Difference between community based rehabilitation and institution based rehabilitation
Answers
Differences between institutional rehabilitation and community based rehabilitation
Institutional rehabilitation
Merits
Creates cohesiveness among disabled people
High degree of technical skills
High acceptance, especially from non-disabled persons
Demerits
Coverage restricted to urban areas
Disabled people become segregated from families
Needs good infrastructure, technology and professionals
Costs are high
Tends to be rigid, increases dependency
Unsuitable for disabled people in rural areas
Community based rehabilitation
Merits
Meets needs of all disabled persons, with comprehensive interventions
Encourages innovative use of local resources
Increases coverage
Promotes social integration
Changes negative attitudes of community
More affordable to those with limited resources
More flexible and creative
Promotes community participation
Demerits
No universal models
Results are slow
Acceptance is low because of low literacy and superstitions
Rural disabled people are not well organised
People expect permanent solutions from institutions
Social, economic, cultural, geographical and political environment in rural areas are not conducive to initiating of CBR
Inadequate knowledge and skills in the community
Communities resist change regarding beliefs and practices in disability
Lack of infrastructure, functional institutions and social organisations in villages