Natalia Sandoval

Laura Maldonado
Alejandra Jerez
Maria Fernanda Cardona
Cristopher Torres
 Is a strategy for general
community development

¿What is CBR?
that provides rehabilitation,
poverty reduction,
equalisation of
opportunities, and social
inclusion for all people with
disabilities

It is designed
predominantly for low-
and middleincome
countries

It aims to meet the needs of

The RBC is implemented thanks
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respect to health, education, disabilities themselves, their
livelihood, social and families, organizations and
empowerment issues (WHO communities, and the relevant
2010) governmental and non-
governmental services in health,
education, work, social, and
others.
 ¿What is CBR?
There are over one billion
people with disabilities in the
world (WHO and World Bank
2011)

This corresponds to about 15

percent of the world’s population,
and 80 per cent of these people
live in low- and middle-income
countries

People with disabilities include

those who have long-term
physical, mental, intellectual or
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interaction with various barriers,
may hinder their full and
effective participation in society
on an equal basis with others
(UN 2008).
REHABILITATION

A process with possibilities and It should consider aspects such as It includes

alternatives for action and the effective enjoyment of rights, to therapeutic,
interaction to enhance the live with human dignity, with equal educational aspects,
physical, mental and social opportunities, autonomy, self- among others, that
capacities of people with determination in people with are considered as
disabilities from a differential disabilities, participation and choice devices.
approach.

Recuperado de: https://www.freepik.es/vector-

gratis/centro-rehabilitacion-fisioterapia-2-banners-
planos_4027283.htm
 The CBR from
the Human
Rights Approach Consider people with
disabilities as subjects of
rights and not just assistance. Does not impose top-
down actions.

Assistance is
itself an
inclusion
process.

There is corresponding
participation (PD, families
and community).
Possibility of reducing Allows the participation of
attitude barriers, people with disabilities in
overcoming invisibility. decision making.
Actions that create dependency in communities with organizations and programs,
avoiding empowerment.

Actions that reflect the desire for sectoral or personal prominence.

Isolated, extramural actions of professional and individual intervention, without

articulation and intersectoral work and without consultation with the
community.

Proposals that do not involve different actors: people with disabilities, their
families and the community.

Processes where there are restrictions in the management of information or

training to some actors

What is not considered RBC

 What is not considered RBC

Interventions that do not take into account the knowledge of the community and
its needs, as well as that where from the planning the community is excluded.

Circumstantial resources delivered to the communities

Community leaders who initiate processes without support from the

government and another entity.

Interventions of extramural medical and interdisciplinary teams, with

exclusively clinical or therapeutic approaches and / or exclusively
institutionalized work
¿ CBR AND ICF?
polio can lead to muscle weakening Impairment may lead to
and consequently to physical reduced activities. In the
impairment previous examples, polio
may lead to difficulties in
walking, cataract in self-care
The International Classification of Functioning, Disability
and mobility, and dementia
and Health (ICF) conceptual framework illustrates this For instance A cataract causes clouding of the lens in self-care. These
view of disability. According to this model, a health in the eye and then visual impairment limitations in activities
condition may lead to an impairment.
can restrict full
participation in aspects of
society, such as exclusion
Dementia is caused by brain damaging from employment or
diseases, which cause cognitive education, thus resulting in
impairment. disability.
The impact of a health condition on disability is not the same for everyone
and is influenced by a variety of factors

One factor is the availability of

medical treatment

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contextuales-de-la-discapacidad

Environmental changes, such

People may have impairments that are not as the provision of
amenable to medical treatment or not have technological devices or
access to services, in which case personal adaptations to buildings can
factors may mitigate the negative also improve participation
consequences of the impairment among people with
impairments, thus alleviating
disability.
 The ICF conceptualisation of disability is
therefore an expansion beyond the limited
medical view, which focuses on impairments
only as the cause of disability

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Furthermore, people with

disabilities are excluded from
Disability is often viewed as both a cause and a education, health,
consequence of poverty. Poorer people, and people living in employment and other
poorer countries, are more vulnerable to disability. aspects of society, and this
can potentially lead to or
exacerbate poverty (WHO
and World Bank 2011)
 One approach to addressing disability is community-based
rehabilitation (CBR), which has received high-level
endorsement and is implemented throughout the world,
strategy for general community development that provides
rehabilitation, poverty reduction, equalisation of
opportunities and social inclusion for all people with
disabilities.

Each individual programme is tailored to the specific

user needs and setting and therefore includes a
different focus and different components

the impact of CBR can be

measured in a variety of ways (e.
g. participation, quality of life and
clinical outcomes)
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rehabilitador/
An RBC Program requires:

The manifestation of a If a program does not take into account the

need needs detected by its community, they will
be ineffective.

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de-tu-comunidad/

The community The most likely approach to success will be the common search for the
response best response, taking into account existing limitations and recognizing
that it is the community that has the last word.

Help Availability With public policies supported by the government.

The WHO Guidelines:

The guides bring together all that

is currently known about CBR and
provide a framework for action, as
well as practical suggestions for
implementation.

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as-de-rbc-de-oms
- Provides a Guide aimed at leaders or planners of the
strategy.
- Provide basic definitions about the lines and each
component.
- State the expected results.
- State the activities to be carried out.
- Define the role of the RBC by line and component.

WHO Guidelines
RBC Matrix

Tomado de: Ministerio de Salud y Protección Social. Rehabilitación Basada en Comunidad: Lineamientos de Política Pública.
HOW CBR WORKS

Work by including people

with disabilities in existing
Improve the quality of life of services, as well as
people with disabilities and their creating new interventions
families.
specifically targeting
people with disabilities and
their families.
COMPONENTS GOALS

▶ Health: is that people with disabilities achieve their highest attainable standard of
health.
▶ Education: is that people with disabilities access education and lifelong learning,
leading to fulfilment of their potential, a sense of dignity and self-worth, and
effective participation in society.
▶ Livelihood: people with disabilities can gain a livelihood, have access to social
protection measures and be able to earn enough income to lead dignified lives
and contribute economically to their families and communities
▶ Social: that people with disabilities have meaningful social roles and
responsibilities in their families and communities, and are treated as equal
members of society.
▶ Empowerment: that people with disabilities and their family members make their
own decisions and take responsibility for changing their lives and improving their
communities.
OUTCOMES

taken of: Community-based rehabilitation for people with disabilities

VIDEO
VIDEO
 BIBLIOGRAPHY
● Iemmi, V., Gibson, L., Blanchet, K.,
Kumar, K. S., Rath, S., Hartley, S., ... &
Kuper, H. (2015). Community‐based
rehabilitation for people with disabilities
in low‐and middle‐income countries: A
systematic review. Campbell Systematic
Reviews, 11(1), 1-177.
● Ministerio de salud y proyección social.
(2018). Rehabilitación basada en
comunidad. Lineamientos de política
pública. Recuperado de: file:///C:/Users/
mafal/Downloads/1180725_abcderbc.pdf

Recuperado de: systemquimiclabsitc.blogspot.com/2012/02/fuentes-

bibliograficas.html