Challenges & implications
CBR = medical care & therapy; many officials & professionals neglect significance of environmental change, and activity/participation goals
Requires a holistic understanding
CBR is often about giving services (to achieve targets) and PwD passively receiving them
Requires prioritizing self management, self-esteem & empowerment goals
Requires investing in community awareness and inclusive development
Rural areas require more attention
Requires change in above concepts, as well as management & skills transfers to local governments/communities to see visible results
Of course, there are many; when systems are planned from on top, it is often difficult to implement them at the front-line, even when enshrined in policies
We are well aware of all of these challenges; and we are working in many ways to change; and we are seeing change.. But we have to persevere!