Hesperian Health Guides
Putting Our New Understanding Into Practice
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Once the children have developed a greater awareness of the needs and possibilities of disabled children through discussion, games, role plays, and stories, they can begin to put their new understanding into practice.
Ask the children if they know any child in the village (or in a neighboring village) who is disabled or has special difficulties in any way.
Then discuss ways that the children might be able to help each disabled child become as happy, capable, and self-reliant as possible. The children can list their suggestions for each child. Later, after getting to know the child and her family better, they can change and add to their ideas.
If the disabled child is a brother or sister of one of the children in the learning group, starting to do things with the child and the family may be fairly easy. But if none of the children is related to the disabled child, they must be careful in the way they offer their help. Probably only two or three children should make the first visit, perhaps with the help of a teacher, health worker, or rehabilitation worker.
The children, with suggestions from the disabled child and her family, will need to figure out ways that they can help most. However, the following list of possibilities may give you some ideas:
- Become friends—one or more children can become close companions,
playmates, and friends of the disabled child.
- Visit the child at home—regularly!
- Help the family by doing errands, ‘babysitting’ or taking the child on outings.
- Figure out a way to help the child get to and from school.
- At school, one or more children can become the ‘buddies’ or helpers of the disabled child, making sure her special needs are met.
- If it is impossible for the disabled child to go to school, children may be able to organize an after-school teaching program at the child’s home. Ask the teacher to help plan this.
- Figure out ways to include the child in games.
- Make helpful toys for the child and play together with her.
- Make a ‘rehabilitation playground’ or ‘playground for all children’. Take disabled children regularly to the playground and play together with them there.
- Build simple playground equipment, adapted for the particular child, at her home.
- With advice from a rehabilitation worker or the child’s parents, learn to help with the exercises or care that the child needs.
- You may be able to help build special aids for the children, such as crutches, sandbags, braces, or even a simple wheelchair. Try to get advice from a rehabilitation worker. If what you need to make is too difficult, perhaps the children can ask parents who are craftspersons to help. Visit them as a committee.
- Become ‘prevention scouts’ by following these suggestions, or by taking other actions to prevent disability in your village.
- If there is a village rehabilitation center in your village, perhaps a group of children can take turns there as volunteers after school. There are many ways you can help and much you can learn. Those who show most interest can become junior rehabilitation workers’.
Children with severe disabilities
Some children are very disabled. They cannot walk or swim or play many games. But sometimes these children can learn to play marbles, cards, or guessing games.
Learning is especially difficult for a child who cannot speak or think as easily as other children. This child may be very lonely. Sometimes a child who cannot speak, understands a lot more than people think he does. If there is such a child in your neighborhood, perhaps children could take turns visiting him, to talk or play with him. Let him know you care.
Babies with problems
Sometimes a baby is slower than most to develop. Either her mind may be slow to develop, or her body, or sometimes both. The child will be later than other babies in the village to begin to sit, use her hands, crawl, walk or talk.
Babies who are slow to develop need special care. It possible, their parents should get advice from a rehabilitation worker or physiotherapist. However, there is a lot that brothers and sisters and other children can do.
More than almost anything else, these babies need lots of attention. They need to be played with and helped or encouraged to play. They need simple toys and colorful or noisy things to attract their attention. They need to be talked to and sung to a lot. These things will help the baby develop faster. And these are all things other children can do.
In the next activity sheet we will talk more about helping a child whose mind develops slowly or who has difficulty understanding.
Helping a disabled child learn to do new things
|A simple bar held by forked slicks can increase the self reliance of a child who has difficulty squatting to shit.|
There are many ways that children can help a baby or young child with a special problem to learn to do new things. Here are some ideas:
- Make it fun! If exercises can be turned into games, the child will learn faster and everyone will enjoy it more.
- Self-help. Help the disabled child only as much as he needs. Encourage him to do as much as he can for himself and by himself.
- Little by little. Remember, some things are especially difficult for the disabled child. Encourage her to do a little more than she already does—and then a little more. If you have her try to do too much, she may get discouraged and stop trying.
- Show you care. Show the child how glad you are when he learns to do new things. Praise him when he does well—and when he tries.
- Mind and body. Play often with the child, in ways that help her develop not only her body but also her mind. Talk with her and tell her stories Become her friend.
AN EXAMPLE: Pablo is having trouble learning to crawl. Using the above suggestions, how can we help him? Perhaps his older brothers and sisters, or other children, can play ‘crawling games’ with him.
|Two children can hold up part of his weight as he tries to crawl. Another child encourages him to crawl by holding out a fruit or toy. Call him to crawl toward the fruit. Praise him when he tries.
Play the game every day. As Pablo grows stronger, less of his weight will need to be held up. In time he may be able to crawl without help.
Children in Mexico playing a ‘crawling game’.
Story telling is another good way to help young people understand the needs and possibilities of disabled children and what can be done to help. You can make up stories. Or better, you can base them on true events where a disabled child has achieved something outstanding, or where a group of children have succeeded in making an important difference in the life of a disabled child. The story that follows is an example.