Community-based rehabilitation (CBR) was initiated by WHO following the Declaration of Alma-Ata in 1978 in an effort to enhance the quality of life for people with disabilities and their families; their basic needs; and ensure their inclusion and participation. While initially a strategy to increase access to rehabilitation services in resource constrained settings, CBR is now a multi-sectoral approach working to improve the equalization of opportunities and social inclusion of people within disabilities while combating the perpetual cycle of poverty and disability. CBR is implemented through the combined efforts of people with disabilities, their families and communities, and relevant government and non-government health, education, vocational, social, empowerment and other activities.

CBR Program was initiated in the Sahjanwa Block of Gorahpur with the support of CBR Forum Bangalore in April 2016. DISA has identified 443 differently able people in 35 villages of Sahjanwa Block in the initial phase and now we are taking them to the main stream through the formation of Villages DPOs, Block DPOs and District DPOs, and District DPOs focusing the CBR Matrix. The fifth year of the community –based rehabilitation has taken its role to help people with disabilities, to a inclusive society with human dignity through the education, and extended mobility and livelihood activities. Following are the few more stepping stones for this great venture. DISA is sincerely indebted to CBRF Bangalore for their frequent assistance to accomplish this great task

Networking with different community stakeholders

• Working with severe and multiple disabilities and other types if disabilities
• Basic knowledge on physiotherapy
• Children’s club and its functioning
• Priority based home based rehabilitation and Home based education
• Importance of the individual rehabilitation Plan
• Well-functioning of the DPOs
• Proper planning for needy CwDs/PwDs

Introduction:

Mr. Shashikant is 38 years old, a person with locomotors disability, and resident of Basia village of Sahjanwa Block. He is married and have two children, and both are going to school.

Before Intervention:

Mr. Shashikant was normal by birth. However, condition happened when tumor was occurred on the back side of his body and unmanageable to sit properly. In the year between 2011- 2012, as per the information, operation was done from AIIMS, Delhi. After the operation he was quite well with regard to health with regular medication. However, his health conditions become more deteriorated after the few months of operation. In the beginning he managed to stand for a while with the support of crutch. However, now he is fully bed ridden and not able to move properly, and fully dependent on his wife. He has computer knowledge and able to help villagers for computer work.

Programme Intervention:

He was motivated to start self-employment using his computer knowledge. And helped to access disability certificate, UDID, Rail Pass and amount of Rs. 8000 FROM Livelihood Support Fund through his group.

Current Status:

He has got disability certificate of 80%, Rail Pass and UDID. He is well known in the area for all the services he does to the people there. He is able to support the family through his self-employment at home through computer by helping villagers for online registration, online booking of train, PAN, online banking transaction, etc. He is able to earn a monthly income of 3000 to 4000. His family is very grateful to CBR program for helping him with the livilyhood activities and enabling him to come to the mainstreams of the society.

Further Plan:

• For accessing Disability Pension
• Encourage to motivate other group members of his DPO group to start IGA