Skills Development through Community Based Rehabilitation (CBR)

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1. Introduction Preview In this chapter, the focus is on: BACKGROUND Community-based Rehabilitation (CBR) CBR and the ILO Purpose of the guide What is in the guide CONCEPTS Disability, poverty and development Work Decent work Livelihoods Economic empowerment CONTEXTS Formal and informal economies Urban and rural areas Gender issues 1
1. Introduction 1.1 Background Community-based rehabilitation (CBR) Community-based rehabilitation (CBR) is a multi-sectoral approach to meeting the health, education, vocational skills and livelihood needs of children, youth and adults with disabilities, primarily in developing countries. CBR is defined in a joint statement by ILO, UNESCO and WHO (1994 and 2004) as ‘a strategy within general community development for the rehabilitation, equalization of opportunities and social inclusion of all people with disabilities. CBR is implemented through the combined efforts of people with disabilities themselves, their families, organizations and communities, and the relevant governmental and non-governmental health education, vocational, social and other services.’ Pioneered by the WHO some 25 years ago, CBR initiatives have been implemented in over 80 countries. The CBR approach is now official disability policy in a number of countries. “CBR is a strategy within general community development for the rehabilitation, equalization of opportunities and social inclusion of all people with disabilities.” ILO, UNESCO, WHO 2004 Although CBR is a fully comprehensive approach covering all aspects of a disabled person’s life and involving many different actors and agencies, there is no single model of CBR, and, as a result, defining what is and what is not a CBR programme remains problematic. CBR is an approach, rather than a prescriptive programme. In its purest sense it implies a ‘wellstructured, smoothly functioning, coherent community that is capable of assessing its own needs, deciding its own priorities, identifying its own resources, and achieving its own goals by community management. In the real world this is seldom the case (Alldred et al. 1999). Not all programmes which are called CBR take a comprehensive approach and some programmes which do not call themselves CBR have developed highly effective, holistic, community-based strategies. 3
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6. Conclusion CBR - an essential st
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Bibliography Lim, L. L. 2002. Women
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