COMMUNITY BASED REHABILITATION FORUM

Strategies of CBR Forum

PMW, 26 March 2012, Bangalore

1. Gain a common understanding on the strategies of CBR Forum1. CBR 2. District Level Initiative (DLI)3. Mainstreaming (MS)

2. Rights Based Approach (RBA)

Objectives of this session

• CBR is a strategy within general community development for the rehabilitation, equalization of opportunities and social inclusion of all people with disabilities. (Joint Position Paper 2004 of ILO,

UNESCO, WHO).

• CBR is implemented through the combined efforts of people with disabilities, their families, organizations and communities, and the relevant governmental and non-governmental health, education, vocational, social and other services.

WHAT IS CBR?

1. To work at the level of individual people with disabilities and their families –

1. To maximize their physical and mental abilities,

2. To access regular services and opportunities, and

3. To become active contributors to the community and society.

2. To work with families/ communities to lift the barriers (attitudinal, institutional, information, communication, physical) that prevent the participation of persons with disabilities as Equals

Major Objectives of CBR

Principles of CBR

The principles of CBR are based on the principles of the Convention on the Rights of Persons with Disabilities (CRPD) (Article 3)a. Dignity, freedom to make choices and independenceb. Non-discriminationc. Full and effective participation and inclusiond. Respect for differencee. Equality of opportunityf. Accessibilityg. Equality between men and womenh. Respect for the evolving capacities of children with

disabilities

Link between CBR and Convention on the Rights of Persons with Disabilities (CRPD)

CBR has moved from a purely Service Delivery approach to a Human Rights approach

CBR is a multi-sectoral, bottom-up strategy The Convention provides the values and principles

that govern our work Whereas, CBR is a practical strategy for

implementation/ realization of the Rights in line with Article – 19 – Right to live in the community

CBR activities are designed to meet the basic needs of people with disabilities, reduce poverty, and enable access to health, education, livelihood and social opportunities

In 2003, WHO, UN Agencies, CBR Practitioners and various stakeholders, reviewed 25 years of CBR. They highlighted the need for CBR programmes to focus on:1. reducing poverty2. promoting community involvement and ownership3. developing and strengthening of multi-sectoral

collaboration4. involving disabled people’s organizations in their

programmes5. scaling up their programmes6. promoting evidenced-based practices

Following series of consultations, in 2010, the revised CBR Guidelines were launched by WHO, UNESCO, ILO and IDDC

Background of CBR

CBR MATRIX

HEALTH

PROMOTION

PREVENTION

MEDICAL CARE

REHABILITATION

EDUCATION

EARLY CHILDHOOD

CARE

PRIMARY

SECONDARY & HIGHER

NON-FORMAL

LIVELIHOOD

SKILLSDEVELOPMENT

SELF-EMPLOYMENT

WAGE EMPLOYMENT

FINANCIAL SERVICES

SOCIAL

RELATIONSHIPSMARRIAGE &

FAMILY

PERSONAL ASSISTANCE

CULTURE&

ARTS

RECREATION LEISURE &

SPORTS

EMPOWERMENT

COMMUNICA-TION

SOCIAL MOBILIZATION

POLITICAL PARTICIPATION

SELF-HELP GROUPS

ASSISTIVEDEVICES

LIFE-LONG LEARNING

SOCIAL PROTECTION

ACCESS TO JUSTICE

DISABLED PEOPLE'S

ORGANIZATIONS

Components and Elements of CBR as outlined in the CBR Guidelines - 2010

About the CBR Matrix CBR matrix provides a common framework for

CBR programmes CBR programmes are not expected to implement

every component and element of the CBR matrix CBR Programmes are designed based on local

needs, priorities and resources In addition CBR programmes develop

partnerships/ alliances to ensure that people with disabilities and their family members are able to benefit from all the component and elements of the CBR Matrix

District Level Initiative

Promoting DLI Approach

DLI - a pilot project being initiated in the West Khasi Hills District of Meghalaya, Koraput District in Orissa and East Godavari District in Andhra Pradesh.

5-8 NGO partners are identified within a district to promote DLI.

The overall aim is to promote a movement of PWDs in the district by forming DDPO, in order to address need and rights of PWDs and bring about a systemic change:

All the partners collaborate together to form a strong DDPO

By building alliances with People’s movement

Mainstreaming

What do we see in the picture?

Mainstream

Side stream

Your Boat

What if you are in the Mainstream?

What if you are in the Side stream?

People with disabilities and their family members, often do not benefit from mainstream development initiatives

Mainstreaming is essential to ensure that they can participate meaningfully in development processes and policies.

Why Mainstreaming?

1. Mainstreaming Disability/ inclusion of persons with disabilities in the existing programmes of the NGO

2. Inclusion of Mental Health in CBR 3. Inclusion of Persons with Disabilities in

programmes related to HIV and AIDS and linkages with resource agencies

In addition, CBRF’s focus areas of Mainstreaming are:

Rights Based Approach

All programmes/ interventions: Help in the realization of human rights

mentioned in the Convention on the Rights of Persons with Disabilities

Are guided by the standards and principles mentioned in the Convention on the Rights of Persons with Disabilities

Aimed at development of the capacities of ‘duty-bearers’ to meet their obligations and/or of ‘rights-holders’ to claim their rights

Rights Based Approach

1. People with disabilities and their families are recognized as key players in their own development, rather than passive recipients

2. Effective participation of persons with disabilities and their families

3. Strategies are empowering, not disempowering4. Programmes focus on marginalized, disadvantaged, and

excluded groups5. The development process is locally owned6. Work in collaboration the concerned authorities and local

community 7. Situation analysis is used to identify immediate, underlying,

and basic causes of issues/ problems8. Measurable goals and targets are important in programming9. Strategic partnerships are developed and sustained

Good programming practices under Rights Based Approach are:

The emphasis is on ensuring that the State takes on the responsibility of provisioning of quality services for persons with disabilities rather than the NGO partner playing this role

In the interim period, however, the NGO partner will be encouraged to make provision of services, where required, until the DPO is in a position to ensure that the same are addressed appropriately by the State

CBR Forum’s view of a Rights Based Approach

We look forward to a tomorrow

that includes PWDs in the mainstream as equal partners

that does not side stream PWDs