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Community Based Rehabilitation Division

About Community Based Rehabilitation-

The medical model and the social model are often presented as dichotomous, but disability should be viewed neither as purely medical nor as purely social: persons with disabilities can often experience problems arising from their health condition. A balanced approach is needed, giving appropriate weight to the different aspects of disability.

The ICF (international Classification of Functioning), adopted as the conceptual frame work for this World report on disability, under stands functioning and disability as a dynamic interaction between health conditions and contextual factors, both personal and environmental. Promoted as a “bio-psycho-social model”, it represents a workable compromise between medical and social models.

Understanding the concept ABC started its CBR programme in the remote places of the districts of west Bengal. The project started therapeutic and special educational intervention programme to the children with disability in the community involving parents from beginning to end as an equal partner of the rehabilitation process. This project also ensures the empowerment of parents and family, community mobilization and opportunity of the children with disabilities in the community.

The Preamble to the CRPD acknowledges that disability is “an evolving concept”, but also stresses that “disability results from the inter action between persons with impairments and attitudinal and environmental barriers that hinder their full and effective participation in society on an equal basis with others”. Negative attitudes and behaviors have an adverse effect on children and adults with disabilities, leading to negative consequences such as low self-esteem and reduced participation. Community-based rehabilitation (CBR) programmes can challenge negative attitudes in rural communities, leading to greater visibility and participation by people with disabilities.

The team CBR organized massive Awareness Programme, workshop, training programme for grass root level worker, Skill development training of parents and care giver to remove barriers from the society.

Specific Aims –

  1. Rehabilitation including Early Intervention for person with disabilities focusing children in rural area where there is no rehabilitation service available.
  2. Promote early detection of infants at high risk of disability in rural community.
  3. Support to the family by strengthening their capacity and involvement of local community resources.
  4. To promote opportunity, participation and ensuring the rights of the Persons with Disabilities (PWDs).

Implementation Method –

This project consists of three sub category:

(1)  Direct Intervention programme through Community Rehabilitation Centre (CRC): at present the organization run 11 CRC throughout 6 district of West Bengal and reached – villages. Through these CRC we provide intervention to develop Physical, Cognitive, Socio-emotional and communication skills. The CRC provide service mainly to the children with disabilities.

(2)  Capacity building of parents, Family and Community at large: continues training for parents and care giver to make them better understand the disability, its outcome and to address the need of the individual with disabilities. Large numbers of community sensitization organize to take the ownership of the disabled individual within the community.

(3)  Referral and networking: merge the disabled people and avail the rights we work with different government and non government sector in the community and established linkage for inclusion.

Participants:

Around 330 children with disabilities will be received the intervention programme through the CRCs. The caregiver and their infant will be referred to the detection by ABC’s Field workers, health professionals or Community Health Workers from regional and tertiary hospitals, community health centres, routine immunization clinics, or in the community. Referrals for the project will be supported through awareness programs in the community, which have been an effective strategy for disability programs in this context. Children will be screened in the community from 11 sites.

1. Kathila CRC: Through this CRC we will serve the population Uluberia I, Uluberia I, block consisting 102 villages Reaches a population of 406,991 (census 2011) (Howrah District): These two blocks are a site for the current CBR activities. This block is a site for the current CBR activities since 2004.

2. Amoragori CRC: 208,132 no of population in 77 villages of Amta II Block (census 2011) (Howrah District) covered by the CRC. Asha Bhavan centre providing community-based services in this block. This block is a site for the current CBR activities since 2004.

3. Shyampur CRC: Through CBR programme we are providing services to two block namely Shyampur I and Shyamput II consisting 143 villages having 403,013 population (census 2011) (Howrah District). This block is a site for the current CBR activities since 2004.

4. Bagnan CRC: This CRC reached 385,905 residents in 96 villages of Bagnan I and Bagnan II block (census 2011) (Howrah District):. Asha Bhavan centre has provided community-based services in this block. This block is a site for the current CBR activities since 2004.

5. Panskura CRC: Through this CRC we will serve the population Panskura block consisting 225 villages reaches a population of 283,303 (census 2011) (Purba Midnapore District): This block is a site for the current CBR activities since 2005.

6. Sankrail CRC: total 983,451 population of 87 villages of Sankrail, Domjur and Panchla Block (census 2011) (Howrah District) is coved through this Centre. This block is a site for the current CBR activities since 2004.

7. Bishnupur CRC: This service area cover has 187 823 residents of which the majority (90%) is rural dwelling, and over half depend on agriculture for their livelihood. Asha Bhavan centre has provided community-based services in this block since 2009.

8. Sherpur CRC: This densely populated district of 273,332 residents is considered India’s poorest district with 56% living below the poverty line; reliant on agriculture, silk farms and weaving for their livelihoods. The block has a rural hospital, and an Asha Bhavan centre providing community-based services since 2013. (census 2011) (Mushidabad District):

9. Mathabhanga CRC: All 218 191 of this block’s residents are from a rural setting, and reliant on agriculture for their livelihood. Asha Bhavan centre has provided community-based services in this block since 2012. (census 2011) (Coochbihar District): an Asha Bhavan centre providing community-based services since 2009.

10. Ghoksardanga CRC: The remotest area lies in the most northern part of the state, 196,256 of this block’s residents are from a rural setting, and reliant on agriculture for their livelihood. (Census 2011) (Coochbehar District): an Asha Bhavan centre providing community-based services since 2013.

11. Keoradanga CRC: this Centre cover 86 villages having 232, 365 population of Bishnupur plock (census 2011) (South 24 Pargana District): CBR working in this block since 20013.

CBR                       2012-13 2013-14 2014-15 2015-16 2016-17 TOTAL
No of children received rehabilitation services                          356 361 372 364 355 1808 
Community Sensitization programme                      2840 3114 2968 1682 2720  13324
Parents Training programme  552 1010 261 374 1211 3408
Support for Income Generating Activities                       107 70 144 71 88 480
            19020

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