2 nd COSI Annual Symposium Rehabilitation Franklin Daniel Manager - Community Based Programmes Venu Eye Institute & Research Centre

22ndnd COSI Annual Symposium COSI Annual Symposium

Rehabilitation

Franklin Daniel

Manager - Community Based Programmes Venu Eye Institute & Research Centre


Rehabilitation

• Rehabilitation includes all measures aimed at reducing the impact of disability for an individual, enabling him / her to achieve independence, social integration, a better quality of life and self actualization

Dr.E.Helander


Situation Analysis

• Source: NSSO Rounds 47 th in 1991 and 58 th in 2002.


Situation Analysis

• Source: NSSO Survey Round 47 th and 58 th in 1991 and 2002.


Situation Analysis

• Source : Disability status in India

• All are situated in urban area.• Less accessible to 83% of

disabled people in India.


Present scenario

Types of Rehabilitation

• Institution Based Rehabilitation (IBR)• Residential• Day care centers• Shelter workshops

• Community Based Rehabilitation (CBR)


Present scenario

• In Contrast to IBR programmes, the CBR programmes are more economical and socially desirable in Indian condition.

IBR CBRLess coverage More coverage

Age limits For all age groups

Institution based trades Community based trades

Isolated from community Integrated into community

Less community involvement More community involvement

- Unit cost is more (Rs.40000 to 60000)

Unit cost – less

(Rs.800 to 1000)

- Quality care for Persons with Multiple disabilities

Comparatively less


Present scenario

• Community development / comprehensive Eye care strategies are formed without including rehabilitation– Rehabilitation is an important component

of Community Development


Changing trend

• Source : WHO CBR Matrix – 2004,06,08

Medical Model Social Model

PreventionPromotionCurative

Rehabilitation

EducationLivelihood

Empowerment Social

+


COMMUNITY BASED REHABILITATION

EDUCATION LIVELIHOOD EMPOWERMENT SOCIALHEALTH

PROMOTIVE

PREVENTIVE

CURATIVE

REHABILITATIVE

ASSISTIVEDEVICES

EARLY INTERVENTION

NON-FORMAL

HIGHER

SPECIAL/TRANSITORY

LIVING SKILLS DEVELOPMENT

INCOMEGENERATING

ACTIVITIES

ACCESS TOFINANCIALSERVICES

OPENEMPLOYMENT

ECONOMIC/CONTRIBUTION &

SOCIAL PROTECTION

SELF-HELPGROUPS

DISABLEDPEOPLE’S

ORGANIZATION

SOCIALMOBILISATION

POLITICALEMPOWERMENT

LANGUAGE &COMMUNICATION

LEGALPROTECTION

CULTURE &RELIGION

SPORTS &LEISURE

RELATIONSHIPMARRIAGE &

FAMILY

PERSONALASSISTANCE

FORMAL SCHOOL


Identification, Prevention, Promotion

Referral Clinical

Assessment / Intervention

Need and age based

Education

Livelihood

Empowerment

Social

Advocacy

Counseling

Functional Assessment

Community Development activities Hospital / curative service centre

Curable

Treatment

Incurable

Networking


Capacity building & Insurance systems

Community Development interventions by networking, forming groups

Rehabilitation services - VICross disability

Preventive & Promotive services

Curative outreach services

Need Based Growth

Venu’s Community Based Programmes


Venu’s CBPs

• Covered 1.8 M & 2.58 M being covered – CBR for Visual impairment – CBR for Cross disability

• Working with persons with – Vision impairment – Hearing impairment

» Children and young adults – Locomotor disability

– Community Eye Health – Urban Slum project with Community

Development interventions – Comprehensive Diabetic Retinopathy project – Comprehensive Glaucoma Project – Integrated Education units : 12


Future concepts

• District level – Comprehensive eye services : A Multi stakeholders approach

• Community eye health Insurance

• Comprehensive CBR - for all disabilities


Roles Agency Expected Roles

Community Field staff, Door to Door survey, Training, Referral, Promotion, DPOs, SHGs

Curative Centre / Eye Hospital Training, Screening, Curative services

Devices

NGOs Facilitation, advocacy, training, Networking

SSA / Education department Provision of Inclusive education

Social welfare department Supportive services

Red Cross Society Assistive Devices

Government Immunization, Water sanitation, Health / eye health services


To conclude..

• Rehabilitation is an integral part of Community Development activities.– CBR is the only medium to reach 83% of rural

blind population.• 100% Door to door survey through CBR• Community ophthalmology or

comprehensive eye care cannot be holistic without including rehabilitation.

• Rehabilitation centers should have preventive, curative and promotive services.

• Eye hospitals should have rehabilitation services.


Thank You

Documents

2 nd COSI Annual Symposium Rehabilitation Franklin Daniel Manager - Community Based Programmes Venu Eye Institute & Research Centre