment of severe illness producing the disabilities. The quality of service can be good only at institution based services

14. Most of the severe illnesses in their terminal stages are treated at hospital or institution and where in the institution the rehabilitation has also started. Many of the major disabilities has to be handled by a skilled person and such IBR offers an opportunity not only to start early rehabilitation procedures but also skilled services at the institution.

15. CBR IBR Cost of treatment Cheaper Costly Accessibility of services Accessible to all Only few institutions are accessible to all Extension of services Can be done without of much cost Not possible Social rehabilitation Possible Not possible as patient is away from family Psychological rehabilitation Much Possible as they have support of family Not much possible Skilled personal care Not given Given

16. CBR IBR Application of advanced technique Not possible Possible Quality of service Not good Good Active participation Possible Not possible Socio-Economic status Considered Not considered Promotion of awareness Yes Not Community interaction Done Not done Evaluation Difficult Possible Duration and location of training 3 months-1 year, locally trained 4 year degree, institutionally trained Goal of training Interventions to prepare the re-entry of client to his home. Interventions to discharge patient from hospital.

17. Role of Physiotherapist Educating communities who have not been exposed to regular health care, about the benefits of physical therapy within CBR. Consulting disabled people to identify those who can best illustrate change in their lives as a result of rehabilitation. Promoting the inclusion of all disabled people and especially marginalized groups (e.g. People with learning difficulties, women).

18. “ If you give a person a fish, he’ll eat for a day ; if you teach him to fish he’ll eat for a lifetime .”

19. Thank You