A community-based rehabilitation programme for pre-school disabled children in Guyana.

The limitation of the traditional Institutionally-Based model of rehabilitation and the competing rationale for introducing a Community-Based model of services are examined. Problems with the World Health evaluation of CBR are discussed. The results of a CBR programme with 53 pre-school disabled children in rural areas of Guyana are presented. Quantitative and qualitative methods are combined to analyse the results. Portage and Griffiths pre/post test results showed significant improvement as a result of the training programme. Noticeable changes in the attitudes of the parents toward the child, the community and towards themselves are presented. The effective involvement of the community is analysed.