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Backbone Principles of the CBR Guidelines

Backbone Principles of the CBR Guidelines. Johan Velema Huib Cornielje. Backbone Principles of CBR. EMPOWERMENT. INCLUSION. 50%. 90%. 75%. SUSTAINABILITY. Inclusion. Participate in all sectors of society as equal Have access to same services as others

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Backbone Principles of the CBR Guidelines

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  1. Backbone Principlesof the CBR Guidelines Johan Velema Huib Cornielje

  2. Backbone Principles of CBR EMPOWERMENT INCLUSION 50% 90% 75% SUSTAINABILITY

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

  4. Livelihood Education Health Care Culture & Religion Financial Services Organisations Inclusion

  5. Inclusion • Changes people’s perceptions • Breaks down Stigma • Advocacy / Self-Advocacy: Put Disability Issues on the Agenda In the Media

  6. Overlapping Needs Needs of PWDs Needs of able-bodied

  7. Overlapping Needs Needs of PWDs Needs of PALs Needs of able-bodied

  8. INCLUSION Empowerment INCLUSION EMPOWERMENT

  9. Empowerment • Enable PWDs to join the mainstream • I CAN! • Claiming what is rightfully one’s own • Enable PWDs to make choices • Life Goals

  10. Empowerment for this PWDs need: • Information about abilities • services • rights • Skills & Tools

  11. Empowerment • Best done in Community • Self-Help Groups • Disabled People’s Organisations • The importance of Role Models Media Events

  12. 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

  13. Application to Leprosy EMPOWERMENT INCLUSION SUSTAINABILITY

  14. Basic Services • Medical Care • Therapy • Assistive Devices • Training / Exercises A Condition for Empowerment !

  15. Socio-Economic Rehab • Vocational Training • Savings & Loans Programs • Job Placement • Self-Employment A Boost for Empowerment !

  16. Integration From a Leprosy focus to inclusive CBR Why? Because it goes against exclusion

  17. 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

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 Barriers to Integration • Stigma & Self-Stigma • Fear of loosing benefits (Lep) • Donor policies • Outdated Professional Opinions • Resistance to power sharing by professionals

  19. 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

  20. 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

  21. Backbone Principles of CBR EMPOWERMENT INCLUSION SUSTAINABILITY

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