Transforming of Capacity in CBID/CBR Towards Comprehensive - - PowerPoint PPT Presentation

Transforming of Capacity in CBID/CBR Towards Comprehensive Competency Aligned with CRPD and CBR Guidelines

• Dr. Gamal Ezz Elarab,

Director, Egypt Institute of Community Ophthalmology Medical Director, Magrabi Foundation / Egypt

2nd CBR World Congress, Kula Lumpur, 2016 Workforce & Capacity Development 1

Why is this presentation?

• Wide range of Training activities for CBR are conducted by multiple

stakeholders covering almost all areas of CBR matrix.

• But how far are they aligned with CRPD and CBR guidelines?
• Should a change in the approach for training be considered?
• Question to be answered
• How to design and conduct training programs

that promote a comprehensive approach for CBR and reflect a paradigm shift within CBR towards right-based approach?

How to approach the answer?

• This presentation shares a retrospective overall

review for a study of TNA for CBR/CBID done recently in 2015 in 5 communities in Egypt.

Content

• Brief for the TNA study’ methods and approach
• Discussion to the results in the light of

comprehensive approach for CBR

• Conclusion for future Training Programs

Study Title: An Evidence-based Analysis of CBID/CBR Training Needs in Egypt A study of 5 selected communities, 2015

Study Team: Gamal Ezz Elarab, Magrabi Foundation / Egypt Yana Zayed, CBM / EMRO

Objectives of the Study

• 1. Create an evidence–based understanding of CBR capacity building

needs to contribute to the goal of CBID in Egypt

• 2. Map recent CBR training courses and opportunities
• 3. Make recommendations that would support strengthening the growth
• f CBR/CBID capacities and complement the existing efforts

Scope

The scope of the study looked beyond traditional CBR workforce and involved:

• Wider scope of stakeholders including: PWD, Families of PWD, CBR

workers and Community workers in the target communities.

• In depth analysis of 4 selected villages from the Delta, Greater Cairo, Upper

Egypt regions, as well as an additional remote location with very limited resources. Out of scope: Key informants from national/district level government, UN agencies, international and national mainstream NGOs would be approached later on.

Egypt Map with Study Locations

1 2 3 4

• 1. Kafr Elbatekh (Domyat)
• 2. Ezbet Khayeralla (Cairo)
• 3. Kotta (Fayoum)
• 4. Geziret Beba (Beni Suef)
• 5. Manabad (Asyout)

5

Methodology

• The methodology was finalised following a consultation with

the Egypt CBR Network.

• In-depth community analysis was conducted in 4

communities from different governorates across the country (3 villages and 1 inner urban slum) using the same approach.

• One additional community remote from service provision was
• selected. Scarce infrastructure in that fifth community did

not allow for applying the full methodology and information was gathered only from home visits and observations.

• Validation had run with some members of the Egypt CBR

Network.

Desk review Data collection Validation

Approach

• 1. Questionnaire, To verify SKPs that go beyond the scope of basic skills typically

associated with CBR workforce.

• Four different forms designed & tailored to 4 different target groups.
• Sections on: personal information, disability definition in the respondent’ words,

perception on CBR services offered in that community. For the workers, an assessment was done on their approach to inclusive programs.

• Section on specific K & S (22 core topics + open fields) assessed by scoring system

in terms of; proficiency, requirement and priority from the respondent’s perspective. Preferred learning methods were sought.

• Forms in Arabic & Braille, and coded.
• On hand assistance to people requiring support.
• Sign language interpreters were utilized.
• STATA software for data analysis.
• 2. Focus groups Done with accessibility in mind and facilitated by the study team

and PWD in some locations.

• 3. Community key informant Interviews by the study team using structured but
• pen questions.
• 4. Informal observations/visits village walk around & home visits to get more in

depth understanding of reality.

Data Collection & Sample Population

Questionnaires 137

• PWD

46

• Families of PWD

43

• CBR workers

28

• Community workers

20

68% of respondents completed the questionnaires on their own.

Focus groups 152

• PWD

71

• Families of PWD

40

• Community workers

41 Interviews 19

• CBR programme manager

5

• Village Mayor

3

• Head Nurse of VHU

4

• Head Teacher of VPS

3

• Head of closest Rehab.Office

4 Informal observations/visits 20

• Home of adult with disability

6

• Home of child with disability

8

• Youth Club

1

• Village walk around

5 Study Tools

The fieldwork was conducted during January and February 2015 and the data was processed between March to April 2015.

Profile of questionnaire respondents

In total, 54 persons with disability responded (39% of respondents)

• f whom 26 were members of DPOs / Elected committees

Breakdown of respondents by gender, age and questionnaire type

5 10 15 20 25 30 35 40 F M F M F M F M PWD FAM CBR CW

• No. of respondents

<18 18-60 >60

Overall knowledge of disability legislation and CBR resources

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% CRPD EGYPTIAN LAW CBR 2010 CBR 1989 Nothing A little A lot

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% CRPD EGYPTIAN LAW CBR 2010 CBR 1989 CRPD EGYPTIAN LAW CBR 2010 CBR 1989 CRPD EGYPTIAN LAW CBR 2010 CBR 1989 CRPD EGYPTIAN LAW CBR 2010 CBR 1989 PWD FAM CBR CW

Knowledge broken down by respondent questionnaire

Nothing A little A lot

Large knowledge gaps identified overall, in particular the majority of people with disability and their families had never heard of the CRPD, national legislation or CBR guidelines.

• None of the respondents who received training on rights reflected the rights-

based model in their definition

• The majority of people with disability and their families had never heard of the CBR

guidelines; even those who were aware of the UN CRPD and national legislation.

PWD FAM CBR CW Charity Medical Social Rights 0% 20% 40% 60% 80% 100% Prevelance of model reflected

Analysis of perceptions of disability

Charity 3% 12% 0% 0% Medical 68% 85% 86% 100% Social 41% 9% 29% 12% Rights 3% 0% 4% 0% PWD FAM CBR CW

Top 5 skills or knowledge respondents felt were necessary to have

0.0% 10.0% 20.0% 30.0% 40.0% 50.0% 60.0% 70.0% 80.0% 90.0% 100.0%

Raising funds to support inclusion initiatives Using social media as a resource for inclusion Supporting people with disability to develop self-care and daily life skills Concepts of the new CBR approach and inclusive community development National and International legal frameworks on disability and the rights-based approach

CBR CW FAM PWD Overall

Top 5 self-reported proficiencies on a scale of 0 to 5

0.5 1 1.5 2 2.5 3 3.5 4 4.5 5

Raising awareness amongst the community members on issues related to disability and inclusion Interacting with people with different impairments Negotiating with people Supporting people with disability to develop self-care and daily life skills Providing advice and support to PWD and their families

CBR CW FAM PWD Overall average

Top 5 skills or knowledge respondents prioritised as training needs

0.0% 10.0% 20.0% 30.0% 40.0% 50.0% 60.0% 70.0% 80.0% 90.0% 100.0%

Providing advice and support to PWD and their families Supporting people with disability to develop self-care and daily life skills Supporting families and organisations to know how to include PWD Raising funds to support inclusion initiatives National and International legal frameworks on disability and the rights-based approach

CBR CW FAM PWD Overall

Distribution of top 3 preferred learning styles

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

Learning Style Response rate

Attending face-to-face workshops or courses Working with a colleague with specialist knowledge Gaining experience by spending time with another organisation Visiting examples of 'good practice’ Self-study Distance learning (web-based training using a computer) Learning from other countries or governorates

• 18 out of 19 community workers welcomed the opportunity to build their capacity

to be more inclusive of PWD.

• 70% expressed that they would need to improve their computer skills before

taking part in a computer-based training course.

Learning approaches

Conclusion

• Assessment of capacity gaps should look beyond the traditional way of CBR

workforce and involve a wider scope of related stakeholders. There is a need to agree on a clear definition and scope for CBR Workforce.

• Competency in CBR Matrix alone is not enough. A complementary

paradigm shift is required in the design and provision of CBR training programs to be more comprehensive and incorporate the principles and attitudes to disability and inclusion as guided by the CRPD.

• TNA for CBR workforce should utilize a more comprehensive approach in

types of data collection and in-depth community analysis.

• The ultimate goal should be to strengthen the capacity of the workforce for

CBR/CBID in line with the CRPD and current global developments.

Thank you

Any questions?

• Dr. Gamal Ezz Elarab - Magrabi Foundation, Egypt

gamal@magrabi.org