Hesperian Health Guides

Learning Skills for an Active Role in the Community

In this chapter:

Children using hands and feet to do things.
In Melkote, India, the Janapada Seva Trust teaches village children with disabilities many productive skills. Here, a boy without hands uses his foot to draw greeting cards, which are later sold.

Development of the mind

Learning skills that require more mental than physical activity can help children with physical disabilities to gain a place in the community.

For development of skills such as reading, writing, and arithmetic, when possible, it is usually best that children with disabilities go to school. Ideas for helping a child get to school and be accepted there are discussed in Chapters 47 and 53. If a child cannot go to school, figure out ways for her to be taught at homeā€”perhaps by schoolchildren.

Girl in wheelchair gives a book to man, speaking with him.
In a village, a young person who learns to read and write can become a ā€˜librarianā€™ and sharer of information.
You keep bees—right, Tonio? I have a booklet that shows how you can re-use the combs and produce more honey.
But I can't read!
That's all right. I'll read it to you.

As soon as the child learns to read and write, try to buy or borrow simple, interesting, and educational books. With these the child can develop her mind further.

Starting a village library is often an excellent idea. In fact, a young person with disabilities may be able to become the village librarianā€”and a non-formal educator.

To open up other possibilities, help your village recognize both the needs and value of people with disabilities and other disadvantaged persons (such as single mothers). When deciding who to choose for public service jobs and community responsibilities, try to make it a village policy to consider choosing persons who have disabilities.

Although they may be unable to do hard physical farm work, people with disabilities can often make outstanding health workers, cooperative administrators, shop keepers, librarians, ā€œcultural promoters,ā€ or child care center coordinatorsā€”if they are given the chance.

Adaptations for farm work and gardening

Persons with weakness in their lower bodies and who have strong arms and hands can learn a wide variety of work skills where they can sit and use their hands. (See list of skills.) However, for many villagers, the growing of food is central to their lives.

If certain adaptations are made, villagers with disabilities can often help with farming and gardening. Here are a few suggestions.

Aids for Crawling

Elevated Gardens

Boy using knee and hand support, uses free hand to work with plant.
knee padsā€”from pieces of old rubber tire padded inside
hand walker
Woman in wheelchair works on elevated garden.
family garden elevated for work from wheelchair (Notice the elevated garden outside the the ā€œmodel homeā€ in the photo on "Adapting the Home and Community".)


Hand support attached to gardening tool.
hand walker attached to garden trowel

OFF-ROAD TRANSPORT

Getting to distant fields over rough trails may be difficult for the young person who cannot walk. A simple carrying frame can be used to carry the child and also the tools and grain.
Two people carry girl who holds agricultural tools.

GUIDELINES OR RAILS

For the child with vision loss, or who has difficulty with balance, hand rails may make it easier to get from the house to the garden, the latrine, and the well or water hole.

Woman uses wooden banister around field to help her walk.

Alternatives to farm work

Many villagers with disabilities will need to learn skills other than farm work. If unemployment is high it may not be wise to train people with disabilities for jobs where there is a lot of competition. In fact, any sort of paid job may be hard to get. Therefore, it often makes more sense to teach young people with disabilities skills so that they can become self-employed. Or perhaps several people with and without disabilities can become partners in a small home industry.

A village-based rehabilitation center with a shop can teach young people with disabilities different manual skills such as leatherwork, clothes making, woodworking or welding. While they are with the program, they can use these skills to make a wide range of rehabilitation and orthopedic equipment. They can also make toys, chairs, leather goods, clothes, and other objects for sale. The income from the sale of these things can help cover some of the costs of the rehabilitation program and training. When the learners have gained enough skills, perhaps the community program can help them set up their own small shop in their home, village, or neighborhood.

In several countries, organizations that serve people with disabilities have started revolving loan plans that provide a craftsperson with the basic equipment to start their own small business. The loans are paid back little by little over a reasonable time, so that the same money can be used to help another person with disabilities get started.

Boy in wheelchair picks up discarded paper.
Trash collectionā€”a job nobody likes but everyone must help do. (PROJIMO)

In the West Indies, the Caribbean Council for the Blind provides a guarantee to local banks which give start-up loans to people with disabilities. So far, 97 percent of the people with disabilities who have received loans have met their payments on time. This is the bankā€™s best repayment rate! It helps convince bankers not only that people with disabilities can run their own small businesses responsibly, but that they are a good investment. By involving local banks in the loan program, the public is being educated toward a new respect and appreciation for people with disabilities.

Villagers with disabilities can become skilled in a wide variety of manual skills. Here we list some skills that are taught in different rehabilitation programs, training programs, and workshops.


The above list includes only a few of the activities that people with disabilities have learned in order to run their own small business or set up shop in their home. As much as is possible, let a person with disabilities decide what skill or skills she wants to learn. Choices that are possible will depend on the personā€™s combination of abilities, and interest as well as on the local situation, resources, market, training opportunities, and other local factors.

Making craft goods out of old junkā€”an experiment in Pakistan

Leaders in the Community Rehabilitation Development Project in Peshawar, Pakistan realize that in their country it is very difficult for people with disabilities to earn a living. Most either live by begging, are cared for by their families, or die of neglect. Since chances of employment are so limited, it is more realistic to help people with disabilities learn simple craft skills for self-employment at home (if they have a home) or in the marketplace. They can make small things at low cost and sell them in the marketplace. If their small business helps the family a little or covers part of their daily expenses, something has been gained.

In the marketplace of Peshawar there is a variety of clever, simply made cages, tools, utensils, toys and other objects, mostly made out of very low-cost or waste materials. The Project has hired a self-taught craftsperson to collect, study, and make design plans for some of these marketplace things, so that people with disabilities can learn to make and sell them. To follow are a few examples. For more complete instructions, write to Mental Health Centre, Mission Hospital, Peshawar, N.W.F.P., Pakistan.

Marketplace crafts for self-employed production by people with disabilities

These examples and the examples on the next page are from FAMN/UNICEF Community Rehabilitation Development Project, Peshawar, Pakistan.

WIRE BIRD OR SMALL ANIMAL CAGE



Materials to make a small, round cage, crossed metal strips, wire forming a cone, round wire base, two bars connected with perpendicular shorter bars and two round containers attached by a bar.
thin metal strips (from old tins)
nail
metal strips
thick wire
thin wire (from a broken motor or whatever)
bottom
food and water containers from old jar caps
door




TIN SPOONS



Spoon and spoons drawn on sheet.
Draw spoons on tin sheet.
spoon
Cut out the spoons with strong scissors, and hammer them to shape over a piece of iron with a hole in it.

COCONUT SHELL SERVING SPOON


Serving spoon with holes.
stick tacked and glued to shell
piece of coconut shell with small holes drilled to drain water
Cup that says BEER XXX.
used beer or soda tin
Rectangle formed into cup handle.
piece of beer or coke tin
Solder handle to tin.


BROOM

Hay formed into a broom.
broom straw or raffia from palm leaves
pole
wire

PAPER BAGS


Rectangle of paper, glue, paper bag.
paper (old newsprint or whatever you have)
Bend it down and stick it to the lower flap.
GUM

CANDLES


Rectangle, can, cylinder with line in the middle and small bar on top, cylinder shaped candle.
BLOCK
OF WAX
finished candle
HOT WAX
cardboard
tube
round piece of cardboard pasted to tube
piece of paper inside to prevent leaking
string or thick, strong thread

FLY SWATTER


Twisted wire and rectangle with holes, twisted wire and folded rectangle put together to make a fly swatter.
wire
piece of flexible plastic
rivets


This page was updated:04 Apr 2024