Table 2.
Outcome | WHO's community‐based rehabilitation (CBR) indicators |
---|---|
Health component | |
Mental health and cognitive development | People with disabilities equally access mental health services and engage in activities needed to achieve the highest attainable standard of mental health services |
Access to health services | People with disabilities equally access health services and engage in activities needed to achieve the highest attainable standard of health |
Percentage of people with disabilities and their families that have access to medical care | |
People with disabilities feel they are respected and treated with dignity when receiving health services | |
Immunization | Percentage of people with disabilities who receive full immunization as recommended for their country by WHO |
Health check‐up | People with disabilities know how to achieve good levels of health and participate in activities contributing to their health |
Percentage of children with disability who receive the recommended health check‐ups | |
Rehabilitation services | People with disabilities have access to, and use rehabilitation services |
Access to assistive devices | People with disabilities have access to use, and know how to maintain appropriate assistive products in their daily life |
Nutrition | People with disabilities have access to nutritional support to maintain a healthy diet |
Morbidity and mortality | People with disabilities access and benefit from quality medical services appropriate to their life stage needs and priorities |
Education | |
Enrolment to primary, secondary and tertiary education | Policies and resources are conducive to quality education for people with disabilities and ensure smooth transitions through different stages of learning |
People with disabilities participate in and complete quality primary education in an enabling and supportive environment | |
People with disabilities have resources and support to enrol and complete quality secondary and higher education in an enabling and supportive environment | |
People with disabilities experience post school options on an equal basis with their peers | |
Attendance | People with disabilities have resources and support to enrol and complete quality secondary and higher education in an enabling and supportive environment |
Education in mainstream education facilities/inclusive education | Percentage of people with disabilities who acquire education in mainstream education facilities |
Social and life skill development | People with disabilities make use of youth or adult centered learning opportunities to improve their life skills and living conditions |
Learning and achievement | People with disabilities experience equal opportunities to participate in learning opportunities that meet their needs and respect their rights |
Access to educational services | People with disabilities participate in a variety of nonformal learning opportunities based on their needs and desires |
People with disabilities actively participate in early childhood developmental activities and play, either in a formal or informal environment | |
Livelihood | |
Employment in formal and informal sector | People with disabilities have paid and decent work in the formal and informal sector on equal bases with others |
People with disabilities earn income through their own chosen economic activities | |
People with disabilities acquire marketable skills on an equal basis with others through a range of inclusive training opportunities | |
Access to job market | People with disabilities have access to job markets on equal basis as others |
Control over own money | People with disabilities have control over the money they earn |
Access to financial services such as grants and loans | People with disabilities have access to grants, loans and other financial services on an equal basis with others |
People with disabilities participate in local saving and credit schemes | |
Poverty and out‐of‐pocket payment | Percentage of people with disabilities who are covered by social protection programs |
Access to social protection programs | People with disabilities access formal and informal social protection measures they need |
Participation in development of inclusive policies | Inclusive policies, practices and appropriate resources, defined with people with disabilities enable equal participation of women and men with disability in livelihood (training, finance, work opportunities and social protection) |
Social | |
Stigma and discrimination | Communities have increased awareness about disability, with a reduction in stigma and discrimination towards people with disabilities |
Safety | People with disabilities feel safe in their family and community |
Participation in mainstream recreational, leisure and sports activity | People with disabilities participate in inclusive or specific recreation, leisure and sports activities |
Legal rights | All People with disabilities are recognized as equal citizens with legal capacity |
Access to justice | People with disabilities access and use formal and informal mechanisms of justice |
Participation in cultural and religious activity | People with disabilities participate in artistic, cultural or religious events in and outside their home as they choose |
Interpersonal interaction and relationships | People with disabilities experience support of the community and their families to socialize and form age‐appropriate and respectful relationships |
Percentage of people with disabilities who feel respected in their decisions regarding personal relationships | |
Social identity and responsibilities | People with disabilities feel valued as community members and have a variety of social identities, roles and responsibilities |
Empowerment | |
Informed choices | People with disabilities make informed choices and decisions |
Positions in public institutions and judiciary | People with disabilities participate in political processes on an equal basis with others |
Voting rights | People with disabilities participate in political processes on an equal basis with others |
Representation at community level | People with disabilities actively engage in and benefit from self‐help groups in the local communities, if they choose (inclusive or specific) |
Self‐help groups come together to form federations to harness collective energy and influence positive change | |
People with disabilities living in different situations (rural or urban areas, poor or rich, refugees) feel they are adequately represented by DPO | |
Advocacy | People with disabilities effectively use communication skills and resources (including supportive decision making) to facilitate interactions and influence change |
People with disabilities play a catalyzing role in mobilizing key community stakeholders to create an enabling environment |
Abbreviations: DPO, disabled people's organisation; WHO, World Health Organisation.