The Community-based rehabilitation project is a project of Duncan Hospital Raxaul, Bihar, started in July 2003 in response to the need for rehabilitation of adults and children with disabilities in Raxaul and in the surrounding villages. This is the first CBR Project operating in this part of Bihar. The overall vision of the project is for people with disabilities to achieve their maximal level of functional independence in mobility, self-care and vocation, and to be accepted and valued members of their families and their communities. The project covers 9 villages of Raxaul, Adapur & Ramgarwa blocks of East Champaran district and Raxaul town in Bihar. Coverage:
Key Accomplishments
 Advocacy - The CBR team started gathering information on the procedure for acquiring government disability certificates, and assisting children with disabilities to acquire these certificates, which entitle them to access special government programs for people with disabilities. Access to prosthetics and orthotics - Due to lack of access to suitable prosthetics and orthotics (callipers, leg braces and artificial limbs) in this area, arrangements were made for an orthotist in Muzaffarpur to fabricate needed orthoses. Three children with cerebral palsy have been fitted with KAFO's (knee-ankle-foot orthoses) and four children were fitted with AFO's (ankle-foot orthoses). Locally-made equipment - Staff of the CBR project continued to be active in designing new pieces of equipment for functional enhancement of the children. A new type of walker, known as a “Kaye walker” was constructed out of metal. New chairs and seating systems were developed. A tricycle was purchased and pedals modified for use by small children with cerebral palsy. In addition a splint has been made, in conjunction with the hospital's tailor. Whenever possible, the equipment is given on loan for the disabled child to use. When it is no longer needed or the child outgrows the equipment, it is returned to the CBR project and then loaned to another family. |
Main activities
Regular, home-based, goal-focused rehabilitation for disabled children  Medical / Dental checks - The vulnerable health status of many disabled children, and their risk of developing secondary medical conditions, further impair their ability to function and learn. In response, a new program of medical and dental check-ups was initiated, whereby disabled children in the CBR project are given appointments for reassessment with the paediatrician and dentist. After the original medical assessment, fees for revisits are waived. For disabled children whose families are particularly poor, partial subsidy is also given for medications. Information Staffs - Contact Address - |
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COMMUNITY BASED REHABILITATION PROJECT
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