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Community Based Rehabilitation and Inclusive Development

Strategic Objective

CBR is a WHO-Primary Health Care initiative designed to promote inclusive development for Persons with Disabilities, by providing adequate access to Quality Health and Rehabilitation, Education, Social and Empowerment opportunities, which guarantee their full and active participation in the society .The CBR Matrix aims to prevent disability situations, manage identified disabilities, increase participation of PWDs and empower PWDs to become full and active members of the society.

The program carries out comprehensive community based rehabilitation, care, and support services within the three districts of National Capital District and 3 other provinces in order to ensure maximum impact and participation of persons with disabilities in the wider rural regions of PNG.

The program promotes, within the regions of coverage, a twin track approach of:

  1. Providing access to comprehensive rehabilitation
  2. Access to human rights, and
  3. Active participation in all development initiatives by persons with disabilities for an inclusive community development.

The program undertakes early identification of disability situations and provide appropriate intervention. Basic rehabilitation skills training and capacity building on disability care and human rights are disseminated to the community and families in the households or as organized groups during family visits and Focused Group Discussions. Use of local resources is promoted through strengthened coordination with local support networks, improvisations of suitable assistive aids and volunteerism. Over 600 children and 1000 families are currently in the program across the National Capital District. While over 5,000 have benefited in the past through medical referrals and disability awareness aimed at averting preventable disabilities.

Economic skills training and development through participatory approaches is provided to organized groups to enhance individual household incomes for self-independence in livelihoods support.

The programme, through partnership with other stakeholders, promotes awareness and increased access to information, education and communication materials on HIV/Aids and gender development to PWDs and their families. As cross-cutting issues affecting PWDs or/and their families.

Community based networks are identified and strengthened while utilization of local available resources are promoted through participatory processes to reduce the cost of operations and enhance sustainability.

Physiotherapy Referral and outreach services

Strategic Objective

The Physiotherapy Referral and Outreach Program provides assessment, training and rehabilitation services for persons with disabilities or debilitating medical conditions who come from non-CBR catchment areas. It supports those who have been referred or discharged from the surrounding health facilities who require progressive rehabilitation services outside of the hospitals. It takes care of people with acquired physical injuries, and or health conditions which may cause restrictions in individual physical performance levels. In-house Training and Capacity Development for CBR Field workers, Carers and Parents are critical services provided by the program which is located within Cheshire. The program, an arm of CBR, combines a range of treatment modalities which include physical exercises, training and electrotherapy-administration of heat, cold and electric current modalities to manage a wide range of physical health conditions.

The physiotherapy services are provided to the residential care service users, inclusive education children, and children with all forms of disabilities identified from or referred from the wider NCD and the Central Province. The programme undertakes physical assessment of the referred children and adults to outline rehabilitation needs and treatment required. The program receives referrals and works in collaboration with POMGH, NBDP, National Orthotics and prosthetics (NOPS) St. Johns, Red Cross, Department of Education, and DfCD among others. The organization has qualified physiotherapists who are supporting the implementation of the services on a daily basis. Over 80 children from NCD are being supported through the program.

The Geographical situation in PNG makes it difficult for free and reliable transport and communication in accessing rehabilitation facilities. Many PWDs are therefore unable to access services due to their locations and the difficulty involved in transport means and movement. While disability is closely associated with poverty, many more PWDs are expected to be in the rural homes or provinces where much infiltration of disability information and services is still poor

Cheshire undertakes a centre based physiotherapy services for ‘out-patient’ services and outreach mobile clinics to the peri-urban, with hope for