Principles of Community Based Rehabilitation.pptx

Principles of CBR

1. Principles of Community Based Rehabilitation Dr. Akshay Raju Badore MPT - CBR

2. Major Principles of CBR For effective planning, implementation and evaluation of CBR as a strategy it should be guided on a set of principles. According to Helander (1999) the following five points can be forwarded as basic principles…..

3. 1. Equality It is based on the assumption that all human beings are of inherently equal worth, are entitled to equal rights and share the same responsibilities. Being human beings having different abilities, unique personalities do not make them unequal in worth. It is a fact that peoples with disabilities in most societies are denied equality in rights.

4. Cont…. It emphasized that there is no higher or lower position in this relation. Each party has its own roles and works according to its potency to reach the same vision that has been decided before. No party should ever feel superior because it gives the assistance, nor should a party feel inferior because it receives the assistance. It must be kept in mind that upon the completion of the program both parties must feel satisfied.

5. 2.Social justice It holds the assumption that services and opportunities provided for peoples with disabilities should be at the disposal of all and not be reserved for a numerically small group among them. It justifies that the ultimate goal is to make individualized care, training, schooling and access to employment and income generation available to all peoples with disabilities. The program must benefit both parties. The implementation of the program must nit cause one party to suffer, while the other party reaps the benefits.

6. 3. Solidarity The responsibility for fostering human life is shared by all. Solidarity should be shown toward those children, the elderly, and those who have a disability among us who are dependent and need help. The purpose and efforts of solidarity should be seen as a privilege of all and not as a charity for some.

7. 4. Integration All members of the society should join in the mainstream of community life. Segregation of services, housing, jobs, education, transportation and so on…. Is mainly caused by social factors and cultural prejudice. Integration of peoples with disabilities in all aspects of life will, in the larger perspective help term to achieve friendship with and esteem by others and attain the degree of human dignity.

8. Cont… Authorities in the field of special need forward some basic rules in how to integrate peoples with disabilities in the larger community. Here are the basic rules…. (a) Family life : Peoples with disabilities should have freedom to find a partner, have children and set up their own family and live in their community. (b) Shelter : Peoples with disabilities should have shelter and be able to move about freely at home and in their surrounding. (c) Food : They should be breast fed and should have a faire share of their family food. (d) Schooling : As a child with disability, they should go to school with in the non disabled.

9. ( e)Education and training : Children with disability should get the opportunities for education and training that they need in order to proper themselves to work and live independently. (f) Leisure time : Peoples with disabilities should be free to join others on social, cultural and religious occasions. (g) Public services : Different public services should be accessible to all peoples. For example road and public transport should be designed in such a way to let access of peoples with disabilities .

10. Cont… (h) Economic opportunities : People with disabilities should have the same opportunities to work as other people and any loss of income cause by their disability should be compensate. ( i ) Political participation : People with disabilities should be allowed to vote and to participate in government as other citizens do. Their voice should be heard in matters of concern.

11. 5. Dignity Quality that earns or deserves respect It holds the assumption that all peoples with disabilities should live a life in dignity. In addition to the above explained principles, the world program of Action for Peoples with Disabilities forwarded the following issues as important principles of community based rehabilitation.

12. (A) Empowerment : Refers to an attainment of set of essential rights such as the right to live normal patterns of life with in the community, be treated as individuals and receive additional support and professional services from the community. It is an on-going process that comes through working with peoples with disabilities and their families as well as other community members. It begins with a transfer of knowledge through awareness creation.

13. (B)Participation As a principle of community development program, CBR emphasizes the participation of peoples with disabilities, local governments and others in the planning, implementation and evaluation of CBR activities. Under this principle, it underscores that true change and development can only emerge through active participation of the affected community, not through the good will of others working for them. The involvement of peoples with disabilities and their families in the planning and decision making in matters affecting their lives facilitates the incorporation of the felt needs and priorities and concerns of peoples with disabilities during program design.

14. (C)Use of ordinary structure : Peoples with disabilities should receive the assistance they deserve for their needs within the ordinary structures of education, health, social services etc. available at the community level. Thus, they share an ordinary life within and a long with other members of the community, which is the basis for developing sense of identity. It is generally believed that rehabilitating peoples with disabilities using ordinary structures available at the community level reduces over head costs, make CBR cost-effective unlike the major problems common to the institution based rehabilitation.

15. (D)Contribution : With the right type of assistance by the community, most peoples with disabilities are believed to become economic self-reliant and make meaningful contribution to their families and to community at large. All peoples, whether they have disabilities or not, need enabling measures through education, training, employment and many other social services to achieve self-reliance and to contribute their part. CBR requires motivating local communities, people with disabilities, their families and friends to mobilize their own resources ( human, material and finance) and take part in rehabilitation training.