IBAN: IT36M0708677020000000008016 - BIC/SWIFT:
ICRAITRRU60 - VALERIO DI STEFANO or
Organization, Management,
and Financing of a Village
Rehabilitation Program
50CHAPTER
477
ORGANIZATION AND MANAGEMENT—
A ‘PEOPLE-CENTERED’ APPROACH
In Chapter 45 we spoke of top-down and bottom-up approaches to a community
program. Programs that are ‘bottom-up’, or begun by disabled persons, family
members, and concerned members of the community, tend to be organized and
managed very differently than top-down programs.
A sense of equality among all persons taking part in or benefiting from the
program is basic to the organization of bottom-up or ‘people-centered’ programs:
• Everyone is considered equal.
• Leaders are coordinators, not bosses.
• Decisions are either made by the group or
can be openly challenged by the group or by
any of its members.
• Everyone has the same rights and
deserves the same respect. The ideas
and opinions of a disabled child or her
parents are just as important as those of
the village rehabilitation worker or visiting
professional. All are equal and valuable
members of the rehabilitation team.
In a people-centered program, goodwill,
friendliness, and a feeling of shared pleasure
in meeting each other’s needs are often given
more importance than polished floors, arriving
on time, exact records, number of hours
worked, or how many wheelchairs are produced
by each worker each month. Success of the
program is measured not so much by formal
evaluation as by the ‘smile factor’: how good
everyone— workers, parents, and children—
feels about what they have put into and
received from the interaction.
THE SMILE FACTOR-perhaps the best
measurement of a program’s success.
(Photo: UNICEF/T.S. Satyan)
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