CHWs (20) What are your thoughts on the Guideline? (11) Role of CHWs in disability and rehabilitation (4)

5 June, 2019

Dear Neil,

Thank you for pointing this out from the guideline. CBR/CBID programs [*see note below] are growing increasing importance across LMICs with CHWs at the heart of this community based approach.

They are not only helping in crucial aspects of providing rehabilitation but also in identification, screening and prevention of further disabilities among individuals. From my observation, I have seen numerous cases wherein PwDs [*]refused to go to the nearest hospital/ CHC primarily due to stigmatisation and lack of awareness regarding what needs to be done or were reluctant as they thought seeking medical help would require spending a lot.

Under these circumstances, CHWs play an imperative role in making people aware about health, the importance of not neglecting it, especially when there are chances of it leading to a disability and also about various healthcare schemes, subsidies etc. They also play a critical role in identifying, creating awareness and reducing neglect associated with cases of mental health.

More number of tertiary hospitals must be encouraged to establish CBR and CBR+ programs and be responsible for the training of efficient health aids in order to reduce the burden of NCDs and communicable diseases within the community.



HIFA profile: Stuti Chakraborty is an undergraduate student from Christian Medical College, Vellore. Areas of interest: 1) Disability prevention and awareness; 2) Community based rehabilitation; 3) Research on NCDs; 4) Neurosciences (Brain Injury and CVA) ; 5) Sexual and Reproductive Health Rights of Women with disabilities; 6) Gender inequality and disability.

[*Note from HIFA moderator (Neil PW):

CBR = Community-Based Rehabilitation

CBID = Community-Based Inclusive Development

PwDs = People with Disabilities]