COMMUNITY BASED REHABILITATION

1.1 Disabled Village Children: David Werner
1.2 WHO Manual on Community based Rehabilitation.

2.1

3.1 Medical and surgical supplies and assistive devices are accessed from the nearest health facility.

4.1 Community groups skills are available

4.1.1 To organise and run regular, focused and functional meetings.
4.1.2 In record keeping and minutes taking.
4.1.3 To run committees and resolve conflicts.
4.1.4 In bookkeeping, financial reporting and operating a bank accounts.
4.1.5 In writing proposals and fund-raising.
4.1.6 In developing job descriptions and monitoring the services of employees like cooks, day-care providers, drivers, etc.

4.2 Day caretakers have

4.2.1 Basic training in early education and can carry out a basic rehabilitation programme under the guidance of a therapist or therapy assistant.
4.2.2 The ability to

4.2.2.1 do a basic assessment of the rehabilitation needs of the children in their care, and record this in the local vernacular in a standardised format.
4.2.2.2 keep a progress record of a child in his/her care in the local vernacular.
4.2.2.3 keep a daily journal of their activities, attendance and incident registers and write half-yearly reports of the child’s progress to the parents.
4.2.2.4 construct toys from locally available material and plan stimulation programmes for a group of children.
4.2.2.5 counsel parents on handling of the child.
4.2.2.6 Identify children who are not adequately cared for by their families, even with support from community services, and refer these to welfare services.
4.2.2.7 Know which social grants are available to people with disabilities and how to apply for such assistance.
4.2.3 Self-help and Income Generating Groups have skills are available in financial management and marketing products made.

4.3 Districts have a community-based level of service for rehabilitation, which is provided in partnership with people with disabilities and their caregivers.
4.4 Councils are in place at district and community level, based on the shared governance structure described as the model in the white paper on disability.
4.5 Health Department representatives at these levels participate in, and actively promote, the shared governance structures, in an empowering way, putting the leadership into the hands of the people with disabilities.
4.6 Health forums, hospital boards and community health committees have at least one member with a disability.
4.7 Meetings of the committees and boards are conducted in barrier free circumstances.
4.8 Services for people with disabilities are given priority.
4.9 The Health Sector gives technical support to shared governance structures and community-based services.
4.10 People with disabilities are involved in setting up and implementing disability information systems at all levels of service provision, and this information is used to prioritise and plan services.

4.11 Opportunities are developed for care givers of disabled children, or people with disabilities to be involved in providing community based services.
4.12 Community based services include day care facilities for children with multiple severe disabilities, support groups, self help groups, protected workshops, home based care, sport opportunities and instruction for people with disabilities.
4.13 Each sub-district has a centre for rehabilitation with, as a minimum, facilities for day care and a workshop.
4.14 Community based service points are visited by a therapist or therapy assistant.
4.15 Suitable space is available for these services to be provided on or within health service facilities, if needed.

5.1 There is effective and efficient referral and counter referral system between district health facilities and community based and owned facilities.

6.1 Assist in empowering people by them recognising their self-worth.
6.2 Handling of behavioural problems.

7.1 A progress record of a child in his/her care in the local vernacular.
7.2 Daily journal of day care centres, their activities, attendance and incident register.
7.3 Regular reports on the child’s progress to the parents.
7.4 Record of a basic assessment of the rehabilitation needs of the children in their care in the local vernacular in a standardised format

8.1 Needs driven community training, counselling and awareness raising programmes to address issues concerning people with disabilities operate from these centres.
8.2 Community groups are actively involved in awareness raising activities within the district, especially the International Day of Disabled and other special days with related topics.

9.1 People with disabilities are involved in the planning, setting of standards and monitoring of the services of which they are the main benefactors.
9.2 Issues pertaining to disability are addressed, through intersectoral collaboration, with the community at community based service points.
9.3 Community based services are provided within a framework of accountability to a committee made up of stakeholders, which receives technical support from a service provider.
9.4 Rehabilitation centres are further developed to provide contact/service points with other sectors, e.g. welfare, labour, education, agriculture, as well as community gardens and adapted gardens for people with disabilities, sports facilities for disabled persons, and short term half way house boarding facilities.
9.5 Therapists and therapy assistants assist community-based groups to contact services from other sectors, NGOs and Disabled People’s Organisations (DPO’s).
9.6 District maintenance personnel provide technical support for these services e.g. construction of aids for daily living for individual clients.
9.7 Opportunities to contract the provision of services for the health sector to people with disabilities are developed e.g. making of pressure garments, sewing or repair of hospital linen, making of special chairs from Appropriate Paper Technology, garden services.
9.8 The education sector makes use of the resources within the Community Based Rehabilitation service to cater for the educational needs of children and adults with barriers to learning, and provides technical support to the groups.
9.9 Community Groups remain in contact with the Department of Labour, and are given priority in suitable skills training programmes.