Elements in this module

CBR programmes recognize, support and advocate a number of key aspects of health care for people with disabilities. These are consistent with best practice and are outlined below.

Use your mouse or keyboard to expand each of the headings below.

Health promotion

Health promotion aims to increase control over health and its determinants. The wide range of strategies and interventions available are directed at strengthening the skills of individuals and changing social, economic and environmental conditions to alleviate their impacts on health.

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Prevention

Prevention is closely linked with health promotion. Prevention of health conditions, such as diseases, disorders and injuries, involves:

  • primary prevention (avoidance of the cause of disease or injury)
  • secondary prevention (early detection and early treatment) and
  • tertiary prevention (rehabilitation measures).

The focus of this section is mainly on primary prevention.

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Medical care

Medical care refers to the identification, assessment and treatment of health conditions and their resulting impairments, with the aim of curing or limiting their impact on individuals. 

Medical care can take place at the primary, secondary or tertiary level of the health-care system.

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Rehabilitation

Rehabilitation is a set of measures that enables people with disabilities to achieve and maintain optimal functioning in their environments. It is relevant both for those who have acquired impairments during their lifetime and for those who have had impairments from birth.

Rehabilitation services range from the basic to the specialized and are provided in many different locations, such as hospitals, homes and community environments. Rehabilitation is often initiated by the health sector, but requires collaboration between all sectors.

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Assistive devices

A device that has been designed, made or adapted to assist a person to perform a particular task is known as an assistive device. Many people with disabilities benefit from the use of one or more assistive devices. Some common types of assistive devices are:

  • mobility devices, such as walking sticks and wheelchairs
  • prostheses, such as artificial legs
  • orthoses, such as hand splints
  • visual devices, such as glasses and white canes
  • hearing devices, such as hearing aids
  • communication devices, such as mobile phones.

To ensure that assistive devices are used effectively, important aspects of their provision include user education, repair, replacement and environmental adaptations in the home and community.

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