The efforts of Sight Savers, a service program of the Royal Commonwealth for the Blind, to stem the outward flow of hard currency from developing countries are described. Sight Savers furthers program sustainability by emphasizing local manpower development, selecting equipment that requires less and cheaper maintenance, and using local currency…

The Christoffel-Blindenmission helps support 26 schools, centers, and rehabilitation programs for individuals with visual impairments in South America. This article discusses the organization's limited use of foreign specialists to discourage overdependency on the agency and to encourage local personnel to establish their own programs. (Author/JDD)

This article introduces a group of six papers on sustainability of programs for visually handicapped persons in developing countries. Sustainability is discussed from an anthropological perspective, noting the importance of a social soundness analysis and a social impact assessment, enemies of sustainability, and the need for broad local input in…

The paper describes issues involved in a project to assist providers of services for the visually impaired to plan and initiate programs directed toward Nepal's low vision population. Discussed are demographic factors; organization of prevention, education, and rehabilitation programs; development of a systematic and coordinated national plan; and…

The article traces the experiences of the Malaysian Association for the Blind in developing rehabilitation services for rural blind persons. It explains the rationale for a community-based approach to rehabilitation and concludes that center-based and community-based approaches to rehabilitation complement each other in bringing services to rural…

Nongovernment organizations providing services to visually handicapped persons in developing nations should direct increased efforts toward project evaluation, monitoring, documentation, and dissemination, to ensure that innovative, flexible strategies direct self-help information to the "grassroots" level in forms that are familiar,…

The paper presents a rationale for and evaluation of community-based rehabilitation (CBR). A CBR program implemented with 53 preschool disabled children in rural areas of Guyana found that the children's development improved significantly; the parents were willing to be involved; and parents' attitudes toward their children, themselves, and their…

Establishing community-based rehabilitation projects for visually impaired populations in developing countries in the South Pacific presents challenges in communication, logistics, security, and other factors. Program development must consider differences in geography, population distribution, resources, cultural and religious values, and needs.…

This report focuses on a project in Afghanistan that coordinates the efforts of several agencies to develop community-directed disability, rehabilitation, and education services. The program stresses community mobilization aided by skills transfer from expatriate specialists, and includes physical therapy, prosthetics, living skills and mobility…

Summarizes political, technical, attitudinal, and educational problems affecting delivery of special education services in the largely rural developing nation of Malaysia. Evaluates the possible use of a community-based model of rehabilitation that would rely heavily on parental involvement and volunteers and make the best use of the country's few…

This manual, developed for use in community-based rehabilitation programs in developing countries, describes how rehabilitation can be carried out at home and in the community. The manual consists of 4 guides and 30 training packages. The guide for local supervisors and the guide for the community rehabilitation committee explain how each can work…