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Community-Based Rehabilitation And Its Components
29Jul 2019

Community-Based Rehabilitation And Its Components

Community-based rehabilitation or CBR is a systematised technique within community development for equalisation of opportunities, rehabilitation & social integration of PWDs. With this strategy people with disabilities start living a great life within their community. CBR is executed through the integrated efforts of people with disabilities, their communities, and proper education, health, and social services. CBR approach is multi-structural and it contains government or non governmental services which offers premium assistance to communities.
Community-based rehabilitation gets neighbours, parents, friends, employers and teachers involved in a great attempt to drive general development. Basically, education, health services, employment, vocational training all are connected with the community-based rehabilitation. In short,  rehabilitation makes our society happier. 
Components of Community-Based rehabilitation or CBR
The components of a CBR programme must include the following things: 
1. Making positive attitudes towards PWD’s
CBR is very much essential for ensuring the equalisation of opportunities for people with disabilities within their community. A positive attitude among the community members may be created by making them involved in the method of design & execution of the programme, and by transferring of the knowledge about the different disability issues to the community members. 
2. Providing functional rehabilitation services
Most of the people with disabilities need proper assistance to minimise or overcome the effects of functional disabilities or limitations. In some communities, where professional services are not available, Community-Based rehabilitation or CBR need to provide the ultimate solutions to it. CBR trainers must be very much well-trained and experienced in providing rehabilitation therapy in the following rehabilitation areas:
    • Medical service
    • Eye care service
    • Physiotherapy
    • Hearing services
    • Orientation & mobility training
    • Occupational therapy
    • Psychological counseling
    • Speech therapy
    • Orthotics & Prosthetics
3. Making macro and micro income-generation opportunities
PWDs always want access to macro and micro income-generation activities. They also need to obtain financial credits through many existing systems. In rural areas and villages,  income-generation activities must focus on proper vocational skills. Community members conducts the training program in these skills and transfers their knowledge and skills very easily to people with disabilities. 
4. Developing training and educational opportunities
People with disabilities or PWDs have an equal right to get all kinds of educational and training opportunities. These opportunities help them to stay happy in the society. In some communities, professional services are unable to develop these opportunities; it is in those communities that CBR trainers should be able to provide the basic levels of service to people with disabilities. They should provide their services in the following areas:
    • Early childhood referral and intervention, specially to medical services of rehabilitation
    • Non-formal education where regular schooling isn’t available
    • Education in the regular schools
    • Special education in special and regular schools
    • Training in sign language 
    • Training in living skills
    • Braille training
5. Providing care facilities
CBR communities provide all kinds of care facilities to people with disabilities who have no family and friends or have incapable families who aren’t able to take care of them. These facilities help them to survive in the society. Day-care facilities are offered to respite families who either work or are in need of recreation for any other activity.  
6. Prevention of disabilities
Proper nutrition is the most significant way to prevent the causes of disabilities. The causes of disabilities can also be minimised by detecting any kind of disability in children and intervening early in their growth for minimising the effect of their impairment.
7. Monitoring and evaluation
The efficiency and effectiveness of all the components of a CBR programme, which exists both within the community as well as in service delivery area that’s outside the community, actually depends on the effective practices of the management. Generally, these activities should be measured on a daily basis and people should be well trained in management practices. Data should be gathered, reviewed & assessed to make sure that the objectives of the programme are met. In fact, the success and failure of a CBR programme is measured this way. 
CBR was established by WHO in the year of 1978 for enhancing the quality of life for PWDs. Nowadays, the scope of Community-based rehabilitation or CBR is very much developed in India. It can provide proper assistance and create positive attitudes towards people with disabilities and help them to stay healthy in the community. 


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