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!