© Handicap International

The concept of Community Based Rehabilitation (CBR) is the decentralization of responsibility and resources, both human and financial, to community-level organisations.

The improvement of the capacity and skills for facilitating community involvement is a key component of CBR. Another key aspect is providing the community with the ability to assume responsibility for ensuring that all its members, including those with disabilities, are given equal access to locally available resources and that they participate fully in the economic, social and political life of the community.

© Handicap International

Our Approach

Rehabilitation, equal opportunities and social inclusion are at the core of our strategy. CBR is implemented through the joint efforts of disabled people, their families and communities, and the appropriate education, health and social services. CBR projects try to stimulate local initiatives and self-determination by supporting projects where disabled people become the main actors. Income generating projects, sport or leisure activities are some examples of CBR intervention.

© Handicap International

CBR projects include various activities:

• Promoting a positive attitude towards disabled people. To do so, community members are involved from the beginning of the project to ensure their full commitment.
  
• Prevention of the causes of disabilities. Simple measures can prevent disability. Early detection of disability and early intervention can reduce the effect of impairment. For example, obstructed or prolonged labour can lead to severe postpartum infections and increased risk of Pelvic Inflammatory Disease, infertility and neurological injuries, including a condition called “foot drop” that makes walking difficult. In India, the training we provide to doctors and health workers covers the cause-effect cycle and accentuates the need for accessing pre natal care so that they may sensitise women about when they should seek medical assistance during labour.
  
• Provision of rehabilitation services. CBR workers should be able to provide primary rehabilitation care and liaise with professional services in various sectors: medical, eye and hearing care, physiotherapy, occupational therapy, speech therapy, psychological counselling, orthotics and prosthetics.
  
• Education and training. Disabled people must have equal access to education and training services. CBR workers can help teachers and trainers to include disabled people in their courses.
  
• Supporting local initiatives. Income-generating activities, financial credits, theatre, sport are examples of activities that can be facilitated by CBR workers and communities.