Thursday, January 20, 2022

EMPOWERMENT OF PARENTS OF PWDs: ADVANTAGES WITH CBR APPROACH

 Dear All

Happy New Year 20222 to all and and hoping for having healthy environment with normalcy. 

Continued my interest of publication and  during the last Quarter of 2021 2022, published a paper in the Journal of Mahila Pratishtha and a brief details of teh same were presented below as: 

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ABSTRACT

Limited or non participation of Parents of PWDs in the processes of training and rehabilitation will limit their opportunities of working for their empowerment leading for independent living in an inclusive and accessible community and to get a better solution for their concern of “what will happen to the child after us?”. Disability is unexpected as it affects the growth and development of Family, Community and Nation both socially and economically. Having a child with special needs in any family needs special services, supports, and environment as they are unique in their own way. Presence of such child in any family affects its dynamics with challenges and vulnerabilities both social and economical. Government came out with several Acts and Policies to support the persons with disabilities with matching services, supports, schemes, benefits, training, rehabilitation, education, employment, livelihoods, and others so that they can be empowered for better living in an accessible and inclusive environment and community with equality, dignity and respect as a right. At the stage of its implementation, several stakeholders covering: Parents, Siblings, Grandparents, Community Members, Health Workers, Paramedical Professionals, Disability Professionals, Service Providers, Local Establishments, National Institutions, Donors, People’s Representatives, and others do play their own role in the whole of process of empowering PWDs with matching strategies and interventions. Among the Stakeholders, Parents of PWDs can play a key role as PWDs will spend majority of their time and thus have better scope for learning and sharing on life cycle basis which finally will lead for getting a better solution for their concern that “what will happen to the child after us?”.  Parents particularly from rural areas do have limited scope to participate in the processes of training and rehabilitation of their child at Centers managed by Government or NGOs. The present pandemic (Covid 19) has changed the whole environment of training and rehabilitation of PWDs puts more pressure on parents particularly mothers. The shift towards Community Based Rehabilitation will have several advantages with better scope to work on ownership basis.   

Key Words: Disability, Training, Rehabilitation, Empowerment, Independent Living, Community, Inclusion, Accessibility, Prevention, Sustainability, Quality of Life.    

Statement of the Problem

Non or limited participation of Parents of PWDs in the processes of training and rehabilitation of their ward will limit their opportunities of working for their empowerment leading for independent living in an inclusive and accessible community and to get a better solution for their concern of ”what will happen to the child after us?”.    

Introduction & Background

Disability is unexpected as it affects the growth and development of Family, Community and Nation both socially and economically. Having a child with disability or special needs (CWSNs) in any family needs special services, supports, and environment as they are unique in their own way. Presence of such child in any family affects it dynamics with challenges and vulnerabilities both social and economical. Government came out with several Acts and Policies to support the persons with disabilities (PWDs) with matching services, supports, schemes, benefits, training, rehabilitation, education, employment, livelihoods, and others so that they can be empowered for better living in an accessible and inclusive environment / community with equality, dignity and respect as a right. At the stage of its implementation, several stakeholders covering: Parents, Siblings, Grandparents, Community Members, Health Workers, Paramedical Professionals, Disability Professionals, Service Providers, Local Establishments, National Institutions, Donors, People’s Representatives, and others do play their own role in the whole of process of empowering PWDs with matching strategies and interventions. The Departments / Institutions working under the Government (both Central and State Governments) do follow the specific service delivery systems or channels (SDSs or SDCs) which are mostly dominated with top down approaches (TDAs) having limited scope to reach the targeted groups particularly living in rural areas. To overcome such limitations, community based initiatives which works mostly with bottom up approaches (BUAs) have been preferred as they do have several advantages to reach and work for the empowerment of the targeted groups. Among the Stakeholders, Parents of PWDs who are the first stakeholder can play a key role as PWDs will spend majority of their time (except the Orphans) and thus have better scope for learning and sharing on life cycle basis which finally will lead for getting a better solution for their concern that “what will happen tot eh child after us?”.  Parents particularly mothers from rural areas do have limited scope to participate in the processes of training and rehabilitation of their ward at Centers / Institutions (which are away from the home & community) managed by Government or Non Governmental Organizations (NGOs). The present pandemic (Covid 19) has changed the whole environment of training and rehabilitation of PWDs and put more pressure on parents.  

Role of Parents: Once the Parents of PWDs are empowered, they can play various roles at various levels and some of them were presented below as:  

ü  Individual Level: On individual level, Parents can work and play various roles covering: Awareness cum Advocacy, Mobilizer, Facilitator, Referral Services, Self Employment, Donor, Mentor, Caregiver, Trainer, Accessibility, and Prevention,

ü Service Provider: As a Service Provider, Parents can work for developing: Non Governmental Organization (NGO) legally, and CBR Centre to work from early identification to empowerment, facilitation for Schemes and Benefits, Legal Guardianship, Employment, Livelihoods, Mainstreaming, Social Security, Barrier Free Environment (BFE), Prevention of the causes of Disabilities (Disability Free Society – DFS), Life Care Facilities and other matching services and suppose on the model of Empowerment.

ü  SHGs: Parents can form Self Help Groups (SHGs) with legal base and can work for creating Awareness cum Advocacy, Mobilizer, Facilitator, Production cum Marketing of Products, Networking and Connectivity, Group Employment / Livelihoods, Sheltered or Protected Workshop, Life Care Facilities (LSF) and other matching services and supports with the main focus of working for the  Economic Empowerment of PWDs as well as their Parents so that all together can enhance their strengths to overcome the limitations of disabilities and to be part of accessible and inclusive community as part of development.  

ü  Professional: Some of the Parents can become Special Educators by doing the Disability Courses recognized by Rehabilitation Council of India (RCI) either on regular or distance mode. With that, they can work as an Employee, Self Employment, Facilitator, Freelancer, Advocacy, Development of Teaching cum Learning Materials (TLMs), Support Devices, Aids & Appliances, Collaborate for the development of Disability Free Society (DFS), and Barrier Free Environment (BFE).

ü  Employer: Some of the parents depending upon their economic status and living environment (rural or urban) can develop business (micro to macro level) which includes existing Family Business, Local Establishments, Sheltered or Protected Employment and other modes on inclusive or exclusive or both to cater the needs of PWDs as well as their parents including referral services for Health, Education, Accessibility, and Life Care Facilities.

 

There exists some overlap in the roles of Parents at various levels, but broadly, empowerment of parents will work for the empowerment of their Children with Disabilities (CWSNs / PWDs) and further to support for the prevention of the causes of disabilities and thus strengthening Community and Nation.  


Advantages: The empowerment of Parents (mostly along with their Children with Disabilities (CWSN / PWD) particularly with community based initiatives (CBR) do have several advantages and some of them include:   

ü  Better Acceptance with reduced Stigma with Positive Attitude.

ü  Working for the Training cum Rehabilitation of PWDs as an Empowerment within the Family and Community Environment.

ü  Working in the same environment of PWDs and Parents will be a strength with people around them.  

ü  There will be better scope for Early Identification particularly during the early age of 0 – 3 years and Early Interventions with better scope for school preparedness.

ü  It supports for effective and efficient participation of Parents, Siblings and other Family Members both at Home and Community.

ü  Better Scope for the utilization of local resources to the maximum extent possible.

ü  As the use of transportation is nil or minimum, there will be limited or less issues with transportation to avoid the issues of access and barriers.

ü  Better Scope to get connected with PHC, Anganwadi Centres (under ICDS), Schools and other Community Utilities and sharing of Resources.

ü  As Parents are working within the Family and Community Environment, the CBR Strategy supports family both socially and economically.

ü  Wider scope for the continuation of livelihood activities like: Self Employment, Group Employment (by forming into Self Help Groups – SHGs), Microentreprenuership and other forms of Income Generation Programmes (IGPs).

ü  The whole processes of empowerment of Parents and PWDs will work more of independent with ownership where other stakeholders will work as facilitators.

ü  The services and supports of training cum rehabilitation can be made more available, accessible, and affordable (3As) as it works as part of the community development with scope for continuity. 

Local Manpower covering: Parents, Siblings, Elders (including retired people), Community Workers, can be effectively utilized with better flexibility both in time and duration.

Initiatives

The Author is well connected with Community Development particularly Disability Rehabilitation with inclusive strategies and contributed significantly for the empowerment of Parents as well as PWDs and some of the key initiatives (both directly and through Institutes / NGOs) include:

Ø  Awareness cum Advocacy for PWDs, Parents, and other Stakeholders at Community on Acts and Policies, Schemes and Benefits, Early Identification, Training and Rehabilitation, Education both Normal and Special, Employment / Livelihoods, Accessible Environments, Prevention of the Causes of Disabilities, and other aspects of Disability and Community Development.

Ø  Training to the PWDs and their Parents (at Home, Centre, & Community) for minimizing the limitations of disabilities with better scope for matching services and supports with better availability, accessibility and affordability.  

Ø  Facilitation for Schemes and Benefits with improved digital technologies for registration, application, utilization, monitoring and evaluation.     

Ø  Guidance cum facilitation for the Parents of PWDs to improve their qualification both in regular as well as in special education (courses approved by RCI) so that Parents can transform themselves as a Care Giver, Trained Teacher, Qualified Teacher, Mentor, Facilitator, Service Provider (Sheltered or Protected Workshops), Employer, and other matching roles connected with Disability Sector.

Ø  Development of Human Resources at all levels with collaboration for suitable employment or livelihoods.

Ø  Organization of Training, Workshops, and Seminars (both on regular & virtual modes) both on exclusive and inclusive forums with better visibility on the needs and opportunities for PWDs as well as to their Parents.

Ø  Facilitation for developing Livelihoods (self employment, group employment, or microentrepreneurship) as part of income generation and further economic empowerment.  

Ø  Publication of developed strategies, interventions and models of rehabilitation in both exclusive and inclusive Journals / Books.

Ø  Use of technologies (particularly in view of present pandemic emerged due to Covid 19) moving towards digital environment for better reach, connectivity, relationship, learning, sharing, reporting, documentation, and presentation.

Ø  Consultations and initiatives to provide better solution to the concern of every parent of PWD that “what will happen to the child after us?”.

 

The outputs, outcomes and impact resulted due to the initiatives took up are significant and connected PWDs and their Parents with other Stakeholders for better living in an inclusive and accessible community / environment with better sustainability and improved quality of life. More and more work need to be done as disability is dynamic and well connected with poverty, and development.             

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Conclusions

The study made has gained priority while working for the empowerment of Persons with Disabilities and some of the conclusions emerged include:

ü    Non or limited participation of Parents of PWDs in the processes of training and rehabilitation of their ward will limit their opportunities of working for their empowerment leading for independent living in an inclusive and accessible community and to get a better solution for their concern of ”what will happen to the child after us?”.   

ü    Disability is unexpected as it affects the growth and development of Family, Community and Nation both socially and economically.

ü    Presence of such a child in any family affects its dynamics with challenges and vulnerabilities both socially and economically.

ü    Government cameup with several Acts and Policies to support the persons with disabilities with matching services, supports, schemes, benefits, training, rehabilitation, education, employment, livelihoods, and others so that they can be empowered for better living in an accessible and inclusive environment / community with equality, dignity and respect as a right.

ü    At the stage of its implementation, several stakeholders covering: Parents, Siblings, Grandparents, Community Members, Health Workers, Paramedical Professionals, Disability Professionals, Service Providers, Local Establishments, National Institutions, Donors, People’s Representatives, and others do play their own role in the whole of processes of empowering PWDs with matching strategies and interventions.

ü    The Departments / Institutions working under the Government (both Central and State Governments) do follow the specific service delivery systems or channels which are mostly dominated with top down approaches having limited scope to reach the targeted groups particularly living in rural areas.

ü    To overcome such limitations, community based initiatives which works mostly with bottom up approaches have been preferred as they do have several advantages.

ü    Among the Stakeholders, Parents of PWDs who are the first stakeholder can play a key role as PWDs will spend majority of their time (except the Orphans) and thus have better scope for learning and sharing on life cycle basis which finally will lead for getting a better solution for their concern that “what will happen to the child after us?”. 

ü    Parents particularly from rural areas do have limited scope to participate in the processes of training and rehabilitation of their ward at Centers / Institutions (which are away from the home & community) managed by Government or Non Governmental Organizations.

ü    The present pandemic Covid 19 has changed the whole environment of training and rehabilitation of PWDs and put more pressure on parents.

ü    Parents do have several needs both to protect themselves and their children with special needs.

ü    The model of Training cum Rehabilitation works from the stage of early identification to empowerment resulting for an independent living with better sustainability and improved quality of life

ü   The Disability Acts (as exclusive) and inclusive focus more on the capabilities of PWDs putting questions on the barriers in the environment.

ü   The Institutional Based Rehabilitation do have several advantages and limitations leaving less scope for the parents to be part of this and to get empowered.

ü    Community Based Rehabilitation working within the community development as a strategy do have several advantages giving better scope to Parents to get connected with their child’s rehabilitation as well as their own empowerment with ownership.    

ü    CBR works (with multisectoral and multidisciplinary approaches) with five domains covering Health, Education, Livelihoods, Social and Empowerment and are effective empower the PWDs as well as their Parents with better sustainability.

ü    The initiatives are need based and the resulted outputs, outcomes, and impact are significant with better scope for participation, accountability and responsibility mostly on ownership.

ü   The strategies and interventions deployed in the processes of empowering PWDs and their Parents are need based, simple, flexible, replicable, and sustainable matching to the dynamics of the given environment.         

Recommendations

Disability is dynamic and well linked with Poverty, and Development and its impact on the growth and its sustainability of People and Community and gains priority for its continuation. Some of the recommendations made include:

Ø  To create awareness on Community Based Rehabilitation with priority for multisectoral and multidisciplinary approaches.

Ø  To develop technologies to move towards Digital Environment with better connectivity, relationship, teaching, learning, sharing, documentation, monitoring, evaluation and reporting.

Ø  To conduct more and more Trainings, Workshops, and Seminars on the model of Empowerment with priority for Community Based Rehabilitation.  

Ø  To develop Human Resources (both formally and informally) at all levels with registry at RCI.

Ø  To collaborate with public utilities for addressing the challenges and needs of the PWDs and their Parents with scope for ownership.   

Ø  To support NGOs and other Service Providers to work with Government and private / Corporate on partnership basis (known as Government – Private / Corporate - NGO Partnership – GPNP).

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With thanks 


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