Backbone Principles of the CBR Guidelines

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Backbone Principlesof the CBR Guidelines

• Johan Velema
• Huib Cornielje

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Backbone Principles of CBR
EMPOWERMENT
INCLUSION
50
75
90
SUSTAINABILITY
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Inclusion

• Participate in all sectors of society as equal
• Have access to same services as others
• Eliminate all Barriers (physical, social, legal)

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Inclusion

• Culture Religion
• Financial Services
• Organisations

• Livelihood
• Education
• Health Care

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Inclusion

• Changes peoples perceptions
• Breaks down Stigma
• Advocacy / Self-Advocacy
• Put Disability Issues on the Agenda

In the Media
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Overlapping Needs
Needs of PWDs
Needs of able-bodied
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Overlapping Needs
Needs of PWDs
Needs of PALs
Needs of able-bodied
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INCLUSION
EMPOWERMENT
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Empowerment

• Enable PWDs to join the mainstream
• I CAN!
• Claiming what is rightfully ones own
• Enable PWDs to make choices
• Life Goals

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Empowerment

• for this PWDs need
• Information about abilities
• services
• rights
• Skills Tools

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Empowerment

• Best done in Community
• Self-Help Groups
• Disabled Peoples Organisations
• The importance of Role Models
• Media Events

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Sustain-ability
CBR will always cost Money!

• Build programmes that last
• Develop training routines
• Build organisational structures
• Develop decision making processes
• Build partnerships and networks
• Develop stable sources of income

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Application to Leprosy
EMPOWERMENT
INCLUSION
SUSTAINABILITY
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Basic Services

• Medical Care
• Therapy
• Assistive Devices
• Training / Exercises

A Condition for Empowerment !
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Socio-Economic Rehab

• Vocational Training
• Savings Loans Programs
• Job Placement
• Self-Employment

A Boost for Empowerment !
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Integration

• From a Leprosy focus to inclusive CBR

Why? Because it goes against exclusion
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Integration

• From a Leprosy focus to inclusive CBR
• Collaboration for wide coverage
• Recognise unique contributions
• Participatory needs analysis
• Research to facilitate transition
• CBR needs to be context-specific

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Barriers to Integration

• Stigma Self-Stigma
• Fear of loosing benefits (Lep)
• Donor policies
• Outdated Professional Opinions
• Resistance to power sharing by professionals

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Integration TLM experience

• CBR in India Multi-disability SHGs
• Nepal SCG for Leprosy-affected became
• SHG for PWDs
• DPOs in Sudan Integrated
• DPOs in Mozambique Segregated
• DPO in Ethiopia Federated

Stronger leprosy DPO integrates more easily
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Special Programs ?

• Special Programs are a fact of Life
• We will always need Special Programs
• Prepare PWDs for the Mainstream
• Care for those who Cannot

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Backbone Principles of CBR
EMPOWERMENT
INCLUSION
SUSTAINABILITY