SESSION 2.

SESSION 1.3 - 1.4.

THE CBR PROGRAMME TODAY: AIMS, OBJECTIVES,
PRINCIPLES, ORGANISATIONAL STRUCTURE AND
PERSONNEL OF THE CBR

Umeda Munavvarova, CBR Programme Coordinator,

Caritas Germany

Bishkek, 29-30 October 2018.

CBR - REHABILITATION PROGRAMME,
PROVISION OF EQUAL RIGHTS AND
OPPORTUNITIES, REDUCTION OF
POVERTY AND SOCIAL EXCLUSION OF
PEOPLE WITH DISABILITIES AND
INCLUSIVE DEVELOPMENT
CBR - Community Based Rehabilitation
 CBR is a strategy
for improving the quality of life of
people with disabilities,
by changing the work of the various
services for people with disabilities,
in order to best meet their needs,
ensure their equal opportunities and
protect their rights.
 The main goals of CBR:
1. To ensure that people with disabilities are seen as
able. (dis able)
2. To maximize the physical and mental abilities of
people with disabilities.
3. To improve access for people with disabilities to the
regular services that they need.
4. To enable them to become active "contributors" to
the local community and to society as a whole.
5. Through changes in the local community, to motivate
the entire community to promote and protect the
rights of people with disabilities, for example by
removing barriers to their participation in society.
 The principles of CBR are based on those of the
Convention on the Protection of the Rights of Persons with
Disabilities:
• Respect for human dignity and personal autonomy, including
freedom to make one's own choices, and independence;
• Non-discrimination;
• Full and effective inclusion in society;
• Respect for and acceptance of persons with disabilities as
part of human diversity and humanity;
• Equality of opportunity; equality between men and women
• Availability of environment;
• Empowerment, including advocacy services
• Program sustainability
 The CBR Matrix
This consists of five main components:
1) health;
2) education;
3) self-support;
4) social issues;
5) increasing rights and opportunities (empowerment).

Each component comprises five elements, making 25

elements in total
CBR MATRIX

HEALTH EDUCATION SELF-PROVISION SOCIAL ISSUES INCREASING RIGHTS AND

OPPORTUNITIES

IMPROVING HEALTH EARLY CHILDHOOD SKILLS DEVELOPMENT PERSONAL ASSISTANCE ADVOCACY &
COMMUNICATION

PREVENTION PRIMARY SELF-OCCUPATION PERSONAL RELATIONS, COMMUNITY MOBILISATION

MARRIAGE & FAMILY

MEDICAL ASSISTANCE SECONDARY & HIGHER HIRED WORK CULTURE AND ART PARTICIPATION IN
POLITICAL LIFE

REHABILITATION INFORMAL FINANCIAL SERVICES LEISURE, SPORT & SELF-ASSISTANCE GROUPS

ENTERTAINMENT

AUXILIARY DEVICES EDUCATION DURING LIFE SOCIAL PROTECTION JUSTICE DISABLED PERSONS’
ORGANISATIONS
 The CBR Matrix
• The first four components relate to key development sectors,
reflecting the multi-sectoral nature of CBR.
• The fifth component relates to the empowerment of persons with
disabilities, and their families and communities; this is crucial for
ensuring access to every sector of development, improving quality of
life and realizing human rights for persons with disabilities.
• It should not be expected that CBR programmes will be able to
implement every component and element in the CBR matrix.
• Conversely, the matrix is designed to allow software developers to
select alternatives that best suit local needs, priorities and resources.
 Levels of rehabilitation

• National level
• Regional level
• County level
• District level
• Urban, village or rural level
 Needs for rehabilitation
• 70% of rehabilitation problems can be solved at
community level without involving rehabilitation
centre specialists.
• 20% of rehabilitation issues can be solved at district
level using Day Rehabilitation Centres.
• Only 10% of people with disabilities need specialized
rehabilitation services at national level with
involvement of highly qualified rehabilitation
specialists.
Levels of rehabilitation for people
with disabilities
 CBR programme - 24 hours a day!
• a basic rehabilitation system that helps organize the
daily life of those close to people with disabilities
• simple, elementary and available to anyone, it's the
lowest level in the rehabilitation system.
The lowest, but very important, because everyday life
goes on for 24 hours.
• CBR is economical compared with specialized
assistance (more coverage, no need for specialist
professionals, applies simple and effective
technologies, uses the power of family and
community)
CBR Programme Stakeholders
 Who is the CBR program
intended for?

 children, adolescents, adults and elderly people,

 living in urban and rural areas,
 visiting or not visiting rehabilitation centres,
 people with varying disabilities
 parents and close family members

- people who already have functional limitations or

are likely to acquire them
Functions of family members and close
people
• Active participation in all stages of CBR programme
management;
• Participation in local CBR programme committees;
• Voluntary participation and service as staff
members in these programmes;
• Clarifying disability issues in one's own community,
for example by drawing attention to certain barriers
and demanding their removal.
 Specialists or paraprofessionals?
• Specialists have a narrow knowledge and are
prepared to protect it.
• Rehabilitation involves many repetitive parts,
which can be done by relatives and not
necessarily by professionals.
• If many parts of the rehabilitation process are
given to other people, the specialists will multiply
their strength.
 Functions of community members
• Participating in awareness-raising initiatives to learn more
about disability;
• Changing beliefs and psychological attitudes that may
limit the abilities of people with disabilities and of their
families;
• Removing barriers that may prevent persons with
disabilities and their families from participating in
community life;
• Convincing by personal example and involving persons
with disabilities and their families in the work;
• Providing assistance and support to persons with
disabilities and their families, as appropriate.
 Civil society and relatives' organizations
• Can be a driving force in any new or existing CBR
programme.
• Development and implementation of CBR programmes
where government support is limited;
• Technical assistance and provision of resources and training
for CBR programmes
• Support for the development of the system for referring to
professionals;
• Support for CBR programmes for integrating disability
issues into existing programmes and services;
• Support for evaluation, scientific research and development
in the field of CBR.
• Clarification of the rights of persons with disabilities;
advocacy and lobbying
 Functions of the authorities
• To guide the management and/or implementation of
national CBR programmes;
• To provide legislation and policy frameworks to support
the rights of persons with disabilities;
• To develop a national CBR policy or inclusion of CBR as a
rehabilitation or development strategy;
• To provide human, material and financial resources to
RMA programmes;
• Providing persons with disabilities and their families with
access to public programmes, services and facilities;
• Development of CBR as a methodology for provision of
rehabilitation services throughout the country.
 CBR staff

People with functional limitations

Family
Familytrainers
trainer

Coordinators

Superintendents

Rehabilitation Committee
 Functions of CBR staff
• To identify persons with disabilities and provide assessments of
disorders
• To provide the simplest therapeutic interventions;
• To train family members on how to support and assist persons
with disabilities;
• To provide information about services available in the community
• To refer to specialists and provide follow-up monitoring;
• To promote the formation of mutual aid groups;
• To provide advocacy services for the inclusion of disabled
persons;
• To improve community awareness of disability issues and
encourage their inclusion in family and community life.
Rehabilitation Committee - composition

• People with disabilities and their families.

• People who provide professional help for adults
and children with disabilities: teachers, doctors,
social workers and others.
• Officials on whom this programme depends.
• Concerned members of society who want to
improve the situation of people with disabilities.
 District Rehabilitation Committee (DRC)
• The purpose of the Local Rehabilitation Committee is to
organise and manage the CBR programme for friends and
relatives.
• The Committee meets regularly with representatives of the
CBR programme agencies to discuss what is being done.
• The Committee is looking for opportunities to assist the
coordinators in their work on the rehabilitation of these
people.
• The Committee must meet regularly with members of the
public to report and inform them about the CBR
programme.
 District Coordination Committee (RCC)
• Policy development, resource allocation, service-based
interventions
• General coordination and management, monitoring and
evaluation, public reporting on the results of the CBR
programme.
• Supporting a rehabilitation programme at home
• Addressing difficulties experienced by CBR staff
• Support for identification people in need, assessment and
training
• Development of mechanisms for managing these people
• Material support for the programme from local resources
Therefore,

• CBR is a strategy aimed at improving the quality

of life for people with disabilities.
• It is achieved by:
improving the work of social services
making social services available
giving such people equal opportunities along
with other members of society
protecting their rights and freedoms.
The ultimate goal of the CBR program is for people
with functional limitations:

• to be able to live at home

• to be able to function in
everyday life
• to be able to attend a regular school
or preschool,
to work and make money
• to be included and actively involved in the social
relations system
• to be happy and independent