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COMMUNITY BASED REHABILITATION FORUM. Strategies of CBR Forum. PMW, 26 March 2012, Bangalore. Objectives of this session. Gain a common understanding on the strategies of CBR Forum CBR District Level Initiative (DLI) Mainstreaming (MS) Rights Based Approach (RBA). WHAT IS CBR?.
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COMMUNITY BASED REHABILITATION FORUM Strategies of CBR Forum PMW, 26 March 2012, Bangalore
Objectives of this session • Gain a common understanding on the strategies of CBR Forum • CBR • District Level Initiative (DLI) • Mainstreaming (MS) • Rights Based Approach (RBA)
WHAT IS CBR? • CBR is a strategy within general community development for the rehabilitation, equalization of opportunities and social inclusion of all people with disabilities.(Joint Position Paper 2004 of ILO, UNESCO, WHO). • CBR is implemented through the combined efforts of people with disabilities, their families, organizations and communities, and the relevant governmental and non-governmental health, education, vocational, social and other services.
Major Objectives of CBR • To work at the level of individual people with disabilities and their families – • To maximize their physical and mental abilities, • To access regular services and opportunities, and • To become active contributors to the community and society. • To work with families/ communities to lift the barriers (attitudinal, institutional, information, communication, physical) that prevent the participation of persons with disabilities as Equals
Principles of CBR The principles of CBR are based on the principles of the Convention on the Rights of Persons with Disabilities (CRPD) (Article 3) • Dignity, freedom to make choices and independence • Non-discrimination • Full and effective participation and inclusion • Respect for difference • Equality of opportunity • Accessibility • Equality between men and women • Respect for the evolving capacities of children with disabilities
Link between CBR and Convention on the Rights of Persons with Disabilities (CRPD) • CBR has moved from a purely Service Delivery approach to a Human Rights approach • CBR is a multi-sectoral, bottom-up strategy • The Convention provides the values and principles that govern our work • Whereas, CBR is a practical strategy for implementation/ realization of the Rights in line with Article – 19 – Right to live in the community • CBR activities are designed to meet the basic needs of people with disabilities, reduce poverty, and enable access to health, education, livelihood and social opportunities
Background of CBR In 2003, WHO, UN Agencies, CBR Practitioners and various stakeholders, reviewed 25 years of CBR. They highlighted the need for CBR programmes to focus on: • reducing poverty • promoting community involvement and ownership • developing and strengthening of multi-sectoral collaboration • involving disabled people’s organizations in their programmes • scaling up their programmes • promoting evidenced-based practices Following series of consultations, in 2010, the revised CBR Guidelines were launched by WHO, UNESCO, ILO and IDDC
CBR MATRIX HEALTH EMPOWERMENT EDUCATION LIVELIHOOD SOCIAL RELATIONSHIPS MARRIAGE & FAMILY PROMOTION EARLY CHILDHOOD CARE SKILLS DEVELOPMENT COMMUNICA-TION PREVENTION SELF-EMPLOYMENT PRIMARY PERSONAL ASSISTANCE SOCIAL MOBILIZATION MEDICALCARE SECONDARY & HIGHER WAGE EMPLOYMENT CULTURE & ARTS POLITICAL PARTICIPATION REHABILITATION FINANCIAL SERVICES NON-FORMAL RECREATION LEISURE & SPORTS SELF-HELP GROUPS ASSISTIVE DEVICES SOCIAL PROTECTION DISABLED PEOPLE'S ORGANIZATIONS ACCESS TO JUSTICE LIFE-LONG LEARNING Components and Elements of CBR as outlined in the CBR Guidelines - 2010
About the CBR Matrix • CBR matrix provides a common framework for CBR programmes • CBR programmes are not expected to implement every component and element of the CBR matrix • CBR Programmes are designed based on local needs, priorities and resources • In addition CBR programmes develop partnerships/ alliances to ensure that people with disabilities and their family members are able to benefit from all the component and elements of the CBR Matrix
Promoting DLI Approach • DLI - a pilot project being initiated in the West Khasi Hills District of Meghalaya, Koraput District in Orissa and East Godavari District in Andhra Pradesh. • 5-8 NGO partners are identified within a district to promote DLI. • The overall aim is to promote a movement of PWDs in the district by forming DDPO, in order to address need and rights of PWDs and bring about a systemic change: • All the partners collaborate together to form a strong DDPO • By building alliances with People’s movement
What do we see in the picture? Your Boat Mainstream Side stream ? What if you are in the Mainstream? What if you are in the Side stream?
Why Mainstreaming? • People with disabilities and their family members, often do not benefit from mainstream development initiatives • Mainstreaming is essential to ensure that they can participate meaningfully in development processes and policies.
In addition, CBRF’s focus areas of Mainstreaming are: • Mainstreaming Disability/ inclusion of persons with disabilities in the existing programmes of the NGO • Inclusion of Mental Health in CBR • Inclusion of Persons with Disabilities in programmes related to HIV and AIDS and linkages with resource agencies
Rights Based Approach All programmes/ interventions: • Help in the realization of human rightsmentioned in the Convention on the Rights of Persons with Disabilities • Are guided by the standards and principles mentioned in the Convention on the Rights of Persons with Disabilities • Aimed at development of the capacities of ‘duty-bearers’ to meet their obligations and/or of ‘rights-holders’ to claim their rights
Good programming practices under Rights Based Approach are: • People with disabilities and their families are recognized as key players in their own development, rather than passive recipients • Effective participation of persons with disabilities and their families • Strategies are empowering, not disempowering • Programmes focus on marginalized, disadvantaged, and excluded groups • The development process is locally owned • Work in collaboration the concerned authorities and local community • Situation analysis is used to identify immediate, underlying, and basic causes of issues/ problems • Measurable goals and targets are important in programming • Strategic partnerships are developed and sustained
CBR Forum’s view of a Rights Based Approach • The emphasis is on ensuring that the State takes on the responsibility of provisioning of quality services for persons with disabilities rather than the NGO partner playing this role • In the interim period, however, the NGO partner will be encouraged to make provision of services, where required, until the DPO is in a position to ensure that the same are addressed appropriately by the State
that does not side stream PWDs We look forward to a tomorrow that includes PWDs in the mainstream as equal partners