Community-Based Rehabilitation Services and Livelihood Enhancement for Persons with Disabilities in Nigeria: A Case Study of Akwa Ibom State
Keywords:
Community-based rehabilitation (CBR), livelihood enhancement, people with disabilities (PWDs), and Akwa Ibom StateAbstract
This survey-based descriptive study is conducted to examine community-based rehabilitation (CBR) services and livelihood enhancement of people with disabilities (PWDs) in Akwa Ibom State, Nigeria. The population of this study comprises all the beneficiaries of community-based rehabilitation (CBR) service in the State. The population is stratified into the three senatorial zones that comprise Akwa Ibom State. Simple randomly sampling technique is used to select four hundred and thirty six (436) respondents who have participated in CBR programmes in the State. The major instrument for data collection is structured questionnaire designed using a four point likert scale of agree, strongly agree, disagree and strongly disagree. The hypotheses formulated to guide the study were tested using the Spearman’s rank-order correlation technique. The findings reveal among other things that there is a significant relationship between CBR and the five dimensions (skills development, self-employment, wages employment, financial services, and social protection) of livelihood enhancement of PWDs in Akwa Ibom State. Hence, it is concluded that CBR programmes is significantly related to livelihood enhancement of PWDs in Akwa Ibom State, Nigeria. It is, therefore, recommended among others that government should enhance an effective skills development through CBR programmes to pull PWDs out of poverty and self-pity.
References
Alavi, Y. and Kuper, H. (Eds.) (2010). Evaluating the impact of Rehabilitation in the lives of people
with disabilities and their families in low and middle income countries: A review of tools.
London: School of Hygiene and Tropical Medicine, UK, CBM, Germany.
Beall, J. and Kanji, N. (1999). Household, Livelihoods and Urban Poverty. Conference Paper on
Urban Governance, Partnership and Poverty, University of Birmingham.
Biggeri M., Deepak S., Mauro V., Trani J., Kumar J. and Ramasamy P. (2013). Do CommunityBased Programmes Promote the Participation of persons with Disabilities? A Case Control Study from Mandya District, in India. Journal of Social Work in Disability and Rehabilitation, 12(13), 1508-1517.
Blaikie P., Cannon T., Davis I. and Wisner B. (2004). At Risk: Natural Hazards, People’s
Vulnerability, and Disasters. New York, NY: Routledge.
Bowers B., Kuipers P., and Dorselt P. (2015). A 10 Year Literature Review of the Impact of Community
Based Rehabilitation. Research Gate, 26(2), 103-119.
Carney, D. (Ed) (1998). Sustainable Rural Livelihoods. London: DFID.
CBM (2010). Community Mental Health Implementation Guidelines. Germany: CBM Press.
CBR Guidelines (2010). Disability Empowerment. Geneva: ILO, p. 15.
Chambers, R. (1995). Poverty and Livelihoods; Whose Realities Count? Urbanisation And The
Environment, 7, 1.
Chambers, R. (1997). Whose Reality Counts: Putting the Last First. Intermediate Technology
Publications.
Chambers, R. and Conway, G. (1992) Sustainable Rural Livelihoods: Practical Concepts for the 21st
Century, IDS Discussion Paper 276, Institute of Development Studies, University of Sussex.
Cheausuwantavee, Y. (2007). Beyond Community-Based Rehabilitation: Consciousness and Meaning.
Asia pacific Disability Rehabilitation Journal, Retrieved on 17th January, 2016 from http://
www.dinf.ne. jp/doc/ englist/ asia/resource/ cepdri/V182007/brief_ reports01.html.
Chukwuemeka, E. E. O. and Chukwuemeka, N. (2012). A Pedagogical Analysis of Labour and
Management Relations in Nigerian Local Government System: A Study of Enegu State.
Agricultural Journal, 7(1): 42-52.
Colaridge, A. and Hartley, S. (2010). CBR Stories from Africa: What Can They Teach Us? East
Anglia: University of East Anglia.
Cornielje, H. (2009). The Role and Position of Disabled People’s Organization in Community Based
Rehabilitation: Balancing Between Dividing Lines. Asia Pacific Disability Journal, 20(1), 20-35.
DFID (1997). Eliminating World Poverty: A Challenge for the 21st Century. White Paper on
International Development.
DFID (1998). Guidance manual on water supply and sanitation programmes. London: HMSO.
DFID (2006). Disability Poverty and Development. London: DFID, p17.
Elwan, A. (2007). Poverty and Disability: A Survey of Literature, World Development Report.
Washington, DC: World Bank, p.17.
Evans P., Zinkin P., Horpham T. and Choudury (2001). Evaluation of Community-Based Rehabilitation
for Disabled Persons in Developing Countries. Social Science and Medicine, 33(3), 335-348
Finkenflugel H., Cornielje H. and Velema J. (2007). The use of classification in the Evaluation of
CDR programmers. Disability and Rehabilitation, 1-7.
Gartrell, A. and Hoban E. (2013). Structural Vulnerability, Disability and Access to Nongovernmental
Organization Services in Rural Combodia. Social Work in Disability and Rehabilitation, 12(3), 194-212.
ILO, UNESCO, WHO (2004). CBR: a strategy for rehabilitation, equalization of opportunities, poverty
reduction and social inclusion of people with disabilities. Joint Position Paper. Geneva: ILO,
UNESCO and WHO.
ILO, UNESCO, WHO (2004) Community-based Rehabilitation for and with People with Disabilities.
Joint Position Paper, Geneva: World Bank.
Jibrin, S. (2009). Disability and Poverty: Situation in Nigeria. Abuja: Poverty Alleviation Action
Aid Press, p. 18.
Kassah, A. (1998). Community-Based Rehabilitation and Stigma Management by Physically Disabled
People in Ghana. Disability and Rehabilitation, 20(2): 66-73.
Kuipers, P. and Doig, E. (2010). International Encyclopaedia of Rehabilitation on Community-Based
Rehabilitation, Access from Cirrie-buffolo.edu/encyclopaedia/en/.../362/
Lang, R. and Upah, L. (2008). Scoping Study: Disability Issues in Nigeria. Final Report, Commissioned
by DFID, April. Available online at: http://www.ucl.ac.uk/lcccr/downloads/dfid_nigeriareport
Mitchell, R. (1999). The Research Base of Community-Based Rehabilitation. Disabil Rehabil, 21(10-
, 459-468.
Mitchell R. A., Zhou D., Lu Y. and Watts G.. (2009). Community-Based Rehabilitation: Does It Change
Community Attitudes towards People with Disability? Disability and Rehabilitation, 15(4),
-183.
Momm, M. and Konig, V. (1998). Visualizing Inclusion and Enabling Education. Manchester:
EENET, p.21.
Moser, C. (1996). Confronting Crisis: A Comparative Study of Household Responses to Poverty and
Vulnerability in Four Urban Communities. Washington: ESD.
Moser, C. (1998). The Asset Vulnerability Framework: Reassessing Urban Poverty Reduction
Strategies. World Development, 26, 1.
Onota, D. (2007). Equalization of Opportunities for Persons with Disabilities in Nigeria. Abuja:
CBM Press Ltd., p.10.
Peat, M. (1997). Community Based Rehabilitation. WB Sounders Company.
Peat, M. (1999). The Changing Ideology of Community Based Rehabilitation. Saudi Journal of
Disability and Rehabilitation (Jan - March), 32-37.
Rakodi, C. (1997). Poverty Lines or Household Strategies? A Review of Conceptual Issues in the
Study of Urban Poverty. Habitat International, Vol. 19, No. 4.
Tacoli, C. (1998). Rural - Urban Linkages and Sustainable Rural Livelihoods. In: Carney D. (Ed.)
Sustainable Rural Livelihoods. London: DFID.
WCPT (2003). World Confederation of Physical Therapist Community-based Rehabilitation
Consultation, http://www.aifo.it/nglish/resources/online/books/cbr/reviewofcbr/WCPT-CBR
Wheeler S., Lane S. and McMahon B. (2005). Community Participation and Life Satisfaction Following
Intensive Community-Based Rehabilitation Using A Life Skills Training Approach. Occupational
Therapy and Mental health: Building Places for Social Inclusion, 9(17) 45-60.
WHO (1976). Resolution on Disability, Prevention and Rehabilitation (A29.68), Geneva: WHO.
WHO (2000). CBR: A Strategy for Rehabilitation, Equalization of Opportunities, Poverty Reduction
and Social Inclusion of Persons with Disabilities. WHO Geneva.
WHO (2004). Community Based Rehabilitation: A Strategy for Rehabilitation, Equalization of Opportunities, Poverty Reduction and Social Inclusion of People with Disabilities. Joint Position Paper. Geneva: ILO, UNESCO and WHO.
WHO (2010). Community Based Rehabilitation: CBR Guidelines. Geneva, Switzerland: World Health
Organization.
WHO, UNESCO, ILO, IDDC (2010). CDR guidelined for community based inclusive development.
Geneva: World Health Organization. From http://www.who.int/disabilities/cbr/guidelines/en/
index.html.
WHO (2003). International Consultation to review community-based rehabilitation (Report of a
meeting held in Helsinki, Finland, 2003). Geneva: World Health Organization, 2003 (http://
whylibdox.who.int/hq/2003/WHO_DAR_03.2pdf, accessed 2010).
WHO Community Based Rehabilitation: Report of a WHO Interregional Consultation. Colombo,
Sri-Lanka, 28 June – 3 July 1982. WHO (EHB/IR/821).
WHO (2011). WHO and World Bank. World Report on Disability. Geneva, Switzerland: World Health
Organization, 2011.