1. Financial sustainability of CBR in Ecuador

2. Ecuador

3. Ecuador

4. Disability Year Source % 1996
Study on the Situation of Disability in Ecuador (ESADE). CONADIS
13.2
2001
VI Population Census. INEC
4.7
2005
National Survey on Disabilities, through the Integrated Household Survey System.
12.1
2010
Manuela Espejo Solidarity Mission, biopsychosocial study.
2.4
VII Population Census. INEC
5.6

5. Disability Most persons with disabilities are adults and older adults.
About 20% of children with disabilities have not been vaccinated.
70% of persons with disabilities have no knowledge of contraception.
The average schooling of persons with disabilities in Ecuador is 3.4 years, while for the entire general population is 9.6 years.
The poverty rate in Ecuador is 26%. The rate ups to 41% in the group of persons with disabilities.
The extreme poverty rate is 6%. In persons with disabilities corresponds to 12%.

6. Visibility of disability
Manuela Espejo Solidarity Mission ( )
Assistive devices
Accessible homes
Work (wage employment)
Non contributory pensions
Visibility of disability

7. Background of CBR
In Ecuador, CBR was developed by NGOs projects. While these projects had a comprehensive approach, its impact has been restricted in a specific local area and they depended on external financing.
Taking advantage of favorable political conditions in Ecuador, FACES and DISDE foundations worked with the national government to seek sustainability of CBR across the country.

8. Challanges
Rehabilitation
Inter-sectorial coordination
Inclusive education

9. Strategy
CBR awareness with midlevel personal from different government ministries, and DPO’s.
Training on practice on CBR implementation.
Advice on a participatory drafting of proposals on CBR implementation.
Inclusive Monitoring.
Consolidation of the CBR National Network established by civil society and government entities.

10. Results (1)
The Ministry of Economic and Social Inclusion (MIES in Spanish) funded a national program of CBR: ‘Attention in the Home and the Community’ with an investment of near 16‘000,000 USD per year, and a coverage of more than 30,000 persons with disabilities.
The program components are:
Rehabilitation
Self-help groups
The program is implemented by civil society organizations and Local Governments.

11. Results (2)
The Technical Secretariat for Inclusive Management of Disabilities (SETEDIS in Spanish) runs the Community Inclusive Development Program.
In 2015 this program stablished 128 CBR local network comities. The coverage is almost all the country.

12. But, it’s really what we need?
Conclusions
It is important to take advantage of a national political support to promote financial sustainability of CBR.
The support of the government agencies should include training, ongoing advice, monitoring & evaluation.
It is required to have a civil society oversight to accompany the whole process of implementation of CBR with government funding.
But, it’s really what we need?

13. Olmedo Zambrano