Como E, Batdulam T 2012. A grandmother finds her way An elderly grandmother in the village of Thai Binh, Viet Nam, had diabetes and low vision. The Joint Position Paper recognizes that people with disabilities should have access to all services which are available to people in the community, such as community health services, and child health, social welfare and education programmes. All this was made possible by the cooperation from Selam and her family, the linkage with referral centres, and the support from specialists and hospital authorities. Selected Readings in Community Based Rehabilitation. Asia Pacific Disability Rehabilitation Journal; 15 2 : 95-105. Central to this change in understanding of disability was the disabled people's movement, which began in the late 1960s in North America and Europe and has since spread throughout the world.
The Convention was developed by a committee with representatives from governments, national human rights institutes, nongovernmental organizations and disabled people's organizations. Dolan C, Concha M, Nyathi E 1995. It aims to reflect the power of participation and provide information on various experiences of a participatory approach, problems encountered and people who have worked with these problems to produce positive outcomes. During these transitions, adjustments will need to be made to the rehabilitation plans to ensure the activities continue to be appropriate and relevant. Early programmes were mainly focused on physiotherapy, assistive devices, and medical or surgical interventions. It means mobilizing, organizing, representing, and creating space for interactions and demands.
Community-based rehabilitation for and with people with disabilities. While not all people with disabilities are poor, in low-income countries people with disabilities are over-represented among the poorest. As a result, many agencies and organizations commonly use a human rights-based approach in their development programmes. Rehabilitation personnel need to be innovative and develop appropriate rehabilitation programmes which are available as close as possible to home, including in rural areas. Whose reality counts: putting the first last.
In low-income countries and particularly in rural areas, the range of rehabilitation services available and accessible is often limited. Cornielje H, Ferrinho P 1995. It also emphasizes human rights and calls for action against poverty, and for government support, and development of national policies. Selam was operated on and the tumour was removed. Geneva, World Health Organization, 2004 www. This study illustrates a possible training approach which can contribute to the development of these skills. Results are seen in restored dignity and self-confidence.
International Labour Organization, United Nations Educational, Scientific and Cultural Organization,World Health Organization. Facilitate environmental modifications Environmental modifications may be necessary to improve the functional independence of a person with a disability. Selected Readings in Community Based Rehabilitation. Her headaches increased, she started vomiting and losing balance, and was close to dying. Health and Social Care in the Community; 12 5 : 389-397. Rehabilitation services can be offered in a wide range of settings, including hospitals, clinics, specialist centres or units, community facilities and homes; the phase during which rehabilitation occurs e. Medical care can take place at the primary, secondary or tertiary level of the health-care system.
The presence of a disability, e. However, the insights gained can be used elsewhere. Rehabilitation is often initiated by the health sector but requires collaboration between all sectors. The final component relates to the empowerment of people with disabilities, their families and communities, which is fundamental for ensuring access to each development sector and improving the quality of life and enjoyment of human rights for people with disabilities. The guides target local supervisors, the community rehabilitation committee, people with disabilities, and schoolteachers. Her family and friends were taught how to make a simple walking frame for her to practise standing and walking.
It recommends that people with disabilities serve as role models, advocates and experts in such programmes to increase their quality and efficiency. Encourage functional independence Functional interventions aim to improve an individual's level of independence in daily living skills, e. Selfadvocacy is a collective notion, not an individualistic one. Its effectiveness depends on continuous reflection, debate and learning. And whenever we fail in this mission, we are failing human rights.
Since 2000, they have extended these programmes to the major slums in Nairobi in order to reach those people with disabilities who are most vulnerable. Ministries of health in many countries e. These rights are affirmed in the Declaration of Human Rights, adopted by all Member States of the United Nations in 1948 , as well as in other international human rights treaties which focus on particular groups and categories of populations, such as persons with disabilities. Selected Readings in Community Based Rehabilitation. Human rights-based approach to development Human rights and development are closely linked — human rights are a fundamental part of development, and development is a way to realize these human rights. In most countries, the ministry of health manages these services; in some countries, however, rehabilitation services are managed by other ministries, e.