Programme : Agenda
1 :
Community Based Rehabilitation (CBR) Strategy for poverty alleviation,
rehabilitation & equal opportunities
Presented by
Chapal Khasnabis
Disability and Rehabilitation (DAR) Team World Health Organization
Slide 1
Community Based Rehabilitation (CBR) Strategy for poverty
alleviation, rehabilitation & equal opportunities
Chapal Khasnabis
Disability and Rehabilitation (DAR) Team
World Health Organization
khasnabisc@who.int
2
Our Vision:
A world for all
- Access
- Rights
- Dignity
- Inclusion
- Participation
3
Our Mission:
To enhance the quality of life for persons with disabilities through
local, national, regional and global efforts
4
Guiding documents
- the UN Standard Rules on the Equalization of Opportunities for Persons
with Disabilities
- WHO Resolution on Disability, including prevention, management and
rehabilitation
5
United Nations Standard Rules on the Equalization of Opportunities for
Persons with Disabilities
- Rule 1. (awareness-raising)
- Rule 2. (medical care)
- Rule 3. (rehabilitation)
- Rule 4. (support services)
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Preconditions for Equal opportunities
58th WORLD HEALTH ASSEMBLY 25th May 2005 (WHA 58.23)
- In support to UN Standard Rules and proposed UN Comprehensive and
integral international convention on protection and promotion of the
rights and dignity of persons with disabilities
- Adopted a Resolution on Disability, including prevention, management
and rehabilitation
7
Key products...
- World Report on Disability and Rehabilitation
- Guidelines on Strengthening Medical Rehabilitation
- Guidelines on assistive devices
- Guidelines for CBR – a Strategy for poverty alleviation,
rehabilitation & equal opportunities
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Poverty & Disability
- The unique and strong linkage between poverty, illiteracy, poor health
care, disability and exclusion is well established.
- Poverty increases disability, at the same time, disability enhances
poverty, especially in poor family. People living in poverty are more
likely to acquire disability than others.
- In any community, often the poorest of the poor are people with
disabilities and their family members.
9
Poverty & Disability
- People with disabilities and their family members have less
opportunities and are deprived of basic human rights
- To majority, livelihood opportunities are more essential than
healthcare and rehabilitation
- Persons with disabilities living in poverty often put aside their
health and rehabilitation needs to sustain a livelihood resulting in long
term consequences and even premature death.
10
Poverty & Disability
- Poverty is the critical issue for people with disabilities, and within
the category ‘people with disabilities’, some groups of people are
considerably more likely to be poor than others.
- For example, women with disabilities are not just more likely to be
poor but also due to marginalization and exclusion, more likely to
experience extreme poverty
11
Poverty & Disability
- Mainstream approaches to poverty alleviation frequently marginalize or
ignore the rights of people with disabilities. They remain marginalized or
absent from initiatives such as the Millennium Development Goals.
- Such initiatives may contribute to poverty alleviation but will fail
to affect those living in chronic poverty – most likely to be people with
disabilities and their families.
12
Poverty, MDG & CBR
- Poverty alleviation strategies which target people with disability
also bring socio-economic benefits to the whole community and ultimately
to the country.
- A special effort has to be made to ensure benefit of MDG reaches to
people with disabilities and their families.
- A strong partnership between CBR and MDG could make this possible.
13
25 years of CBR review at Helsinki (2003)
- It was unanimously agreed that disability should be part of all
developmental agendas.
- All national development programmes especially poverty reduction
strategies need to make a specific effort to ensure the benefits from such
programmes reach people with disabilities and their families.
14
CBR Joint Position Paper (2004)
- Multi-sectoral strategy in creating access to: health, education,
livelihood opportunities, participation and inclusion
- Strategy for poverty alleviation
- Strategy for socio-economic development
- Strategy for reaching out
- Strategy for achieving Human Rights
15
Developing CBR Guidelines
- CBR is community action to facilitate that people with disabilities
have the same rights and opportunities as all other community members.
- This includes, for example, equal access to health care, education,
skills training, employment, family life, social mobility and political
empowerment.
16
CBR - Core objectives
- Inclusion of people with disabilities in the civil, social, political
and economic structures of the community.
- People with disabilities playing a full part as citizens or equal
members of the community with the same rights, entitlements and
responsibilities as others, while contributing tangible benefits to the
whole community.
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Purpose:
- To provide a step-by-step guide to the implementation of Community
Based Rehabilitation programmes.
- These guidelines are for use by CBR programme implementers who may be
policy makers, programme managers or project workers.
- A practical guide to strengthen the delivery of CBR and the day-to-day
practice in the field.
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CBR - Key methods
- Meeting basic needs
- Building capacity
- Creating opportunities for livelihood, health, rehabilitation and
education
- Organizing disabled people and involving disabled people’s
organisations [DPO’s]
- Collaborating across sectors
- Involving the whole community
- Involving local government and leaders
- Using the legislation, judicial and political systems
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CBR MATRIX
[graphical presentation of relationships of health, education,
livelihoods, empowerment and social to CBR]
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HEALTH & REHABILITATION
- PROMOTIVE
- PREVENTIVE
- CURATIVE
- REHABILITATIVE
- ASSISTIVE DEVICES
Children start going to school and adults making income
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EDUCATION
- Early childhood development
- Non-formal education
- Basic education
- Higher education
- Special and transitory
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LIVELIHOODS
- Skills training
- Access to capital
- Income generating activities
- Open employment
- Economic contribution and social protection
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EMPOWERMENT
- Self-help groups
- Disabled peoples organizations [DPO’s]
- Social mobilization
- Political empowerment
- Language and communication
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SOCIAL INCLUSION
- Legal protection
- Culture and religion
- Sports and leisure
[social activities]
- Relationships, marriage and family
- Personal assistance
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Next Steps
- Drafting the guidelines
- Regional Workshops
- Publication of Guidelines.
- Publication in different languages and formats, and dissemination
- Training of personnel
- Country Implementation
Thank You
26
DAR in WHO
[diagram showing DAR's place in the WHO organization chart]
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