MEETING OF THE WHO COLLABORATING CENTRES FOR THE FAMILY OF INTERNATIONAL CLASSIFICATIONS

Application of ICF framework to CBR

Kloie, We are the same fruits of the land
Japan International Cooperation Agency

13 19 October 2012 Brasilia, Brazil

Please insert

Takanori Sasaki, MPH, ST

the document ID here: D0xxp

Abstract From 2007 to 2012 Japan International Cooperation Agency (JICA) and Costa Ricas National Council of Rehabilitation and Special Education (CNREE) conducted the integrated rehabilitation project for the benefits and participation of the people with disabilities. The principal project design was based on the ICF concept and after 5 years of visits, workshops and seminars the consciousness of the quality of life of the people with disabilities and the condition of the environment for them in the project site was improved drastically. The project ended march, 2012 with great success. We try to share the experience of Kloie using the framework of ICF to assess by different levels like individual intervention, community level issues, monitoring and evaluation of CBR programme and motivating for inclusive policy development.

Introduction
Kloie is a word from indigenous minority tribe called Bribri living in the mountainside of Costa Rica and this word means We all are fruits of the same land of the south ICF was principal philosophy of the project which enhanced not only on medical rehabilitation service but also on quality of life including human rights and empowerment of people with disabilities. The followings were expected results: 1.Strengthen interinstitutional and intersectoral coordination and exchange of information of people with disabilities 2. Strengthen the quality of rehabilitation services medical

Methods & Materials

Results

During its 5 years of operation, the project Community level issues enterprise for livelihood in performed a series of actions to achieve the Micro communities of Trraba (tamales expected results. production) and Coto Brus (recycle center and workshop of assistive aids like wheel Activities We realized in total 59 training, activities chairs and canes) and seminars with 4430 participants from different institutions and people with Accessible eco tourism and promotion of public service information in Puerto Jimenez disabilities. Negotiation for drinking water and forming 9 activities with 22 participants of visits to group of people with disabilities in Trraba Japan Monitoring and evaluation of CBR 10 activities and 30 participants of visits to programme Colombia, Chile, Thai, Guatemala, Mexico, Application of CBR in National development plan Argentine, Honduras and Philippines ICF can be used in assessing individuals, their communities and environment to determine the factors that are creating the disability and provide structure for appropriate interventions with the its simple and clear framework. It is very important to apply framework to CBR programmes. ICF Motivating for inclusive policy development Collaboration with municipals to assign the job offer information office in Buenos Aires and Coto Brus The Decree of the National Disability Policy (PONADIS) 2011-2021. With this policy instrument, the public institutions will enforce and develop these rights under a community based approach. Empowerment by people disabilities Initiation of Independent living Peer counseling Disability equality training Appeal for barrier free with

3. Increase the labour opportunity for people with disabilities 4. Promote the strategy of Community Based Rehabilitation (CBR) 5. Facilitate the empowerment of people with disabilities

Followings are examples. Individual intervention Community level issues Monitoring and evaluation of CBR programme Motivating for inclusive policy development

Results
Individual intervention Improvement of rehabilitation referral between 1st, 2nd and 3rd levels of health system of Costa Rica BASIC NUCLEUS: a disability epidemiological tool of the Costa Rican national statistical registry on disability by decree Decree of application of ICF on health service

Conclusions
In 2007 the Project Kloie assumed the challenge of developing a pilot project, using new paradigms for assessing disability issues, with a human rights approach, inclusive development, and using the ICF model. We consider that this work parallels: (1) The empowerment of persons with disabilities and the communities, and (2) Mainstream inclusion of the topic of disability in the national and institutional policies. These were key aspects to generate impacts and guarantee its sustainability.

ICF framework to assess CBR programmes Individual intervention Community level issues Monitoring and evaluation of CBR Inclusive policy development