INclusion Through COmmunity Based Rehabilitation Lessons learned in , & 2009 - 2011 Content

0 Introduction 2 1 The WHO CBR guidelines 6 2 Health 10 3 Education 14 4 Livelihood 18 5 Social 22 6 Gender equality 26 7 Empowerment 30 8 Sustainability 36 9 Networking with other CBR projects 40 10 Future developments from the CBR projects 42 11 Monitoring and evaluation 46 0 C sons with disabilities inthe underprivilegedregions ofourworld. sons withdisabilities improving thequalityof lifeandadvocatingfortherightsofper- eyesight, committedtosaving national developmentNGOs ommuni isaEuropeanconfederation of WORLD FORTHE LIGHT Inclusion through Lessons learned in: Lessons learnedin: ty Based R 2009 -20112009 Burkina Faso Mozambique Mozambique Ethiopia eha bil i tat

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0 0 2 Introduction activities and outcomes, and enables future planning. activities andoutcomes, enablesfutureplanning. projects.Italsoprovides ausefulrecordoftheprojects’ for otherCBR this periodandthelessons learnedthatcanprovideinvaluablelearning This reportreflectstheexperiencesofprojectsduring WORLD. THE OF activitieswithsupportfromLIGHT continue toimplementCBR ciaries. AlthoughtheFrameworkhasnowended, individualprojects benefi - ces andlearning.Betweenthem,theprojectsreached 20,991 and2011kina FasoandMozambiquebetween2009 to shareexperien- projectsinEthiopia, Bur- Framework broughttogether14CBR (CBR) CBR: LESSONS le The LIGHT FOR THE WORLD Community Based Rehabilitation Rehabilitation CommunityBased WORLD THE FOR The LIGHT a rne d

the CBR Framework. This reportdescribes theexperiencesandlessons the CBR projects identifiedtheirachievements basedonthefourmaingoalsof and the community.impact forbothpersonswith disabilities strategyresultedinthegreatest to implementacomprehensiveCBR communities. Collaborationandnetworkingwithother organisations withintheirown work towardstheinclusionofpersonswithdisabilities guidelinesto CBR a widevarietyofactivitiesandhaveusedtheWHO projectsinthethreecountrieshavedeveloped society forall.The CBR andbuildinganinclusive munity development,mainstreamingdisability

During a final workshop at the end of the three-year period, the CBR CBR During afinalworkshop at theendofthree-yearperiod, isaholistic approach tocom- (CBR) Rehabilitation Community Based Figure 1: 1: Figure • • • 10000 15000 20000 5000 0 through various CBR activities. through variousCBR clientswereassisted projectsinEthiopia,2,381 In the6CBR and otheractivities. people wereassistedthroughhomevisits,medicalreferrals of716 projectinMozambique,atotal In thesingleCBR education andmedicalreferrals. in BurkinaFasothroughhomevisits,livelihoodtraining, In 2011, 17,894 projects peoplewereassistedbythe7CBR

the 14projects Framework:Numberofbeneficiariessupportedby CBR Beneficaries 2011 Beneficaries Mosambik Ethiopia FasoBurkina

Intro 3

0 0 4 Individual assistancethroughsustainabledevelopmentstructures: projects Achievements oftheCBR projectsduringthesethreeyears. ences oftheCBR also addressedsoastoaccuratelyandcompletelyreflectalltheexperi- themes such assustainability, networkingandfuturedevelopmentsare projects.Anumberofotheroverarching fromtheCBR with examples learned relevanttoeach domainoftheguidelinesandillustratesthese guidelines.Itdescribesthelessons CBR learned basedontheWHO Building networksofpersonswithdisabilities:

CBR: LESSONS le ------

Increased skills and capacity of family members to support Increased skillsandcapacityoffamilymemberstosupport Physical accessibility Access tomicro-finance Vocational training Emotional support (self) Employment toimprovefunctionality Rehabilitation e.g.orthopaedicoperations Improved medicalassistance, Community based organisations introduce disability issues in issuesin introducedisability Community basedorganisations Capacity buildingofDPOs established oftheUNCRPD Advocacy groupforimplementation committees established CBR andstrengthened networkestablished National CBR andparents groupsestablished SHGs** DPOs*, community participation through Support elderlypersonswithdisabilities persons withdisabilities Cooperatives ofparentschildren withdisabilities their activities a rne d

**Self-help groups (SHGs) people’s* Disabled (DPOs) organisations Awareness raisingforchange insociety

Developing supportiveframeworksthroughadvocacyandlobbying

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Improved attitude towards persons with disabilities and and Improved attitudetowardspersonswithdisabilities Awareness raising for persons with disabilities and the community andthecommunity Awareness raisingforpersonswithdisabilities Access tobasiceducation/promoteinclusiveeducationatalllevels arenothidden Persons withdisabilities reaching morepeople Development of a policy on functional rehabilitation with the withthe Development ofapolicyonfunctionalrehabilitation asanationalandprovincialstrategy Include CBR Sign languagetranslatorsaregivingsupporttodeafpeopleincourt Improved roadsafety Improved nutritionforchildren withdisabilities New constructionsareaccessible inclusiveactivities andreligiousleadersstart NGOs inuniversityprogrammes Mainstreaming ofdisability on theUNCRPD Contribution in general development, insurance, building Contribution ingeneraldevelopment,insurance,building includedintrainingforhealthextensionworkers Disability clubsinschools disability Established UNCRPD Local governmentofficialsareawareofthe Influenced thelocalmunicipalityforinclusiveeducation Ministry ofHealth Build capacity of parents to advocate for the rights of their Build capacityofparentstoadvocatefortherights oftheir construction andlegislation Special needseducation is partofteacher training inadvocacyandlobbying Build capacityofDPOs children withdisabilities

Intro 5

0 1 The W community. aswellinformationsharingand awarenessraisinginthe disabilities ideas ondevelopingdifferent activitiesandtrainingforpersonswith The guidelinesoffer ofCBR. most usefulintermsofimplementation guidelinesappeartohavebeenthe and livelihooddomainsof theCBR depended onlocalconditionsandtheavailabilityof expertise.The social guidelinesprojectschoseties. Which toimplement aspectsof the CBR - livelihoods andtheeconomicempowermentofpersons withdisabili toexplorenewaspectstheirworksuch as projects havestarted The CBR ofcomprehensiveCBR. has supportedtheimplementation 6 CBR: LESSONS le The roll out of the CBR guidelines as part of the CBR Framework Framework guidelinesaspartoftheCBR The rolloutoftheCBR C HO a rne d B

R guidelines set priorities for which activitiesto implementbasedonthe immediate managers to developtheirpotential and topointoutservicegaps.CBR toenablethem in addressingalloftheneeds ofpersonswithdisabilities workers,governmentleadersandotherpartners. for CBR guidelines toorganisetrainingontheCBR activities. Itisimportant CBR of toolandtodeveloptrainingmodulesfortheimplementation tation good nutrition. roadsafety, vaccinationand issues such ashygieneandsanitation, prevention topicsandcareforachild withadisability, butalsoforother toachieving theaimsofCBR. streaming arevital projectsalone:networkingandmain- implemented byindividualCBR together toraiseawareness.Itisclearthattheguidelinescannotbe ensured thatprojectscouldshareinformationandtrainingwork Networking in thevariousservicesprovidedbygovernmentandNGOs. (PWDs) activitiesandtoincludepersonswithdisabilities variety ofCBR whowanttogetmarried.”porting personswithdisabilities sup- sports andrecreationforchildren. Otherprojectshavestarted especially inthesocialdomain.Newinitiativeshavebeendevelopedlike their families,decideareasoftheguidelinestheyshouldfocuson. The CBR guidelines have proven to be a useful tool for CBR projects projects guidelineshaveproven tobeausefultoolforCBR The CBR guidelineshavebeenusedbytheprojectsasanimplemen- The CBR In mostprojectsawarenessraisingwasusedtoincludedisability projectstoimplementawide Networking isessentialtoenableCBR guidelineshavegivenusnewideasforimplementation, “The CBR athomeandwiththem workersvisitpersonswithdisabilities CBR The WHO CBR Guidelines CBR The WHO 7

1 1 8 targeted at local communities. atlocalcommunities. targeted community. weretranslatedintolocallanguagesand Key messages inthe and otherawarenessraisingactivities,such aseducationaltalks workers. overload theCBR notto itisimportant activitiesandaspectstoCBR are somanyCBR andthecommunity.needs ofpersonswithdisabilities Becausethere CBR: LESSONS le The CBR projects in Burkina Faso have developed radio messages projectsinBurkinaFasohavedevelopedradio messages The CBR a rne d

The WHO CBR Guidelines CBR The WHO 9

1 2 10 rehabilitation, assistivedevices Health: promotion, prevention, medicalcare, people with disabilities can learn new skills and take part in activities. partinactivities. canlearnnewskillsand take people withdisabilities allowedfamilies andcommunitiestorealisethat children withdisabilities, Witnessingin schools, forexample. thegrowingcapacityofpersons or factorforinclusion wasanimportant activities. Functionalrehabilitation hadahugeimpactonbroadersocialandother persons withdisabilities projectsreportedthatindividualchanges for livelihood activities.CBR such astraining,educationor be abletoaccessotheraspectsofCBR, CBR: LESSONS le Rehabilitation was often the first step for persons with disabilities to to wasoftenthefirststepforpersonswithdisabilities Rehabilitation a rne d

with thecommunity, about: forexample, the attitudesofcommunities.This wasdonethrough sharinginformation andthewholecommunityweremainfactorsinchanging disabilities ofthefamily.helped tochange theexpectations improvedmobilityorindependence,also forexample, with disabilities, titudes inthecommunity. Changesinthepersonalsituationofaperson go toschool orperformday-to-dayactivities.This helpedtochange at- andtheawarenessthattheycanwork, lives ofpersonswithdisabilities attitudes withinthecommunity. helpedtoshowtheirpotentialandchange negative with disabilities whereimprovedfunctionalityoftheperson field ofmedicalrehabilitation better opportunitiesforsocialinclusion.Resultsaremostvisibleinthe theyhave through medicalrehabilitation For example, with disabilities. tion andhealthcarehelpedtoimprovetheday-to-daylivesofpersons direct environment,hadapositiveeffectonthecommunity.- Rehabilita theirfamilyandwithin knowledge tothepersonwithdisabilities, Health education and promotion both for the families of persons with Health educationandpromotionbothforthefamilies ofpersonswith wasnoticedthroughthechangesThe inthe impactofrehabilitation Home-based activities,wherecommunityworkerspassedonskillsand • • • • persons withdisabilities. of how tocareandassistin therehabilitation and how topreventdisabilities how todealwithadisability the causesofdisability H ealth 11

2 2 12 mation and health workers can inform CBR workers when they identify a workers whentheyidentify a mation andhealth workerscaninform CBR andhealthworkerscanshareinfor- Through workingtogether theCBR dimension tothetraining. projectprovidesadisability and theCBR sion workers.The Government developedthehealthextensiontraining aspartofbroadercommunityservices. sive rehabilitation Some projectsworktogetherwithotherhealthservices toprovideinclu- projects. CBR that theseresourcesareavailabletothebeneficiaries of wasessentialtoensuring ment departmentsaswellotherNGOs, for vulnerablepeople.Collaborationwiththelocaland regionalgovern- sion inschools, vocationaltraining,micro-credit orfinancialassistance accesstomedicaltreatment,assistivedevices,inclu - ries –forexample, andabetterqualityoflifefortheirbeneficia- ring functionalrehabilitation now children withepilepsyarealsoacceptedintoschools. projecthasmanagedtochange attitudesinthe communityand the CBR other thanthepersonwhoduggrave.Through awarenessraising to adecentfuneral.Nobodywasinterestedininheritingtheirproperty project,apersonwithepilepsyhadnoright to theactionofCBR ofpeoplewithepilepsyinsociety.full integrationandacceptance Prior medication andmonitoring. visitsfor supports familiesofchildren withepilepsyregularhospital projectalso raising awarenessthisattitudehaschanged, theCBR So children arenotallowedtoplaywithachild withepilepsy. Through gious andthatifachild hasafititwillinfectallother children aroundit. CBR: LESSONS le In Ethiopia one CBR projectisworking closelywithlocalhealthexten- In EthiopiaoneCBR Projects activelyinvolvedinnetworkingweremoresuccessfulensu- OuargayeprojectinBurkinaFasohasworked toachieve the The CBR - In Mozambiqueitisacommonbelieftothinkthatepilepsyconta a rne d

cannot accessservices. to accessservices.Without often thissupportpersonswithdisabilities workersoftenaccompanypersonswithdisabilities CBR with disabilities, the trainingofhealthextensionworkersthroughoutcountry. includedin projectswanttolobbyhavedisability new client.The CBR In Ethiopia many services are available but not accessible to persons In Ethiopiamanyservicesareavailablebutnotaccessibletopersons H ealth 13

2 3 14 and highereducation,non-formal,lifelong learning Education: earlychildhood, primary, secondary special schools. Inmanyprojects the numberofchildren withdisabilities bilities intoschools – through inclusiveeducation,specialclassesor communities. and moreoftendependonthesupportfacilities availableintheir togoschoolchildren areevenlowerthanfor girls, withdisabilities and girlsarekeptathometodohouseholdwork.The opportunitiesfor forboysandgirls:areoftengivenprioritytogoschool same CBR: LESSONS le - projectsworkon the inclusionofchildren withdisa All oftheCBR In manyAfricancountriestheopportunitiesforeducation arenotthe a rne d

100 200 300 400 500 600 700 800 Figure 2). Figure 2). inMozambique(see inEthiopiaand40 inBurkinaFaso,561 was 583 projects ofchildren enrolledinschooltotal andfollowedupbytheCBR in BurkinaFaso,672 inEthiopiaand25Mozambique. In2011, the enrolledineducation projects tookcareof529children withdisabilities on theavailabilityofservicesandsupportatalocallevel.In2010, the weredependent Educational opportunitiesforchildren withdisabilities lity. However, thereisalack ofteachers trained ininclusiveeducation. - them becomingmoreawareandwelcomingtochildren withadisabi where needed.There wasadistinctchange inmanyoftheschools, with twin track approach: inclusiveeducationwherepossibleandspecial projects supportthedevelopmentofinclusiveeducationbutfollow interventions.The included inschools increasedasaresultoftheCBR Figure 2: Number of children with disabilities ineducation2010Figure 2:Numberofchildren withdisabilities and2011 0 2010 2011 CWDs ineducation CWDs Mosambik Ethiopia FasoBurkina E ducation 15

3 3 16 an education. Although Ethiopia has ratified the UN Convention and UN Conventionand an education. AlthoughEthiopiahasratified the bilities nowparticipatemore inthecommunityand,liketheirpeers,want - children withmoreseveredisa Ethiopia foundthatdueto rehabilitation, developed specialprogrammesforthesechildren. projects maximum agechildren canenrolinschool, thereforetheCBR forthe andalmostallgovernmentshavelimitations severe disabilities have thefacilities,educationandsupporttoaccommodate children with intoeducation.Schoolslities andolderchildren donot withdisabilities being supportedbythelocalgovernment. to comeandsupporttheirinitiative.The teaching ofthechildren isnow intheiroffice. They lobbiedthelocalgovernment intellectual disabilities teaching children inBeira,Mozambique,started with tion OREBACOM* Organiza- received solittleattentionthattheycouldnotlearn.The CBR intothemainstreamschools and,iftheydid,thechildrendisabilities schools inEthiopiaand5schools inMozambique. schools inBurkinaFaso,80 were workingincollaborationwith358 tions thatcanprovidethesematerials.Attheendof2010, theprojects such asBraillepaper,- slatesandstilers,orbylinkingthemtoorganisa projectshelpschools byeitherprovidingmaterials The CBR disabilities. schools havedifficultyinfindingmaterialsordertoteach childrenwith ofinclusiveeducation.Many teachers toincreasetheirunderstanding through supportingschools tobecomeaccessibleandbytraining ve educationalopportunitiesthroughawarenessraisingprogrammes, Based Rehabilitation Organization inMozambique) Rehabilitation Based naComunidadeem Moçambique(inEnglish:Community Baseada * Organizaçãode Reabilitação CBR: LESSONS le Vision Community Based Rehabilitation Association in Ambo town in Association inAmbotown Vision Rehabilitation CommunityBased - werefoundtotheinclusionofchildren withseveredisabi Limitations In Mozambique,schools didnotacceptchildren withintellectual projectshavebeenworkingwithlocalschools toimpro- The CBR a rne d

to raise awareness within communities. to raiseawarenesswithincommunities. te adultsthroughtraditionalcoffeeceremoniesand byperformingplays ness raisinginthewidercommunitywherechildren goouttoeduca- promote inclusion.Someoftheschool clubsare eveninvolvedinaware- disability, havediscussionsandorganiseevents intheschool that schools. School learnabout children bothwithand withoutdisabilities nication andinformationsharing. makes contributiontotheprojectandthereisasoundbasisofcommu- lity andthelocalofficeofMinistrySocialAffairs.Each stakeholder local schools, includingtheMinistryofPrimaryEducation,Municipa- inthe multipartner projectfortheinclusionofchildren withdisabilities lobbying forinclusivepoliciesthatareimplementedatanationallevel. ness raisinginthecommunityandlocalschools, trainingforteachers and still istodoincreatinganinclusivesociety”,theDirectorremarked. “Sometimes itfeelslikeoursuccesseshelpustoshowhowmuch there the meansandknowledgetosupportthesechildren intheireducation. schools They donotacceptchildren donothave withseveredisabilities. the MinistryofEducationispromotinginclusiveeducation,inpractice, All of the CBR projects in Ethiopia work with “disability clubs” in the clubs”inthe projectsinEthiopiaworkwith“disability All oftheCBR projectinBurkinaFasoispartofa comprehensive The GarangoCBR Inclusive educationisanongoingactivitywhich involvesbothaware- E ducation 17

3 4 18 18 protection wage employment,financialservices andsocial Livelihood: skillsdevelopment,self employment, get laws implemented and persons with disabilities employed. employed. get lawsimplemented andpersonswith disabilities toemployersandevenusing thejusticesystemto initiatives),talking NGO associations andproviding loans(mainlythroughexistinggovernmentand andcredit saving establishing training peopleinbusiness skills,saving, ted. Work hasincludedskillsteaching throughvocationaltrainingcentres, tobeimplemen - activities. InMozambiquetheseactivitiesarejuststarting CBR: LESSONS le In Burkina Faso and Ethiopia the CBR projects are involved in livelihood projectsareinvolvedinlivelihood In BurkinaFasoandEthiopiatheCBR a rne d

are postedby governmentinruralareas. The mainchallenge remains many peoplewithavisual impairmenthavebeentrainedasteachers and cooperatives toimproveemployment opportunities.InMozambique, to lobbyforservicesavailableall. tofightfortheirrightsand projects helpedpersonswithdisabilities CBR the intrainingandemployment.For example, persons withdisabilities havebeenusedtoimprovetheopportunitiesfor sons withdisabilities Employment chances aredirectlyrelatedtothe levelofeducation. education tobeacceptedatvocationaltrainingcentres isnotenough. cation andtrainingwithrecognisedqualifications.Oftenthelevelofbasic opportunities foremployment,includingincreasingaccesstoformaledu- not change theworld. but arenotimplementedsoaffirmativeactionisneeded:lawsalonedo Lawsoftenexist includedascleanersinthelocalhospital. disabilities hearing disability, haslobbiedsuccessfullytohavepeoplewithhearing their ownbusiness. receivecontinuingsupporttofindemploymentorstart with disabilities thatpersons inavailabletraining.Aftersuch trainingitisvital disabilities opportunities forselfemploymentandtheinclusionofpersonswith projectsidentified training CBR without afixedorreliableincome. The ment andmostofthemremainintheinformalsectorselfemployment In Ethiopia, the government gives contracts to self help groups and In Ethiopia,thegovernment givescontractstoselfhelpgroupsand ofper- Lobbying andnetworkingincollaborationwithorganisations tohaveequal projectssupportedpersonswithdisabilities The CBR ofyoungpeoplewitha anorganisation In Mozambique,NUDESMO, facealotofbarrierstogainingpaidemploy- Persons withdisabilities L ivelihood 19 19

4 4 20 Church. At themomentthereare only 10 partici personswithdisabilities linked upwiththemainstream micro-financescheme oftheCatholic projectshave projectsin4dioceses. The CBR runs7CBR OCADES, whoneedsupportishigh. number ofpersonswithdisabilities andthatthe ment projectsarenotaccessibletopersonswithdisabilities withinthese.The challengestream disability remainsthatmany govern- projectshasbeentomain- ofCBR for povertyreductionandthetask project.Manygovernmentshavesetupactivities existence oftheCBR andcreditschemes theseactivitieswillcontinuebeyond the to savings getaccess livelihoodactivities.Ifpersonswithdisabilities lity ofCBR inthemicro-financescheme fromthelocalgovernment. with disabilities projects. CBR Therefore, selfhelpgroupsshouldbe promotedinall and otherNGOs. mechanism formembersandbyattractingsupportfromgovernments of such livelihoodactivitiesthroughmotivatingandprovidingacontrol cycle.Selfhelpgroupscontributetothesustainability poverty-disability togetoutofthe hood areawayofsupportingpersonswithdisabilities initiativesonliveli- andpoverty. linkbetweendisability CBR established areamongstthepoorestofpoorwithan Persons withdisabilities strategy forimprovingthelivelihoodsituationofpersonswithdisabilities. country andtheyhaveapositiveattitudetowardsinclusion. education andtraining,asthegovernmentisbiggestemployerin CBR: LESSONS le In Burkina Faso the Development Organisation oftheCatholicChurch, BurkinaFasotheDevelopmentOrganisation In - promotesthesustainabi Collaboration withgovernmentandNGOs projectshavemanagedtoincludepersons In Ethiopia,someoftheCBR projectssupportedthedevelopmentofself help groupsasa The CBR a rne d

- and enablestheinclusionofpersonswithdisabilities. bank accountwiththemicrofinanceprovider, which servesbothparties projects openeda cannotoffer.sons withdisabilities OneoftheCBR pating becausetheloanprovidersaskforaguaranteewhich mostper- L ivelihood 21

4 5 22 recreation -leisure andsportsjustice marriage andfamily,culture and arts, relationships,Social: personal assistance, join inthegames. Some ofthechildren are accompaniedbytheirbrothersorsisterswho workers bringthechildren toandfromsportingactivitiesgames. children’s sportsandgamesgroupwhich meetsonceaweek.The CBR for personswithdisabilities. CBR: LESSONS le The CBR Programme led by OREBACOM inMozambiquehasa ProgrammeledbyOREBACOM The CBR programmeshavedevelopedsportsandotheractivities Many CBR a rne d

and evidence of the effect of CBR. Traditionaland evidence oftheeffectCBR. and religiousleadersare and traditionalpractises. Changing harmfulbeliefsrequiresmoretime behaviour thanbeliefsas beliefs areoftenstronglyimbeddedinculture projectsreportedthatattimesitiseasier tochangemunity. The CBR thelocalcultureandarepart ofthecom- workersunderstand CBR local community, which increasestheimpactofprojectbecause holywater.then cantheytake theirepilepsymedication.Only cal cardsshowingthattheyaretaking programme thechurch leadersnowaskall children tobringtheirmedi- water sourceslookingforacure.Afterawareness raising fromtheCBR epilepsy. Manypeoplewith epilepsywillcometochurches withholy andinclusioninchurchwith disabilities services. ofpersons sing. Inallthecountriesthishasledtogreateracceptance to reach morepeopleandusetheirregularservicesforawarenessrai- have beenworkingwithchurches, mosquesandtheirreligiousleaders projects Inallthreecountries,CBR among personswithdisabilities. Improved knowledgeinthecommunityalsoreducedfearofrejection incommunityactivities. and theinclusionofpersonswithdisabilities be seenthroughthechanged attitudetowardspersonswithdisabilities sometimesorganiseajointsportsday. COM - andOREBA or goal-ballforpersonswithavisualdisability. ADPPDS basketball, footballorbadmintonforpersonswithahearingdisability such aswheelchairganises sportsactivitiesforpersonswithdisabilities association for people with disabilities inSofala) association forpeople withdisabilities * AssociaçãoDesportiva paraPessoas deDeficiência deSofala(inEnglish:Sports Portadores Most of the CBR projects work with CBR workersfromwithinthe projectsworkwithCBR Most oftheCBR projectinGondarhasbeenteaching churchThe leadersabout CBR projectsoncommunitiescan As mentionedearlier, theimpactofCBR or- sportsorganizationADPPDS* In Beira,Mozambique,thedisabled Social 23

5 5 24 radio stations to pass messages about disability andinclusionofper- aboutdisability topassmessages radio stations members oftheircommunities. contributing werenowconsideredas important sons withdisabilities included insocialactivities.Moreover, someprojectsreportedthatper- theywerealsobetterrespectedand supported intheirrehabilitation, community. were notonlybettercaredforand Persons with disabilities whohadbeensupported,bothwithintheirfamilyandthe disabilities them emotionalsupport. these meetingsparentscansharetheirproblemsand shecangive attitude toherhome,asshehasadaughterwithdisability. Through attitudes withinthecommunity. nal mediasuch asradio,newspaperorTVhasalsohelpedtochange raising totryandchange thissituation.Promotingtheirworkinregio- projectsuseawareness to becaredforsolelybytheirmother. CBR issueswiththecommunity. aboutdisability and totalk workers usethetraditionalceremoniestogivesupportfamilies for familiesandgainingemotionalsupportfromneighbours.CBR attitudes towardsdisability. activitiesandinchanging ofCBR strong alliesintheimplementation often highlyrespectedpeopleinthecommunity, thereforetheycanbe CBR: LESSONS le In Burkina Faso the OCADES CBR projects areusingthecatholic CBR In BurkinaFasotheOCADES All projectsreportedachange inthepositionof thepersonswith coordinatorinvitesfamilieswithanegative In MozambiquetheCBR areoftenleft In MozambiqueandEthiopiachildren withdisabilities In Ethiopiathe“coffeeceremony”isveryusefulincreatingsupport a rne d

churches havesignlanguagetranslatorsduringthechurch service. intocommunitylife.InEthiopiaandMozambique sons withdisabilities Social 25

5 6 26 Gender equality or society. feel thatthisundermines the expectedroleofwomenincommunity empowerment ofwomen and girlsisalsoproblematicasmanypeople to school makesitdifficult toachieve inclusiveeducationforgirls. The vocationaltrainingorlivelihood. activities,forexample, tion ofCBR - butwomenandgirlsaregivenpriorityintheimplementa with disabilities, the projectshavenotdevelopedspecificactivities for womenandgirls to accesseducationandemployment,forsocial inclusion.Mostof bilities havea‘double’ which impactsontheiropportunities disadvantage CBR: LESSONS le In Ethiopianegativeattitudes offamilyandcommunitytosendinggirls - aswomenwithdisa aspectofCBR: Gender equalityisanimportant a rne d

now goingto school. food supportforwomen,paying forgirls’ educationandmoregirlsare There ispositiveactionsuchsociety sincetherevolution of1983. as rolein policy topromotegender equality andwomenplayanimportant Women alsoneedtobeempowered tospeakout.BurkinaFasohasa the communityleader, then the socialaffairsofficer, thentothepolice. alongtime.They firsthaveto go to quiet andgettingsupportcantake about.Oftenwomenarethreatenedtokeep that isgenerallynottalked sexual abuseofgirls.The abuseofwomenand girlsisaseriousproblem and physicalabuse. within thecommunityandfamily. The maltreatmentwasmainlyneglect to103cases in2009 casesin2010. Mostoftheissueswereaddressed hasrisenfrom10reports ofmaltreatmentchildren withdisabilities ProjectsinBurkinaFaso, InCBR lence againstchildren withdisabilities. gender equalitythatisimplemented. AhugeplusforMozambiqueisthatithasactivelegislation versa). when thepresidentisamanvicewillbewomanor active womenmemberswhoareinvolvedinleadership.(InmostDPOs havemany workers.DPOs femaleCBR maleand50% project has50% people’srole ofwomeninleadershipdisabled organisations. projectsshouldplayarolein strengthening the women. Therefore, CBR onbehalfof even fewerareintheirleadership.This resultsinmentalking Burkina Faso has a national policy and focus on the prevention of Burkina Fasohasanationalpolicyandfocusonthe preventionof There hasbeenanincreasedsensitivitywithintheprojectstowardsvio- In MozambiquethereisawideawarenessofequalityandtheCBR ofpersonswithdisabilities, Few womenareincludedinorganisations Gender Equality 27

6 6 28 These officersreceivespecialtrainingonhowtodealwithsexualviolence. help change thesituation. violence ishappening,allowingthemtogiveemotionalsupportand withfamiliesandtheyoftenknowwhen workershavegoodcontact CBR because iftheyusethelawalonemayachieve littlechange inreality. with thefamily approach, projects shouldstart CBR is difficult. disabilities CBR: LESSONS le In Ethiopia, special women officers help girls to talk about sexual abuse. talk aboutsexualabuse. In Ethiopia,specialwomenofficershelpgirlsto Finding solutionstosexualabuseoforviolencetowardschildren with a rne d

Gender Equality 29

6 7 CBR: LESSONS LE 30 self helpgr mobilisation,politicalparticipation, community E 30 improving the knowledge and well being of the whole community and improving the knowledgeandwellbeing ofthewholecommunity and often inawarenessraising activities.The focusoftheseactivitieswason ties andthecontributionthey canmaketothecommunity. - cess. Communitiesnowrecognisethecapacityof persons withdisabili partinthispro - of theircommunitiesandplayanimportant havebecomecontributingandactivemembers persons withdisabilities mpowerment: advocacyandcommunication, The CBR projects in the three countries involved the community most projectsinthethree countriesinvolvedthecommunitymost The CBR is about achieving activities aninclusivesociety. ThroughCBR CBR a RNE d oups and

D P O s that persons with disabilities are included in mainstream activities. areincludedinmainstreamactivities. that personswithdisabilities in nationalcommemorativedayssuch astheDay oftheAfricanChild,so projectsincludepersonswithdisabilities should beusedinlobbying.CBR Differentmediasuchdisability, asradio aswellpersonswithdisabilities. about totalk sports, music,politiciansandpersonswithoutdisabilities activitiesandinitiatives,forexample: ted throughvariousCBR Communitydevelopmentwaspromo- not justpersonswithdisabilities. Strategies forlobbyingandadvocacyshoulduseprominentpeoplefrom • • • • • • Self help groups were used by some of the CBR projectsto Self helpgroupswereused bysomeoftheCBR projectsarepartofthelocalcommunityandthey The CBR Activities havebeenimplementedthatsupportedand Participation of the community in all activities of CBR projects Participation ofthecommunityinallactivitiesCBR torealisetheir strengthened individualpeoplewithdisabilities as an important aspectfortheimplement as animportant address communitydevelopment. Socialinclusionwasseen CB forownership,responsibilityandsuccessofthe was important mainstream disability have goodconnectionstoensurethatdevelopment plans other institutions. and eitherlocaldecisionmakers,governmentofficesor live between thecommunitywherepersonswithdisabilities T or financialservices. orotherservices,forex rehabilitation inthecommunitywithavailable persons withdisabilities T political, economicandsocialrights. he CBR projects played an important roleinbuildingbridges projectsplayedanimportant he CBR roleinlinkingup projectsplayedanimportant he CBR R project. . ample, training,education ation of CBR ation ofCBR E mpowerment

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7 7 CBR: LESSONS LE 32 system, which is well established inmostregionsofthecountry.system, which iswellestablished possibly relatedtothefactthattheyareanextensionoftraditionalIdir Theor parentsofchildren successofthesegroupsis withdisabilities. members pergroup.These groupsareeitherpersonswithdisabilities the localadministration.In1regionthereare5selfhelpgroupswith20 project–theyhavetorepaythemoney is withthegroupnotCBR The responsibilityfortheloan legalstatus. supported thegroupstoattain and upcapital andtrainedthegroups,providedstart established projectshave the localgovernmenttosupportselfhelpgroups.The CBR 32 In Ethiopia, some projects have a memorandum of understanding with with In Ethiopia,someprojectshaveamemorandumofunderstanding • • • some ofthechanges observed inthecommunity accessibility andinclusion inschools andsocialactivitiesare Promotion oftherights persons withdis development programmesoractivities. CB This wasmeasuredbyhowpersonswithdis work togetherandtoshareknowledge,expertise resources. The C levels, political,socialandeconomic. inthecommunityatall contribution ofpersonswithdisabilities change withinacommunity workers, astheyareoftenveryvaluableandmotivated agentsof They haveincludedpersonswithdis in howtheyapproach andworkwithpersonsdis projectsachieved inclusionbyleadingthroughexample The CBR activities which createdadirectbenefitforthewholecommunity In someprojects,communitieswereinvolvedinlivelihood activities andhadapositiveeffectoncommunitydevelopment. R projects were benefitting or included in community R projectswerebenefittingorincludedincommunity a RNE BR projects were effective in organising stakeholders to to projectswereeffectiveinorganisingstakeholders BR d

. CBR programmes promoted the programmes promotedthe . CBR abilities as community abilities ascommunity abilities, better abilities, better abilities from the abilities fromthe .

abilities. abilities.

.

this meeting the communityleadersorganised agroupofvolunteers to the communityleadersabout thewasteproblemincommunity. After personal hygieneinthehome, aswellorganisingameetingtoinform about both awarenessraisingof familiesofpersonswithdisabilities inthecommunity. Theyleaders toimprovehygiene andsanitation used depending ontheirindividualexpertise. CBR, tribute theirspecificknowledgeandskillsinthedifferentareasof arerequested tocon- traininginsignlanguage.The DPOs for example, project, CBR implementspecificactivitieswithinthe the project.DPOs arecommunityworkerswithin ject andmembersofeach organisation pro- ofitsactivities.They arepartnersintheCBR the implementation In Mozambique, the CBR projectworkedtogetherwithcommunity In Mozambique,theCBR In Mozambique, the CBR project actively involves the local DPOs in projectactivelyinvolvesthelocalDPOs In Mozambique,theCBR

• • • The CBR projectsinvolvedthecommunityinfundraising and The CBR the CB DP T to promoteequalrights. projectshavesharedtheirknowledgeoftheUNCRPD The CBR with disabilities. participation andcommitmenttoimprovingthelives ofpersons develop asenseofownership,which isreflected intheir within thelocalcommunity. T Most oftheCB oftheiractivities. resources neededfortheimplementation aswell. has provedtobeimportant andminorofficeequipment members. Supportwithstationary and capacitybuilding,sothattheycanfightfortherightsoftheir he CBR projects developed close relationships with the local projectsdevelopedcloserelationshipswiththelocal he CBR Os. They eitherhelpedtodevelopthemortheyarepartnersof R project. The DPOs were strengthened through training werestrengthened throughtraining R project.The DPOs R projectsworkedwithvolunteersorpeople

his alsohelpedthecommunityto

E mpowerment

33

7 7 34 to promote the rights of persons with disabilities. to promotetherightsofpersons withdisabilities. withstrongnetworks alliances withnationalhuman rightsorganisations with rehabilitation. Some committeesalsoraisedmoneytoassistpersons withdisabilities workerinthecommunity. of thecommunitywhoaccompanyCBR within theirownsectors.Allmembersshouldbecommitted members andtheyraiseawareness allaspectsofCBR leaders. They understand such asgovernmentofficialsandreligious with andwithoutdisabilities projects.The committeesaremadeupofvolunteers participate inCBR projects. capacity buildingthroughthesupportofCBR of capablemembers,orleadershipdifficulties,thereforetheyneeded isattimesdifficultduetothelack ofpersonswithdisabilities nisations consider themasactivemembersofthecommunity. Working withorga- respecttheirrightsand to respecttherightsofpeoplewithdisabilities andselfhelpgroupshelpedtoinfluencecommunities issues. DPOs ofequality, ensuredthesustainability advocacyandrights of DPOs community developmentwaseasier. This meansthatthestrengthening issuesin werestrong,mainstreamingdisability gramme. Where DPOs pro- activities hascontributedtotheirjointownershipoftheCBR ofCBR intheimplementation ofDPOs involvement oforganisations activitiesaswellinclusivedevelopment.The ofCBR implementation thus reducingtheriskofinfectionsanddiseases. clean upthecommunityanddigtrenches forthewatertoflowaway, CBR: LESSONS le DPOs playakey roleinlobbyingforinclusionandtheycouldform DPOs committeesareawayforthecommunityto In BurkinaFaso,CBR hasledtoabroaderbasisfor Stronger collaborationwithDPOs a rne d

also visit the CBR officestohelpout. also visittheCBR activitiesandcommunitymembers referredforCBR with disabilities There isanincreaseinthenumberofpersons persons withdisabilities. workersarenowwelcomedinthehomesthatpreviouslyhid CBR In manyprojectsthereisachange inattitudethecommunityand E mpowerment 35

7 8 36 Sustainability cutting issue that needs the involvement of all sectors from government cutting issue thatneedstheinvolvement ofallsectorsfromgovernment isacross diversify collaborationand sourcesofsupportasdisability to decreasetheirdependency ondonorsupport.Akeystrategyisto and oftheirorganisation butalsoforthesustainability with disabilities, was the: CBR: LESSONS le The CBR projects can access alternative funds not only for persons projectscanaccess alternativefundsnotonlyforpersons The CBR projectsfeltthatthesecretstosuccessoftheiractivities The CBR • • • Commitment of DPO andselfhelpgroupmembers Commitment ofDPO and training providedtoprojectstaff CBR intheiractivities Inclusion ofpersonswithdisabilities a rne d

lems the committee is facing in continuing the work. lems thecommitteeisfacing incontinuingthework. projectwilltrytohelpwithprob- will meetatthecentreand theCBR committee projects.Once every fewmonthstheCBR work oftheCBR committees continuetofollowuponthe out ofthatdistricttheCBR committees ineverydistrictwheretheywork.When theprojectphases CBR areasandmovedintonewones.They establish out ofcertain forover15years.Overtheyearstheyhavephased been providingCBR they needtobecarefulnotoverestimatewhatvolunteers cando. projectandso foraCBR workersarethecatalyst workers. CBR CBR norcanorshouldtheyreplacepaid projectsustainable, make aCBR raising andtosharelocalresources.However, volunteersalonecannot project,thelocalcommunityisalsopreparedtohelpwithfund- CBR strategies.Wheresustainability thereisabroadbasisofsupportforthe of localpeopleandvolunteers.This isalsooneoftheirmostimportant projectsisintheiruseof theresource project. The strengthofCBR workafterphasingoutoftheCBR tribute tothecontinuationofCBR activities.They cancon- ofCBR andimplementation the sustainability by thecommunity. used asasportscentrebythecommunityandtrainerispaid ment andbyrentingoutroomsintheirbuilding.Oneoftheis through anannualfundraisingwalk,solicitingfundsfromlocalgovern- responsibility.on betweenministriesandthegovernmenttaking doesnotonlyrelyonmoney, Sustainability butoncollaborati- to NGOs. The Arba Minch Rehabilitation Center CBR project in Ethiopia has projectinEthiopiahas The CenterCBR ArbaMinch Rehabilitation projectscontributetoboth intheCBR committeesestablished CBR toraisefundslocally In Ethiopia,Cheshireserviceshasstarted Sustainability 37

8 8 38 the umbrella body for DPOs. This isreplicatedonaprovincial level. the umbrellabodyforDPOs. fromministriesincludingSocialAffairs, Finance,Healthand sentatives of theSocialMinistryfornextfewyears. activitieshavebeenincludedintheprovincialplan provincial levelCBR strategicplan.Ona strategyinthenationaldisability sion oftheCBR andtheMDGs. oftheUNCRPD implementation forthe strategyisimportant the complexityofdisability. AnationalCBR of ment which will,inturn,fosterbettercollaboration andunderstanding incommunitydevelop- reducing povertyandmainstreamingdisability strategy asawayofimprovingthelivespersonswithdisabilities, topromotetheuseandinclusionofCBR government andNGOs atregionallevels. bility forimplementation responsi- government partnersfornationaltrainingsothattheycantake tousecentral up ofthetrainingwiththeirownpartners.Itisimportant officecoordinatesfollow WORLD THE FOR Social Affairs.The LIGHT officeincollaborationwiththeMinistryof WORLD THE FOR the LIGHT projects. oftheCBR andthesustainability mainstreaming disability projects.This hascreated amovetowards were invitedaswelltheCBR ners’ fromgovernment andNGOs workshopforthismanualstakeholders guidelines.Inthetrainingoftrai- ped atrainingmanualbasedontheCBR CBR: LESSONS le Mozambique has a national council for disability which includesrepre- Mozambique hasanational councilfordisability networkislobbyingforinclu- In MozambiquethenewlyfoundedCBR roleinnetworkingwithboth projectsplayedanimportant The CBR through trainingwillbefacilitated In BurkinaFaso,national-levelCBR partners,hasdevelo- togetherwithourCBR WORLD, THE FOR LIGHT a rne d

the CBR projects. projects. the CBR own schools incollaboration with inclusiveofchildren withdisabilities Education fromtheCatholicChurch isparticipating bymakingtheir Catholic ofCBR. ment increasesitsinvolvementintheimplementation strategy. The visionisthatthegovern- ment todevelopanationalCBR andthegovern- iscollaboratingwithotherNGOs partner OCADES, projects. guidelinesbyCBR CBR use oftheWHO strategyinnationaldevelopmentplansandpromotethe on oftheCBR projects(especiallyonanationallevel),promoteinclusi- impact ofCBR networkcanincreasethe of informationandawarenessraising.ACBR inthesharing projectsaswellbeinginstrumental resources forCBR on. Affirmativeactionisneededtogetlawsandpoliciesimplemented. - ety, forpoliciesandtheirimplementati andshouldbeheldaccountable andaninclusivesoci- ments shouldseeitastheirroletodevelopCBR Govern- strategytoopentheservicespersonswithdisabilities. CBR ded bygovernment.Therefore, governmentneedstoadoptanational In Burkina Faso, the LIGHT FOR THE WORLD office with the project officewiththeproject WORLD THE FOR In BurkinaFaso,theLIGHT networksplayedaroleindevelopingtrainingandother National CBR needservicesandmostareprovi- Persons withdisabilities Sustainability 39

8 9 40 etworking withotherC Networking all overAfrica attendingandsharingtheir experiences. 2010 initiativesfrom conferenceinAbujawithCBR African CAN CBR guidelinestrainingmanual. Partofthemeetingwasalso in aCBR three countriestomeetand shareexperiences.This hasalsoresulted CBR. of overcoming difficultiesintheimplementation to andcommunities.Sharingexperienceswasalsoimportant DPOs access toappliancesandstrengthenactivitiesfor selfhelpgroups, tosolicitforlocalresources,have to prepareprojectproposals, to revisetheiractivityplans,todeveloptheskillsoftrainers, CBR, indevelopingknowledgeandcompetence projects, forexample, CBR: LESSONS le The CBR framework programme has allowed CBR initiativesfromthe frameworkprogramme hasallowedCBR The CBR projectshasprovedusefulfor Sharing experienceswithotherCBR a rne d

B R projects

in French. phone countries.This networkaimstoshareexperiencesandmaterials networkfortheAfricanFranco- CBR a first stepstowardsestablishing the projects inNiger. initiativestheyhavenowtaken With otherCBR projects. promoted tostrengthenindividualCBR especiallyonanationallevelandshouldbe aspect ofimplementation, projectsisavaluable withotherCBR Networking andregularcontact inthecountry. and collectingavailabletrainingresourcesinCBR level ofcompetenceinthedifferentprojectswithinacountry. alsohelpedtodevelopthesame training, knowledgeandskillsinCBR Sharing especially intheareaoftrainingandcompetenceCBR. The CBR projects in Burkina Faso have been contacted by CBR byCBR projectsinBurkinaFasohavebeencontacted The CBR roleinstrengthening networkplaysanimportant The nationalCBR Networking withotherprojectsenabledthesharingofresources, Networking with other CBR projects withotherCBR Networking 41

9 10 42 Future developments from theC oned activities and affirmative action that they would like to develop in oned activities andaffirmativeactionthat theywouldliketodevelop in athometohelpwiththehouseholdwork. Mostprojectsmenti- to stay and girlsshouldbedeveloped. and empowerwomen,specifichome-basedactivities forwomen workersneedmoretrainingtobeablesupport gender equality. CBR the socialandpoliticalcontextoftheirprojectstoplan interventionsfor projectscoulddevelopastrategybasedon of girlsinschool. The CBR payingmoreattentiontotheinclusion girls withadisability, forexample, CBR: LESSONS le One ofthechallenges istoinvolvegirlsinactivitiesastheyoftenhave projectsplantostrengthentheiractivitiesforwomenand The CBR a rne d

B R projects clinics, are located. clinics, arelocated. implemented inthetowns orplaceswhereservices,such asschools or activitiesattimesneedtobe ple abouttheavailableservices. CBR clinics. They wanttouse bigpostersratherthanbookstoinformpeo- accessible atalocalleveltoavoidrepetition. projectsandmade and locallevels.InformationcouldbeusedbyCBR prove accessibilityshouldbedevelopedintoaction atnational,regional use availableinformationtoimproveaccessibility. The strategytoim- ding accessible. thedirectorofschool tomakethebuil- forexample, stakeholders, includes sharinginformation,usingmediaandprovidingtraining. strategytoachieveAwareness thisgoalandit raisingisanimportant andcommunityleaders. accessible), thepublicsector, families,DPOs employers,professionals,technicians (to makebuildings ment, NGOs, such asgovern- projectsaimtoworkwithallstakeholders The CBR areneededtoachieve thegoalofaninclusivesocietyforall. disabilities do allthehouseholdactivitiesandtheserolesbecomeinterchangeable. Activities ofDailyLivingandotherskillssothatgirlsarenotexpectedto the possiblemeasurestocreategenderequalitywouldbeteach boys isstillmuch needed.Oneof ment ofwomenandgirlswithadisability the futureforequalopportunitieswomenandgirls.The empower- In Burkina Faso, a disability guide is being developed for rural health guideisbeingdevelopedforruralhealth In BurkinaFaso,adisability projectscouldworktogethertoexchange and At anationallevelCBR The projectshaveworkedtochange theattitudesoflocalresponsible Strategies toimprovetheaccessibilityofservicesforpersonswith F uture developments from the CBR projects uture developmentsfrom theCBR 43

10 10 44 rent ministries ofHealth,Educationand SocialAffairs. Training shouldbeincluded in thetrainingschools ofthediffe- inCBR tises anddevelopingmore communicationtoolsforawarenessraising. prac- through collaboration,information sharing,publishinggoodCBR projects and manpowercanbeused toincreasetheimpactofCBR self helpgroups. and This experiencecanbeusedforpersonswithdisabilities suitable. businessesandwhatactivitiesare workersofhowtostart than CBR sources andsupport.Manylocalbusinesspeoplehave moreknowledge language interpretersintheseclinics. toincludesign ofsuch itisimportant clinics.Foranning stage example, preventionandhealthpromotionwouldbeincludedatthepl- disability such asaccessibility,that issuesconcerningpersonswithdisabilities be monitored. council andintheprovincialensuresthatattitudinalchange can inthecommunity The inclusionofpersonswithdisabilities organisation. identify apersonresponsibleforlobbyingandadvocacywithintheir projectsshould andcommunities.CBR attitudes ofgovernment,DPOs of lawsandpolicies,aswellformonitoringtheimplementation. The Governmentshouldbeapproached toadvocateforimplementation ministries tospreadinformationaboutinclusionusingpositiveexamples. CBR: LESSONS le The resources available within CBR projectssuch asknowledge,skills The resourcesavailablewithinCBR projects couldusethebusinesssectortoidentifypossiblere- CBR In healthcare,amodelaccessiblecliniccouldbedevelopedtoensure shouldbeincludedintheprocessofchanging the All stakeholders andthe projectsshouldencouragebothpersonswithdisabilities CBR a rne d

activities andmicro-finance. inclusion inschools, recreationalactivitiesandinincomegenerating would liketodevelopfurtherinthefutureincludingsocialinclusion, Most projects mentioned activities that promote inclusion that they Most projectsmentionedactivitiesthatpromoteinclusionthey F uture developments from the CBR projects uture developmentsfrom theCBR 45

10 11 46 Monitoring andevaluation projects based ontheirobjectives.Criteria forindicatorsneedto bereli- to identifytheimpactoftheir work.They shouldbedevelopedbyCBR andnotjustpersonswithdisabilities. disabilities ofpersonswith such asorganisations munities andotherstakeholders com- projectsaretargeting often noteasytomeasure,becauseCBR the impactofprojectaswelltoplanfutureactivities. The impactis projectstobeablebothmeasure arehelpfulforCBR or rehabilitated CBR: LESSONS le Indicators are an important part of monitoring as they enable projects partofmonitoring astheyenableprojects Indicators areanimportant reached, supported aboutnumbersofpersonswithdisabilities Data a rne d

used toimprovethesituationofpersonswithdisabilities? for reaching morepeople.Howisthetrainingor informationprovided oftheiractivities. on fortheimprovementofimplementation be abletodeveloptheskillsneededandusemonitoring andevaluati- projectsto tion. Supporttodevelopindicatorsisneededbymany CBR projectsdonothavetheskillsneededformonitoringandevalua- CBR ofthe projects.Oftenthestaff monitoring thedevelopmentofCBR projectsthathasbeenusedfor abouttheCBR data ecting important donors, governmentandotherstakeholders. feedback tocheck ifactivitieshavebeencompleted. managersget have theirobjectivesthattheyneedtoachieve andCBR projects. another usefulmonitoringandevaluationtoolforCBR identifiedis in thearea,referralsandnumberofpersonswithdisabilities jectives. Abaselinesurveywithfactsaboutpopulation,servicesavailable to activitiesdonotgivefactsaboutresultsoftheandob- able, specific,measurableandobjective.Indicatorsthatareonlyrelated It is important that CBR projects look at the results of their activities projects lookattheresultsoftheiractivities thatCBR It isimportant framework havebeencoll- The questionnairesdevelopedfortheCBR projectscandemonstratetheirimpactfor thatCBR It isimportant collectiontools,fieldworkers In BurkinaFaso,theprojectshavedata Monitoring andevaluation 47

11 CBR: LESSONS learned Module 13 • Inclusive Education and CBR

48 Publishing information

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