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    CBID

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    Fret Ramirez Coronia RN
    CBR and Community-based Inclusive Development. CBR is a strategy that has been practiced in over 90 countries for over 30 years based on the principles of Alma-Ata of health for all and bringing services closer to communities. CBR aims to reduce poverty and promote social inclusion through a multisectoral approach addressing the needs of persons with disabilities in health, education, livelihood, social, and empowerment domains using community resources. The CBR matrix provides a framework for community-based inclusive development through bottom-up initiatives owned and controlled by communities. CBR and the UN Convention on the Rights of Persons with Disabilities are mutually reinforcing with CBR operationalizing the Convention's principles at the community

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    CBID

    Uploaded by

    Fret Ramirez Coronia RN
    140 views31 pages
    CBR and Community-based Inclusive Development. CBR is a strategy that has been practiced in over 90 countries for over 30 years based on the principles of Alma-Ata of health for all and bringing services closer to communities. CBR aims to reduce poverty and promote social inclusion through a multisectoral approach addressing the needs of persons with disabilities in health, education, livelihood, social, and empowerment domains using community resources. The CBR matrix provides a framework for community-based inclusive development through bottom-up initiatives owned and controlled by communities. CBR and the UN Convention on the Rights of Persons with Disabilities are mutually reinforcing with CBR operationalizing the Convention's principles at the community

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    The brief description on Community Based Inclusive Development

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    CBR and Community-based Inclusive Development. CBR is a strategy that has been practiced in over 90 countries for over 30 years based on the principles of Alma-Ata of health for all and bringing services closer to communities. CBR aims to reduce poverty and promote social inclusion through a multisectoral approach addressing the needs of persons with disabilities in health, education, livelihood, social, and empowerment domains using community resources. The CBR matrix provides a framework for community-based inclusive development through bottom-up initiatives owned and controlled by communities. CBR and the UN Convention on the Rights of Persons with Disabilities are mutually reinforcing with CBR operationalizing the Convention's principles at the community

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    140 views31 pages

    CBID

    Uploaded by

    Fret Ramirez Coronia RN
    CBR and Community-based Inclusive Development. CBR is a strategy that has been practiced in over 90 countries for over 30 years based on the principles of Alma-Ata of health for all and bringing services closer to communities. CBR aims to reduce poverty and promote social inclusion through a multisectoral approach addressing the needs of persons with disabilities in health, education, livelihood, social, and empowerment domains using community resources. The CBR matrix provides a framework for community-based inclusive development through bottom-up initiatives owned and controlled by communities. CBR and the UN Convention on the Rights of Persons with Disabilities are mutually reinforcing with CBR operationalizing the Convention's principles at the community

    Copyright:

    © All Rights Reserved
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    Download as pdf or txt
    of 31

    CBR and Community-based

    Inclusive Development

    Chapal Khasnabis
    [email protected]
    Alma-Ata 1978
    • Health For All
    • Fundamental Human Right
    • Closer to people/
    community
    •Socio-economic
    development
    •Partnership with
    other sectors
    CBR
    Principles of
    Alma-Ata
    Optimum use of
    community
    resources and
    PHC
    Role of volunteers
    CBR is being practiced in more than 90 countries
    Common Approach Peoples Need
    n Physiotherapy n Income
    n Assistive devices n Food
    n Corrective surgery n Clothes
    n Education/schooling n Better shelter and
    n Accessible classroom toilet
    and toilet n Water
    n Accessible n Education - School
    environment n Treatment or cure
    n Vocational training n Assistive device
    n Income to family n Exercise
    Primary
    Health Care
    (PHC)
    30 years of
    Alma-Ata
    The emerging
    vision of PHC
    4 areas for reforms
    mobilize beyond
    the health sector
    give visibility to inequalities
    reach the unreached
    International consultation to review
    community-based rehabilitation - 2003
    Reduce poverty
    Promote community involvement
    and ownership
    Foster multisectoral collaboration
    Involve DPOs
    Scale – up – reach the
    unreached
    Develop evidence-based practice
    CBR Joint Position Paper
    ILO, UNESCO & WHO (2004)
    CBR is a strategy for
    ¨ Rehabilitation
    ¨ equalization of opportunities
    ¨ poverty reduction
    ¨ social inclusion
    CBR is a multisectoral strategy
    Next step in the process

    CBR Guidelines
    CBR guidelines development process
    1st Meeting Nov'04
    attended by 65 CBR experts
    CBR pioneers
    Representatives from
    UN Organizations
    Governments
    Leading INGOs
    Disabled People’s
    Organizations
    Professional Organizations
    A CBR framework for inclusive development
    Poverty and Disability
    Majority of disabled people live in
    chronic poverty
    Poverty is not just the lack of
    money or income, it has many
    facets.
    Poverty erodes or nullifies
    economic and social rights such
    as the right to health, adequate
    housing, food and safe water, and
    the right to education.
    Total well-being
    CBR MATRIX

    HEALTH EDUCATION LIVELIHOOD SOCIAL EMPOWERMENT

    RELATIONSHIPS
    PROMOTION EARLY SKILLS MARRIAGE & COMMUNICATION
    CHILDHOOD DEVELOPMENT FAMILY

    PREVENTION SELF- PERSONAL SOCIAL


    PRIMARY
    EMPLOYMENT ASSISTANCE MOBILIZATION

    CULTURE
    MEDICAL CARE SECONDARY & FINANCIAL POLITICAL
    &
    HIGHER SERVICES PARTICIPATION
    ARTS

    REHABILITATION WAGE RECREATION


    SELF-HELP
    NON-FORMAL EMPLOYMENT LEISURE &
    GROUPS
    SPORTS
    DISABLED
    ASSISTIVE LIFE-LONG SOCIAL ACCESS TO PEOPLE'S
    DEVICES LEARNING PROTECTION JUSTICE ORGANIZATIONS
    CBR Matrix and its Aim
    Assist in poverty reduction and its various
    facets
    Empower to affirm human rights
    Promote quality of life and well-being of
    people with disabilities and their families

    Facilitate Inclusive Development for people


    with disabilities and their families.
    CBR Matrix
    Focuses on the five key domains (components):
    Health, Education, Livelihood, Social and
    Empowerment. Each component has five sub-
    headings (elements).
    It is not possible for one organization/department/
    ministry to cover all the components; hence it is
    essential to develop alliances and partnerships with
    the stakeholders responsible for other elements and
    components in order to reduce poverty and promote
    well-being.
    CBR Matrix
    The CBR Matrix focuses primarily on meeting basic
    needs and then impairment specific needs.
    Special focus needs to be given to ensure women
    with disabilities and people with complex needs are
    included in the CBR.
    Work towards inclusive health, inclusive education,
    inclusive livelihood and inclusive society; needs to be
    an aim and outcome of any CBR programme.
    Inclusive Development to achieve Inclusive
    Society
    Inclusive Development
    Inclusive Development:
    Capital to Community
    Experiential evidence shows that the benefits of
    development initiatives often remain with a section
    of people or in capital/big cities.
    to ensure universal coverage, all development
    initiatives need to be community centered,
    community controlled and preferably community
    owned.
    This ensures that development reaches the poor
    and marginalized and facilitate more realistic and
    sustainable initiatives.
    Capital to Community
    Community-Based Initiatives - bottom-up socio
    economic development models that rely on full
    community ownership and intersectoral collaboration.
    Community-Based Development - ensures that
    development taking place within community with
    active participation of the community to achieve self-
    reliance.
    Community Driven Development - emphasizes
    community participation and provides an opportunity
    to integrate the concerns of the disabled into
    development initiatives.
    Community Based Inclusive Development
    Community Based Inclusive Development
    Development needs to become inclusive and
    community-based
    CBR Matrix conceptualizes a vision of community-
    based inclusive development to ensure people with
    disabilities living in the community are integral in all
    development initiatives.
    CBR Matrix facilitates and promotes inclusive
    development at community level, a bottom up
    approach to ensure development really becomes
    inclusive.
    Community Based Inclusive Development
    Community-based inclusive development will
    facilitate development initiatives to become
    disabled people centered and community centered.
    Address their needs as well as the community and
    build their capacity
    Remove barriers for active participation and at the
    same time to promote community action.
    Foster self-reliance, equal rights and opportunities
    CBR and Convention
    Both are interlinked. Many articles and general
    principles of Convention are also integral to CBR.
    CBR is a multi-sectoral, bottom-up strategy to
    ensure that the Convention makes a difference at
    the grassroots level, through individual and group
    empowerment – bringing a change in the
    community.
    Convention provides the policy and legal
    framework. CBR provides the operational
    methodology: the two are mutually reinforcing.
    Now More Than Ever
    Realizing the inequalities in health status
    countries are calling for a radical shift in
    Global Health policy based on PHC, WHO
    has called for “PHC – Now More Than
    Ever”.
    Echoing this, keeping the Convention and
    other International and national
    legislations/guidelines in mind we need to
    call for “CBR – Now More Than Ever”.
    Community-Based Rehabilitation

    Thank you – Kapun Khap

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