CBR Orientation for OPDA iloilo city

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ORIENTATION ON COMMUNITY BASED REHABILITATION EDWARD TAN-ELLO Social Mobilization Officer UMWAD Project Handicap International

CBR Matrix : 

CBR Matrix

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WHAT IS DISABILITY?

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The UN Convention on the Rights of Persons with Disabilities (2007) recognizes that disability is an evolving concept, resulting from the interaction between persons with impairments and attitudinal and environmental barriers that hinder their full and effective participation in society on an equal basis with others.

Problems on definition : 

Problems on definition No formal definition of the term “disability” PWDs as defined by BP 344: “those suffering from restriction or lack of ability to perform an activity in the manner or within the range considered normal for a human being as a result of a mental, physical, or sensory impairment.”

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What Is Disability MAGNACARTA for Person with disability RA 7277 Section 2 (a) Disabled Persons are those suffering from restriction or different abilities, as a result of a mental, physical or sensory impairment, to perform an activity in the manner or within the range considered normal for a human being and (C) of RA 7277 Disability - shall mean (1) a physical or mental impairment that substantially limits one or more psychological, physiological or anatomical function of an individual or activities of such individual; (2) a record of such an impairment; or (3) being regarded as having such an impairment.

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Sec: 4 the title of RA 7277 is hereby amended to read as the “MAGNACARTA for person with disability”, and all references on the law to “disable person” shall likewise is amended to read as “ person with disability” RA 9442 Disability - is used to refer to the restrictions caused by society when it does not give equivalent attention and accommodation to the needs of individuals with impairments.

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Disability means Daily living activities or ADL involves functional abilities (e.g. range of motion of arms hands and foots fine motor. Practical activity aspects-cannot do practical things in same ways that people same age and culture do.

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The UN Convention on the Rights of Persons with Disabilities (2007) recognizes that disability is an evolving concept, resulting from the interaction between persons with impairments and attitudinal and environmental barriers that hinder their full and effective participation in society on an equal basis with others New Definition of Disability in the Philippines based on the new manual of CBR

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What does this mean? Impairment refers to the condition traditionally associated with disability, that is, the loss of function due to blindness, deafness, intellectual delay, physical difficulty, or mental illness. In other words: “I cannot walk because I have a broken spine”, or “I cannot read that signpost because I am blind”.

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But disability is no longer defined solely as the result of impairment. Rather, it is also determined by society’s barriers which block and exclude people with disabilities from the activities and services enjoyed by non-disabled people (WHO International Classification of Functioning, Disability and Health, 2002). In other words: “I cannot walk, but I can use a wheelchair to get around. However I cannot go to the market because there are too many steps and no ramps”; or “I am blind and I am a qualified graduate, but employers will not employ me because of my blindness”, or “I am deaf, and I speak using sign language, but nobody else knows sign language”, or “I have epilepsy but I cannot go to school because the teacher will not let me into the class.”

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CBR recognizes that disability is an evolving concept and that disability results from the interaction between persons with impairments and attitudinal and environmental barriers that hinders their full and effective participation in society on an equal basis with others. UN Convention on Rights of Persons with Disabilities, ratified Philippines, 2008

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According to Philippine Registry Form for Persons With Disability there is 9 classification of disability 1. Psychosocial Disability 2. Chronic Illness 9. Learning Disability 7. Orthopedic (Musculoskeletal) Disability 4. Visual Disability 6. Mental Disability 8. Multiple Disabilities 3. Speech Impairment 5. Hearing Disability

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Classifications of disability: type, cause, prevention of cause, intervention 1. ORTHOPEDIC, MUSCULAR-SKELETAL OR MOVING IMPAIRMENTS POLIO CEREBRAL PALSY AMPUTEE (arms, legs, fingers, toes). SPINAL INJURY Pott’s Disease Muscular dystrophy Club foot CLEFT LIP & PALATE HYDRO-CEPHALUS EPILEPSY

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2. CHRONIC ILLNESSES WITH IMPAIRMENTS STROKE 3. INTELLECTUAL & MENTAL CONDITIONS INTELLECT-UAL DISABILITY DOWN SYNDROME AUTISTIC SPECTRUM DISORDERS (ASD) 4. CHILDREN WITH LEARNING IMPAIRMENTS LEARNING DISABILITY, including Dyslexia and Attention Deficit Hyperactive Disorder (ADHD)

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5. PSYCHOSOCIAL & BEHAVIORAL CONDITIONS PSYCHO-SOCIAL IMPAIRMENT Schizophrenia Depression, Anxiety Post-traumatic stress disorders senile psychosis/ Alzheimer’s 6. VISUAL OR SEEING IMPAIRMENTS VISUAL IMPAIRMENT Cataract Pterygium Diabetic Retinopathy Glaucoma Refractive Errors

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7. COMMUNICATION IMPAIRMENTS HEARING IMPAIRMENT 8. SPEECH IMPAIRMENTS 9.MULTIPLE DISABILITES

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What does this mean? Impairment refers to the condition traditionally associated with disability, that is, the loss of function due to blindness, deafness, intellectual delay, physical difficulty, or mental illness.

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The Art of Color Integration

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Many colors operate in each community

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Characteristics of colors 1.Each color can only see itself 2.Each color sees itself everywhere

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Characteristics of colors

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Characteristics of colors 3.Each color wishes to expand 1.Each color can only see itself 2.Each color sees itself everywhere

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The Red color’s fantasy

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The Blue color’s fantasy

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The Yellow color’s fantasy

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When all colors work simultaneously …

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When all colors work simultaneously …

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When all colors work simultaneously …

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When all colors work simultaneously …

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When all colors work simultaneously …

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When all colors work simultaneously …

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When all colors work simultaneously …

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This solution serves the colors - NOT the picture The common solution – creating boundaries

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The picture needs color integration

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The result:….the colors serve the picture

CITIZENSHIP MODEL : 

CITIZENSHIP MODEL Enabling communities to serve all its citizens Facilitating opportunities where PEOPLE with DISABILITIES serve their community: contribute to the community In order to make development MEANINGFUL for ALL

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What is development?

Development : 

De + envelop Development Develop ≠ Growth

Which one is developed? : 

Which one is developed? GNI（$) 1,170 37,610

USACuba : 

USACuba Life Expectancy at birth7777 Primary School Net Enrolment9396 GNI37,6101,170 12

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or

What is Community-Based Rehabilitation? : 

What is Community-Based Rehabilitation? CBR is a strategy within general community development for the rehabilitation, equalization of opportunities & social inclusion of all children and adults with disabilities. (Joint UN Statement on CBR: WHO, UNESCO, and ILO; 2004)

CBR Matrix : 

CBR Matrix

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CBR is being practiced in more than 90 countries

National level support : 

National level support Executive Order No. 437 (June 21, 2005) – Encouraging the implementation of Community-Based Rehabilitation (CBR) for Persons with Disabilities in the Philippines ** Section 1 – All LGUs are hereby encouraged to adopt the CBR program in delivering services to their constituents with disabilities and to allocate funds to support the program

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MALACAÑANG Manila BY THE PRESIDENT OF THE PHILIPPINES EXECUTIVE ORDER NO. 437 ENCOURAGING THE IMPLEMENTATION OF COMMUNITY-BASED REHABILITATION (CBR) FOR PERSONS WITH DISABILITIES IN THE PHILIPPINES WHEREAS, Section 11, Article XIII, of the 1987 Constitution, declares that "the State shall adopt an integrated and comprehensive approach to health development which shall endeavor to make essential goods, health and other social services available to all the people at affordable cost. There shall be priority for the needs of the under-privileged sick, elderly, disabled, women and children. The State shall endeavor to provide free medical care to paupers"; WHEREAS, Republic Act No. 7277, otherwise known as the Magna Carta for Drabled Persons, expressly provides that "people with disabilities shall be given rehabilitation, opportunities for self-development and self-reliance to prepare them for full integration into the mainstream of society"; WHEREAS, Republic Act No. 8425, otherwise known as the Social Reform Act Provides for the poverty-alleviation of the basic sectors, including persons with disabilities; WHEREAS, the Biwako Millenium Framework which promotes a righ-based, barrier-free and inclusive society for persons with disabilities is supported by Proclamation No. 240 "Declaring the period 2003-2012 as the Philippine Decade of Persons with Disabilities"; WHEREAS, Republic Act No. 7160 known as the Local Government Code of 1991 mandates the devolution of services to the local government units (LGUs); WHEREAS, there is a need at the community level for an effective approach in providing comprehensive rehabilitation services and in promoting the rights and empowerment of person with disabilities; WHEREAS, the Community-Based approach has been successfully demonstrated as an appropriate way of providing comprehensive rehabilitation services to person with disabilities nationwide. NOW, THEREFORE, I GLORIA MACAPAGAL-ARROYO, President of the Republic of the Philippines, by virtue of the powers vested in me by law, do hereby order: SECTION 1. All Local Government Units (LGU) are hereby encouraged to: Adopt the Community-Based Rehabilitation (CBR) Program in delivering services to their constituents with disabilities and to allocate funds to support the program. Designate a unit under the office of the local executive to be responsible for the implementation of the Community-Based Rehabilitation program in accordance with the police and implementing guidelines set by the National Council for the Welfare of Disabled Persons to include the promotion and capability building of the LGUs on CBR. SECTION 2. The concerned national government agencies shall provide support to LGUs for the effective and sustained implementation of CBR. SECTION 3. All orders, issuances, rules and regulations or any part thereof which are inconsistent with the provisions of this Executive Order are hereby repealed or modified accordingly. SECTION 4. This Executive Order shall take effect immediately. DONE in the City of Manila on this 21st day of June in the year of Our Lord Two Thousand and Five. (Sgd.) GLORIA MACAPAGAL – ARROYO By the President: (Sgd.) EDUARDO R. ERMITAExecutive Secretary

THE V & M of CBR in the Philippines : 

THE V & M of CBR in the Philippines CBR looks forward to the day when people are living together, respecting differences, and where people with disabilities enjoy full participation and equal rights in the Philippines. Vision Communities are working together with persons with disabilities to remove all barriers and to respect differences in order to enhance everyone’s quality of life CBR facilitates the process where persons with disabilities empower themselves so that they control their own development. Empowerment advocates for rights, promotes quality of life through education and well-being, assists in poverty reduction, and facilitates inclusive development for persons with disabilities and their families. MISSION

Principle Approach : 

Principle Approach If you give me a fish, I can eat today, …. …but if you teach me how to fish, I can eat for ever! X

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Social Health Livelihoods Education Empowerment …but, there are already many EXPERTS working in all of these areas of needs…

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We need all the different approaches for effective CBR work, respecting the diversity of abilities, culture, gender, age, needs and resources. There is not one way of doing CBR or community development, participation & networks are key factors. The driving force and direction needs to be with people with disabilities & their communities for sustainable networks.    Participation Social Justice Equality Sustainability Self Advocacy Inclusion Solidarity Dignity Social Livelihoods Education Empowerment of disabled person Health

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School Office Church Market Day Care CBR School CBR = CBR = Day Care Market Office Church

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Philippine Legislation on Disability Related Laws

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9 Republic Act with 3 IRR 7 Executive Orders 1 Administrative Orders 1 Batas Pambansa with IRR 1 Administrative Order 20 Presidential Proclamation Legal Basis

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PWDs & their Families are Always asking HOW? ? ?

Legal Bases : 

Batas Pambansa 344: Accessibility Law (1983) R.A. 7277: Magna Carta for PWDs and its Amendments BIWAKO Millennium Framework of May 2002 Asian & Pacific Decade of Disabled Persons 1993-2003 UNESCAP: 2003-2012 : 2nd Asia-Pacific Decade of Disabled Persons Philippine Decade of Disabled Persons 2003-2012 UN Convention on the Rights of Disabled Persons: (Philippines: September 2008) Legal Bases

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Success Factor in Implementing CBR in the 3 Municipality of Iloilo (San Dionisio, Batad and Concepcion But before that.. lets examine this !!!!!

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GOAL: HUMAN RIGHTS ~ INCLUSIVE DEVELOPMENT ~ INCLUSIVE SOCIETY

Common Approach : 

Common Approach Physiotherapy Assistive devices Corrective surgery Education/schooling Accessible classroom and toilet Accessible environment Vocational training Income to family Income Food Clothes Better shelter and toilet Water Education - School Treatment or cure Assistive device Exercise Peoples Need

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The Motivating Factor: Number of PWDs before CBR Number of PWDs at Present (still on going validation) Number of Population Municipality Number of Barangay San Dionsio 4th Class 29 32,171 300 ++ 850 Concepcion 4th Class 25 36,881 550 950 Batad 5th Class 24 18.298 50 360

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CBR unite the whole community PYAP Members rally for equal rights of PWDs

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Community Participation

CBR Disability Awareness Orientation & Advocacy : 

CBR Disability Awareness Orientation & Advocacy Day Care Workers and BHWs Brgy. Captain and Treasurers DCW doing advocacy at Brgy. Nipa Students

Livelihood Assistance : 

Livelihood Assistance Basic Entrepreneurship Training for PWD Distribution of Livelihood Assistance

International Day of PWDsSM City – December 3, 2008 : 

International Day of PWDsSM City – December 3, 2008 Trip to SM City

Meeting with HILWAI Staff : 

Meeting with HILWAI Staff CBR Workers PWDs Sustainability of the program is very important. Frequent meeting and consultation on the progress of the program is done by the HILWAI staff with the different stakeholders

Policy Support(Resolution on CBR) : 

Policy Support(Resolution on CBR)

Municipal Council on Disability Affair (MCDA) : 

Municipal Council on Disability Affair (MCDA)

MCDA MEMBERS : 

MCDA MEMBERS Chairperson: Hon Elizabeth T. Salcedo, Municipal Mayor Vice-Chairperson Hon. Romeo C. Lanciola, SB Chairman Committee on Social Services Members: District Supervisor Municipal Social Welfare & Development Officer Municipal Health Officer Municipal Local Government Operations Officer ABC President Municipal Engineer TAWAG Coordinator Municipal Planning and Development Officer President, Municipal Federation of Day Care Workers

MCDA MEMBERS : 

MCDA MEMBERS Members: President, Municipal Federation of BHWs President, Municipal Federation of PWD President, Municipal federation of BCA President, Municipal Sangguniang Kabataan CBR Volunteers CBR Coordinator Handicap International Principal – Roberto H. Tirol National High School Principal – Loong National High School Principal – Tambaliza National High School Principal – Polopiña National High School Child Development Worker President PYAP Coordinator

CBR Stakeholders’ MeetingMarch 27, 2009 : 

CBR Stakeholders’ MeetingMarch 27, 2009

CBR Basic Training and Workshop for CBR Volunteer Workers – May 26 to 30, 2009 : 

CBR Basic Training and Workshop for CBR Volunteer Workers – May 26 to 30, 2009 986 CBR Workers trained

Our Strategy in the 3 municipality: : 

Our Strategy in the 3 municipality: 1. Grassroots approach = All activity are done in the community level 2. CBR is a way of living in our municipality not only a special project 3. We ensuring of the full involvement of the Person with disabilities as well as their families 4. We are action oriented not activity oriented 5. Motivated and enthusiastic CBR workers 6. We are open to improve our CBR = passionate LGU officials

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7. Training is our foundation to motivate different Actors in the community 8. The Disabled people organization capacity and empowerment are one of our priority plan.

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9. Continues coordination, sharing of resources and supporting each other is one the secret in the development of CBR approach.

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Our CBR family Concepcion 3rd Batch San Dionisio 3rd Batch San Dionisio 2nd Batch Concepcion 2nd Batch

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BATAD CBR Team

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The CBR Coordinators Ricky Joy (San Dionisio), Isay (Batad), Bobby (Concecpcion)

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"He who refuses to embrace a unique opportunity loses the prize as surely as if he had failed."