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Primary Health Care (PHC)30 years of Alma-Ata
Primary Health Care (PHC)30 years of Alma-Ata
CBR Joint Position Paper ILO, UNESCO & WHO (2004)
CBR is a strategy for ¨ Rehabilitation¨ equalization of
opportunities¨ poverty reduction¨ social inclusion
CBR is a multisectoral strategy
WHO/ILEP Technical guide on community-based rehabilitation
and leprosy Meeting the
rehabilitation needs of people affected by leprosy and promoting quality of life
WHO/ILEP Technical Guide Due to the stigma and disabilities resulting
from leprosy, people affected have suffered reduced opportunities and experienced many forms of social exclusion – all in the context of a poverty-related disease
CBR, according to its current definition, is highly relevant to the rehabilitation of people affected by leprosy
Poverty and Disability Majority of people with disabilities/
leprosy live in chronic poverty Poverty is not just the lack of
money or income, it has many facets.
Poverty erodes or nullifies economic and social rights such as the right to health, education, livelihood. inclusion…..
Disability models
Comprehensive model
Total well-being
Leprosy Non-Leprosy
CBR MATRIX
HEALTH
PROMOTION
PREVENTION
MEDICAL CARE
REHABILITATION
EDUCATION
EARLY CHILDHOOD
PRIMARY
SECONDARY & HIGHER
NON-FORMAL
LIVELIHOOD
SKILLSDEVELOPMENT
SELF-EMPLOYMENT
FINANCIAL SERVICES
WAGE EMPLOYMENT
SOCIAL
RELATIONSHIPSMARRIAGE &
FAMILY
PERSONAL ASSISTANCE
CULTURE&
ARTS
RECREATION LEISURE &
SPORTS
EMPOWERMENT
COMMUNICATION
SOCIAL MOBILIZATION
POLITICAL PARTICIPATION
SELF-HELP GROUPS
ASSISTIVEDEVICES
LIFE-LONG LEARNING
SOCIAL PROTECTION
ACCESS TO JUSTICE
DISABLED PEOPLE'S
ORGANIZATIONS
Leprosy
Leprosy
Leprosy
Leprosy
CBR Matrix and its Aim
Assist in poverty reduction and its various facets
Empower to affirm human rights Promote quality of life and well-being of
people with disabilities and their families
Facilitate Inclusive Development for people with disabilities including people with leprosy and their families.
CBR guidelines – Table of content
INTRODUCTION MANAGEMENT OF
CBR HEALTH EDUCATION LIVELIHOOD SOCIAL EMPOWERMENT
SUPPLEMENT CHAPTERS CBR and Crisis Situations CBR and HIV/AIDS CBR and Mental Health
CBR and Leprosy
WHO/ILEP Technical Guide on CBR & Leprosy
CBR and LeprosyPurpose : Reduce the gap Demonstrate how people affected by leprosy can
get benefit from CBR Highlight the particular characteristics of leprosy to
CBR personnel who may not be familiar with the disease and its consequences
Leprosy experts understand the need to integrate their services and programmes into mainstream CBR developments.
CBR: Individual-family-community-local/provincial/na
tional government
The person with disability and immediate family
Neighbours, extended family, and friends living close to the person with a disability
Village/Community leaders, teachers, health and community workers, potential employers, etc
Local government units, NGOs, disability groups, specialists, schools, hospitals, livelihood opportunities
Provincial and national government agencies, political leaders, media
People with leprosy
Now More Than Ever Current and future scenario Reach to the unreached Reduce poverty and promote inclusion Convention on the Rights of Persons with
Disabilities Leprosy CBR technical Guide /CBR
Matrix/CBR Guidelines “Leprosy & CBR – Now More Than Ever”
Community-Based Rehabilitation
Thank you – Kapun Khap