Resources search

Community-based rehabilitation : CBR guidelines|Health component

WORLD HEALTH ORGANIZATION (WHO)
et al
2010

Expand view

This component of the CBR Guidelines focuses on health and how to make it inclusive. It describes "the role of CBR is to work closely with the health sector to ensure that the needs of people with disabilities and their family members are addressed in the areas of health promotion, prevention, medical care, rehabilitation and assistive devices. CBR also needs to work with individuals and their families to facilitate their access to health services and to work with other sectors to ensure that all aspects of health are addressed"
It outlines key concepts and then presents the core concepts, examples and areas of suggested activities in each of the following five elements: Health promotion; Prevention; Medical care; Rehabilitation; and Assistive devices. This guideline is useful for anyone interested in health component of CBR

CBR stories from Africa : what can they teach us?

COLERIDGE, Angela
HARTLEY, Sally
Eds
2010

Expand view

"Community Based Rehabilitation (CBR) is an evolving concept. Its effectiveness depends on continuous reflection, debate and learning. This book aims to facilitate this process through the stories of five CBR programmes in Africa, told by those involved with the programmes and reflected on with honesty...Each of the five programmes has been invited to document their work, describing how its programme started and assessing the effectiveness of the approach it has chosen. They were asked to identify their successes and challenges, and to reflect on how difficulties are being overcome. Life stories illustrate the impact each approach can have on individual lives. The book offers itself as a reflective tool, to be used by practitioners. Each chapter asks specific questions of its readers, inviting them to draw comparisons with their own programme. The concluding section of the book outlines ideas for evaluating and developing their CBR programmes"

Outcomes of people with psychotic disorders in a community-based rehabilitation programme in rural India

CHATTERJEE, Sudipto
et al
November 2009

Expand view

This article describes "the uptake and impact of a service using the community-based rehabilitation framework for people with psychotic disorders within a defined catchment area in a rural, impoverished community in India. The programme was implemented by the Ashagram Trust, a community-based nongovernmental organisation. We describe the functional (disability) outcomes of people with psychotic disorders; identify the determinants of their outcomes; and highlight the research and policy implications of this study for service provision in rural areas of low- and middle-income countries"
British Journal of Psychiatry, Vol 195, No 5

CBR policy development and implementation

HARTLEY, Sally
OKUNE, Joan
Eds
2009

Expand view

This book provides an overview of current community-based rehabilitation (CBR) knowledge and shows how this information has been interpreted and implemented in the African context. It has been developed from conference presentations and discussions that took place in South Africa in 2007. It is useful for people interested in general CBR information and CBR in Africa

The influence of HIV/AIDS on community-based rehabilitation in dar es salaam, Tanzania

BOYCE, William
COTE, Laurence
2009

Expand view

Community-Based Rehabilitation (CBR) is the method of choice for delivering services for people living with disabilities in many countries. HIV/AIDS is changing the daily lives of many women by adding to their responsibilities. How realistically can such women participate actively in community development activities like CBR? This paper examines the impact of HIV/AIDS on CBR in Dar es Salaam, Tanzania. Observational sessions and individual interviews were conducted with caregivers of children with disabilities, CBR workers and managers over a three month period. Among the findings was a significant decrease in CBR activities in families affected by HIV/AIDS. This change in family priorities was due to better knowledge of acute diseases and increased stigma of HIV/AIDS in comparison to disability. Older CBR workers were more likely to incorporate elements of HIV/AIDS care with CBR, while younger CBR workers were more likely to avoid HIV/AIDS support. The ability of CBR workers to adapt their working habits to an environment with high HIV/AIDS prevalence is linked to their sense of skill competence and their knowledge/beliefs about risk of infection. Further integration of CBR work with general health development initiatives may improve this situation.

Philippine CBR manual : an inclusive development strategy

MCGLADE, Barney
MENDOZA, Veronica Ester
Eds
2009

Expand view

This is an executive summary of a manual that is intended as a guide to decision makers in Local Government Units on how to institutionalise and implement programme that ensure the inclusion of persons with disabilities in all activities in the community – and ensure these activities are part of the annual work and financial plan of government and other local groups.  While the manual is intended for government decision makers, it can also be used by CBR workers and managers to understand inclusion, CBR in the rights-based context, the historical perspective and evolving definition of disability as well as how to start CBR, how to organize DPOs and communities, and how to undertake training and advocacy

The publisher has given permission for the uploaded document to be reproduced and made publicly available on the Source website

Evaluation of the community based rehabilitation programme in Uganda

CLAUSSEN, Jens
KANDYOMUNDA, Basil
JARAG, Pal
June 2005

Expand view

"This report presents the outcome of an external evaluation of the Community Based Rehabilitation Programme (CBR) in Tororo District in Uganda...The main objectives of the review has been to assess: Achievements of programme objectives since its inception in 2002; To what extent the programme has addressed the recommendations of the 2000 external evaluation; The programme’s strengths and weaknesses with particular emphasis on review of the programme’s management and financial arrangements. Based on the above the evaluation has made recommendations for strengthening the CBR programme and the opportunities and challenges associated with applying the Tororo District model for implementation of CBR programmes in other districts"

Stakeholders' influences in CBR projects in Southern Africa

FINKENFLUGEL, Harry
2005

Expand view

[Author's abstract]: This paper explores and analyses the characteristics of the different stakeholders and their roles in influencing and achieving the objectives of CBR projects. Documentation of CBR projects in Southern Africa has been reviewed. Ten projects out of the more than 30 projects identified were studied. For these ten CBR projects, the stakeholders have been identified, and the objectives of the project have been analysed. Subsequently, the objectives of the project have been related to the interventions made by the different stakeholders involved, and the role of the Intermediate Local Supervisor or Rehabilitation Technician is emphasised. In the projects studied, this cadre played a dominant role in CBR as the most decentralised and community-oriented rehabilitation worker. In fact, CBR appears to rely completely on the involvement of this type of rehabilitation worker. It is concluded that, with such a strong emphasis on this cadre, and its inclusion in a professional rehabilitation system, the influence of other stakeholders (i.e. the non-professional stakeholders) stays unfocused

"More of the same and try something new" : evaluation of the community based rehabilitation programme in Eritrea

GRUT, Lisbet
HJORT, Peter
EIDE, Arne H
December 2004

Expand view

"This evaluation of the CBR Program in Eritrea was carried out by SINTEF Health Research in August - September 2004. The methods applied are qualitative; interviews, group interviews, focus group discussions and observations, and utilisation of existing documentation. The objectives of the evaluation has been to i) assess the effectiveness, impact and relevance of the program, ii) examine and draw conclusions regarding the program's strengths and weaknesses, and iii) to propose recommendations that can strengthen the program. The evaluation has shown that the program is highly relevant, that it has been effective in achieving its goals to a certain extent, and that impact is demonstrated in certain areas. The strength of the program is its relevance for the country and for the population and its integration in local communities. The challenges are largely linked to lack of resources and need for capacity to be built"

International consultation on reviewing community-based rehabilitation (CBR) organized by WHO : in collaboration with UN organisations, NGOs and DPOs hosted by the government of Finland Helsinki 25-28 May 2003, Theme Paper

WORLD HEALTH ORGANISATION (WHO)
MINISTRY OF SOCIAL AFFAIRS AND HEALTH
May 2003

Expand view

The conference was held to review the experiences of 20 years of CBR and evaluate the impact of the approach in order to provide a direction for the development of CBR in the new millennium

A manual for CBR planners

THOMAS, Maya
THOMAS, M J
Eds
2003

Expand view

This manual for community-based rehabilitation planners has 13 sections and contains a very useful overview of the history of CBR with valuable introductory reading for newcomers to the field. The subsequent six sections cover planning, needs assessment and include suggestions of how to understand local communities and encourage community participation in CBR programmes. The final six sections are concerned with programme management issues; for example, as organising self-help groups, training personnel for CBR, and the sustainability of projects including evaluation and management of change

CBR: a participatory strategy in Africa

HARTLEY, Sally
Ed
2002

Expand view

This resource provides an important contribution and understanding of how community-based rehabilitation (CBR) operates in Africa. It contains the experiences and reflections of key stakeholders within CBR from 14 African countries. It will contribute to a more mutual and holistic understanding of the concept of CBR and bring about the development of new initiatives. This book is useful tool for CBR planners, policy-makers and managers

Equal opportunities for all : promoting community-based rehabilitation (CBR) among urban poor populations. Initiating and sustaining CBR in urban slums and low-income groups

ASSOCIATION AMICI DI RAOUL FOLLEREAU (AIFO)
October 2001

Expand view

Most CBR experience has come from rural areas in developing countries. However, even in large cities specific population groups - such as people living in slums or low-income areas in the urban peripheries - may face difficulties in accessing rehabilitation services. To address this, the World Health Organization set up a number of pilot consultations and projects in seven countries (Indonesia, India, the Philippines, Brazil, Bolivia, Egypt and Kenya) in 1995. This document gives a report of a final meeting of representatives of these pilot projects.

Community based rehabilitation : a strategy for peacebuilding

BOYCE, William
KOROS, Michael
HODGSON, Jennifer
2001

Expand view

There are features of peace building which distinguish it from peace keeping and which make it an appropriate strategy in dealing with vertical conflict and low intensity conflict. However, some theorists suggest that attempts to impose liberal values upon non-democratic cultures are misguided and lack an ethical basis. During post-conflict reconstruction, disability is a powerful emotive lever that can be used to mobilize cooperation between factions. Consequently, the paper investigates the peace building properties of community based approaches to disability in a number of countries. The paper describes the practice and impact of peace building through community based rehabilitation (CBR) strategies in the context of armed conflict. Finally, a number of benefits and challenges to using CBR strategies for peacebuilding purposes are identified

Disability and development : perspectives on CBR

Society for Appropriate Rehabilitation of the Disabled (SANCHAR)
September 2000

Expand view

Disability is not just a medical condition but a complex system of social restrictions emanating from discrimination. The lives of disabled people are made difficult not so much by their specific impairments, as by the way society interprets and reacts to disability

25 years of community-based rehabilitation

HELANDER, Einar
2000

Expand view

Community-based rehabilitation (CBR) started to be evolved in 1974. Since then CBR has developed from a concept to a policy and to a programme. In this article, a short personal account is given of how this occurred, and some of the lessons learned along the road

Assisting disabled refugees : a community-based approach

UNITED NATIONS HIGH COMMISSIONER FOR REFUGEES (UNHCR)
1996

Expand view

Disabled persons are at risk of being neglected in conflict situations. This (second edition) manual aims to help humanitarian non-governmental organisations to include disabled persons into their planning and actions. The three parts of the manual, which comes with illustrations and check lists, help users to make a first assessment, plan preventative measures and to establish rehabilitation.

Pages

E-bulletin