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ID:38163506
大小:38.00 KB
页数:5页
时间:2019-05-24
《NATIONAL PROGRAMME FOR REHABILITATION OF PERSONS WITH DISABILITIES–A BLEND OF CBR AND IBR》由会员上传分享,免费在线阅读,更多相关内容在行业资料-天天文库。
1、NATIONALPROGRAMMEFORREHABILITATIONOFPERSONSWITHDISABILITIES–ABLENDOFCBRANDIBRRakeshAroraABSTRACTThetwobroadapproachestorehabilitationareCommunityBasedRehabilitation(CBR)andInstitutionalBasedRehabilitation(IBR).Severalschoolsonthesubjecttendtolookattheseastwodistinct,mutuallyexclusivealter
2、nativesandgenerallyargueinfavourofoneortheother.However,thetwoapproachesarecomplementarytoeachotherandthepolicyoptionisnotoneofCBRvs.IBR,butoneoffocus,prioritisationandajudiciousmixofbothinanycomprehensivepackageofrehabilitationforpersonswithdisabilities.Animportantstepbythegovernmentinth
3、edirectionofanappropriateblendofthetwoapproachesonalargescale,istheimplementationofacomprehensivescheme-NationalProgrammeforRehabilitationofPersonswithDisabilities(NPRPD).TheschemeisastatesectorschemewithafourtierdeliverysystematGramPanchayat(GP),Block,DistrictandStatelevels.TheSchemeenvi
4、sagesaCBRapproachatGP/BlocklevelstobedovetailedwithaninstitutionbasedapproachatDistrict/Statelevels.TheUnionGovernmentprovidesfinancialresources,guidelinesonimplementationoftheSchemeandmonitorsitsimplementationbytheStates.TheSchemeaimstocreateastrongnetworkofruralbasedrehabilitationservic
5、es.INTRODUCTIONAnumberofapproachestorehabilitationofpersonswithdisabilitiesarebeingadvocatedbothintheoryandinpractice.ThetwobroadapproachestorehabilitationareCommunityBasedRehabilitation(CBR)andInstitutionalBasedRehabilitation(IBR).ThedistinctivefeaturesofCBRarethatneedsofpersonswithdisab
6、ilitiesaremetwithintheirownenvironment,involvingfamilymembersandcommunity(1).Itreferstomeasurestakenatcommunityleveltouseandbuildonlocallyavailableresourcesofthecommunity.Theseresourcesincludethedisabledpersons,theirfamiliesandothersinthecommunity(2).IBRontheotherhand,isrehabilitationofpe
7、rsonswithdisabilitiesatorthroughinstitutions,oftenawayfromtheirhomes.IBRgenerallyleadstoatransformationinsocialbehaviourofpersonswithdisabilities,makingtheprocessoftheirsocialintegrationdifficult.However,thequalityofrehabilitationservicesprovidedthroughIBRtendstobeb
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