Why does Community-Based Rehabilitation fail physically disabled women in northern Thailand?

Overview

Community-Based Rehabilitation (CBR) has been adopted in many countries to help disabled people. This article analyses the interplay between CBR and the self-alienation of physically disabled women from their communities. In-depth interviews with 40 women with physical disabilities in northern Thailand found that CBR was barely capable of enabling women with physical disabilities to realise their sense of self within their community, because in itself CBR was unable to change the community’s false impression of disability. Despite participating in CBR programmes, the self-alienation of physically disabled women from their community remained; the authors argue that this was due to the heavy reliance of CBR on medical practice, ignoring gender as a major contributing factor. In addition, CBR field workers obviously failed to grasp the magnitude of social models in disability rehabilitation.