The Community Based Rehabilitation (CBR) project began in 2020 and is the very first CBR project to be implemented in Okhaldhunga District. Its goal to facilitate a disability-inclusive society where people with disabilities and their families experience fullness of live through their full inclusion, participation and contribution. Since 2020 we have been working in 2 out of the 8 municipalities of Okhaldhunga District, and are now making plans to work in a further two municipalities from 2025.
The project uses the CBR Matrix as a framework for working alongside the communities. It comprises 5 components of society: Health, Education, Livelihoods, Social and Empowerment. These are familiar to many other community development projects, but the difference in CBR focuses on reducing and removing barriers faced by people with disabilities, specifically attitudinal, organisational, environmental and communication barriers, within these components. Attitudes are generally negative towards people with disability in Nepal. They are considered at best people who cannot contribute anything to society, and at worst, cursed by the ‘gods’ and to be ignored.
Here is an example of a chair made by our maintenance department for Pramila Nepali from Molung with a debilitating muscular condition. The chair helps her sit up to eat and interact with her family. The picture on the right is of Chabi Kala Khatri receiving physiotherapy rehabilitation at OCH.
This is Sajina Ghimire who has cerebral palsy, taking part in her class at school.
Premi with spinal cord injury and her family, taking part in Christmas Day programme, 2023.
Sunita Tamang (above) has made a great recovery from a severe stroke. With the help of her family and a one-off donation from CBR to start a poultry business, she is now able to pay back the loans from her medical treatment.
Above is the OPD of Molung Municipality, registered in December 2023.
We are now working on a proposal which will enable us to work in another two municipalities in Okhaldhunga from 2025. We have learned much in these last 4 years and, with this experience, we hope to be able to continue this vital work across the whole of this district so that we realise the vision that Okhaldhunga is a disability-inclusive society where people with disabilities and their families experience fullness of life through their full inclusion, participation and contribution.