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C

BR

The 2nd Philippines

Community Based Rehabilitation Congress

The Global Context and

Evolution of CBR

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Global SituationGlobal Situation

15% of Global Population, 1 in 7!

Around 150 -190 million adults (2 - 4%) experience significant difficulties functioning.

Disability prevalence is increasing due to Ageing, NCDs and Injuries.

Disproportionately affects vulnerable populations: women, older people and poor households

Disability prevalence higher in low income countries

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People with disabilities have generally poorer health, lower education achievements, fewer economic opportunities and higher rates of poverty than people without disabilities.

People with disabilities more likely to experience greater social isolation and decreased participation in community life.

Greater barriers to accessing services in low income countries.

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The World Report on Disability

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What is CBR?What is CBR?

Community based rehabilitation (CBR) is a strategy for achieving Community Based Inclusive Development. It is focused on enhancing the quality of life of people with disabilities and their families, it’s about meeting basic needs and ensuring inclusion in local communities and improving access to services.

CBR is a multi-sectoral ‘community based’ approach that empowers people with disability to access and equally benefit from education, employment, health and social services. CBR changes individuals, communities and local services.

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

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CBR is a dynamic and evolving strategy which has changed significantly in last 33 years

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CBR Guideline Development CBR Guideline Development

Nearly 6 years of work, partnership among 3 UN Agencies and 26 NGOs

Contribution from more than 150 people and peer reviewed by 26 experts, including people with disabilities.

Nearly 300 organizations from 29 countries took part in the field validation.

A consensus document: an example of partnership and working together

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CBR – Community Based Inclusive Development (CBID)

CBR – Community Based Inclusive Development (CBID)

Empowerment - nucleus or foundation of any CBR progam

People with disabilities and their family members leading in decision-making processes

Focused approach across four key sectors, may then move beyond.

|CRPD Principles

CBR Guidelines: major shiftMaking key development sectors

inclusive

CBR Guidelines: major shiftMaking key development sectors

inclusive

Health

Education

SocialLiveli

hood

CBR

EMPOWERMENT

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Maslow's Hierarchy of Needs - Basic needs first Abraham Maslow

Maslow's Hierarchy of Needs - Basic needs first Abraham Maslow

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Self-actualization

Esteem Empowerment

Social needsLove and belonging

Family, inclusion, participation

Safety needsHealth, education, finance, well-being

Basic needsFood, water, shelter

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Disabled people are the change-agents Disabled people are the change-agents

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National government

Local government,/

NGOs

Community leaders, teachers,

health workers

Communitymembers

Person with disability &

family

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CRPD and CBRCRPD and CBR

CRPD – guiding approach & high level framework that influences through changes in policies and programmes.

The CBR Guidelines adopted the same CRPD principles.

CBR – makes the CRPD real.

CBR provides and promotes access to a range of services

Articles: living independently (19), personal mobility (20), access to information (21), family and marriage (23), education (24), health (25), habilitation & rehabilitation (26), work & employment (27)…

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CBR and Incheon StrategyCBR and Incheon Strategy

1. The Incheon Strategy provides the Asian and Pacific region, and the world, with the first set of regionally agreed disability-inclusive development goals.

2. Strategy comprises 10 goals, 27 targets and 62 indicators.

3. Reduce poverty and enhance work and employment prospects is the first goal.

4. UNESCAP promoting CBR as a key strategy for realization of Incheon strategy and goals.

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CBR is a multisectoral community-based strategy

CBR is a multisectoral community-based strategy

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The link between CBR and MDGsA strategy for less resourced settings

The link between CBR and MDGsA strategy for less resourced settings

MDG Countries CBR Countries

Source: UNDP

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Disability Inclusive DevelopmentDisability Inclusive Development

Disability inclusive Development is both a process and an outcome

Inclusive development’ occurs when the ‘good development changes’ benefit all the community. Inclusive development ‘includes’ people with disabilities, they participate and benefit equally from the development process around them.

Inclusive development respects the diversity that disability brings and appreciates that it is a normal part of the human experience. Inclusive development sets out to achieve equality of human rights for people with disabilities as well as full participation, and access to, all aspects of society.

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Disability Inclusive Development (DID) and CBR

Disability Inclusive Development (DID) and CBR

CBR – Community-based inclusive development

CBR is “localised DID”

CBR can support both parts of the ‘twin track’ approach.

CBR programmes are typically CBR specific

CBR approaches support mainstreaming.

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3 Types of CBR Programmes Evolving 3 Types of CBR Programmes Evolving

Triple-track

Approach

1 .CBR as a Disability Specific / targeted Programmes

3 .People with disability and

other groups - development

for all

2 .Mainstreaming Disability Across key

sectors

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Often rehabilitation, assistive devices, early intervention, livelihood and disability specific

services.

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CBR is about changing culture and practice

CBR is about changing culture and practice

Stigma and prejudice to understandingExclusion to inclusionTop-down approach to multisectoral bottom-up

approachFrom a passive receiver to active contributorBasic needs and then beyond.If it doesn’t empower its not CBR!Start with what you have and add as you goCBR evolves and grows. Everyone everywhere – reaching those who need it

mostBeyond disability – inclusive community

development

Thank you