Home BASED REHABILITATION
Objectives
1. Train children on activities of daily living to attain independence.
2. Facilitate enrolment into mainstream and inclusive schools.
3. Enhance community awareness about disability and rehabilitation; and develop networks.
4. Estimate the prevalence rate of disability around specific areas.
5. Determine the effects of home and community based interventions on children’s quality of life.
6. Empower facilities of children with disabilities and other disadvantaged children.
Distance training package (DTP)
(প্রতিবন্ধী শিশুদের দূরবর্তী প্রশিক্ষন কার্যক্রম )
The scientific authenticity of the Distance Training Program (DTP) (প্রতিবন্ধী শিশুদের দূরবর্তী প্রশিক্ষন কার্যক্রম )has been proved though a Randomized control trail study (McConachie et al 2000, Khan et al, 1998, Mobarak et al 2000). The study has confirmed the positive outcome of the training and reflected some negative aspects, which contributed to the development of additional program (CBR) and services and new strategies for service delivery to the young children with disability. It was found to be low cost and beneficial for children who are unable to attend any program regularly, but beneficial from home intervention. It is easy to disseminate the skills of using the DTP via community workers and also to mothers and other primary care-providers. It improved maternal adaptation towards child’s disability and also their basic knowledge on care givin
The mothers had problems in attending the regular program due to economic, cultural and social constrains. Most mothers faced difficulty in reaching center because of the distance and expense of traveling. For easy access, the service need to be closer to their home services for the child who remain sick most of the time. Maternal stress having a child with disability in itself a stressful for the mother, but behavioral problems of the child and the burden of caring for the child were found to the most significant factor of stress.
Based on the finding of the study the existing services were re-structured and some additional services and program were started to make the service accessible and child friendly. A CBR program with home visits was installed from 1996.