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UPDATED: September-5-2008  
Community Convalescence: New Way to Recovery for Disabled Children
By GAO YUNYAN

Traveling by train from Beijing, one can reach Tengzhou City, Shandong Province in a night's journey. Tengzhou, which started recuperation of the disabled early with considerable success, is one of the three experimental zones designated by the China Disabled Persons' Federation (CDPF) and the UN Children's Fund for launching the community convalescence project for disabled children.

Community convalescence is a new form of rehabilitation for the handicapped. In the past, the disabled were sent to convalescence centers or recuperation hospitals for treatment. This type of convalescence, however, is handled by organizations that can only serve a small number of people. As China presently has 60 million disabled, its limited national strength makes it very difficult to send such huge numbers to the designated organizations for recuperation. With the new form of community convalescence, there is no need for the disabled to regularly go to special rehabilitation establishments or hospitals. Instead, they can receive the same treatment in the community or at home.

Seven-year-old Li Ang, a girl in Tengzhou, is a beneficiary of this new system.

Li was lively and healthy after birth, but, at the age of one, became deaf due to drug poisoning. As a result, she couldn't call her father and mother even at the age of two and a half. This originally happy and harmonious family was suddenly thrown into despair. But then came a ray of hope, as Li's parents learned that timely treatment might restore their daughter's ability to speak. The couple attended the training classes offered by the Tengzhou Disabled Persons' Federation, where they grasped the basic methods for training deaf children. This filled them with firm determination to help their lovely daughter overcome her problem.

The language-training work is dull and dry. Mastery of one word often requires several hundred rounds of teaching. After nearly 100 days of hard training and practice, Li was eventually able to call her parents. Now, she is able to play the electronic organ and recite several dozen nursery rhymes. If there were not an audiophone hanging from her ear, nobody would believe she is hearing impaired. She not only has comprehensively grasped the contents of the language teaching material for the deaf, and the cultural knowledge for grade-one primary school pupils, but also has been able to skillfully communicate with others. She has been studying at a regular primary school since last fall.

Good Tidings for Handicapped Children

According to Lu Manhua, an official with the CDPF's Convalescence Department, China has 9 million handicapped children, mostly living in the countryside and having difficulties in their daily lives. If the traditional method of recovery is adopted, there will be little chance for them to regain their health.

Take the hearing impaired, for example. There are presently 740,000 deaf children under the age of 14 in China, and the number is still increasing at an annual rate of .20,000. If they can be given community convalescence help and early language training, just like Li Ang, then, the overwhelming majority will eventually find their voice. But starting early is crucial, because their vocal cords and receptive capabilities will degenerate after the age of seven, and so it will be too late for them to receive language training.

Lu said that existing Chinese institutions can only give language training to 30,000 children annually. In order to avoid the possibility of other children having to live forever in a soundless world, due to missing the excellent opportunity to receive language training, community convalescence provides the best method for achieving this goal.

In Tengzhou, systematic community convalescence networks established jointly by the UN Children's Fund, the CDPF and the Ministry of Civil Affairs can be found. Community convalescence leadership, technical guidance and service networks have been established at city, township and village levels. The technical guidance network includes city-level convalescence centers for the disabled, and township and village convalescence guidance stations.

Corresponding federations and work coordinating committees for the disabled have been set up at various levels, in addition to the handicapped files management networks. Four to six training classes are held annually by schools sponsored by the Tengzhou Disabled Persons' Federation to train parents of hearing and eye-sight impaired children and other physically and mentally handicapped kids. Parents are taught to conduct convalescence training for their own children, so that the recovery work really covers everyone.

According to an official from the UN Children's Fund, an annual expenditure of US$600 normally is needed for each person under traditional convalescence, but the community convalescence adopted by Tengzhou can cut this to only US$7-US$10 per person. This is good news, as most families of disabled children are none too rich.

Language Training School

Sun Benluan, a teacher with the Zhangwang Town Deaf Children Language-Training School in Tengzhou City, has three students.The oldest, Zhang Xiaofei, 10,began receiving training at the age of six. Now a third-year pupil at a regular primary school, she has so far kept her good marks among the top six students in the class. Another two hearing impaired pupils, Sun Qian, four, and Wang Xin, six, can now communicate with others.

Wang Xin's parents at first did not believe the community language training school could help their daughter out of the soundless world. They traveled north and south of the Yangtze River, and had their daughter try all sorts of medicine and acupuncture treatment, which cost them a total of over 20,000 yuan, all of it ending in disappointment. But, after they sent their daughter to the training school, Wang Xin quickly improved. According to Sun, in fact, China has gained considerable success in training children with remnants of hearing to speak.

Zhangwang Town has a total of 16 deaf children scattered in 11 villages. Most of their parents are farmers. Training parents is an important part of Sun's work.

Sun said she went to the language training school in the morning, and then visited deaf children's homes in the afternoon to teach their parents the basic training knowledge. At present, 11 family language training centers have been set up. "We first help parents understand recovery is the only way out for deaf children. Then we teach them how to help their children in training at home, which is much more important than learning at school," she explained.

Benefiting More Handicapped Children

Reports say the related Chinese departments have designated community, convalescence as the focus of the recovery work for the disabled in the next few years. The UN Children's Fund official Wang Darning said Tengzhou, as a moderately developed city, is a successful example of community convalescence. By the end of this century, there will be 49 counties experimenting with this project.

Lu Manhua of the CDPF's Convalescence Department said the community convalescence project is designed to let the disabled identify themselves with the society to help them regain their health in the community and their families, rather than treat them as a special group of people as is traditional. Application of this new method requires concerted efforts of the whole society, various departments, particularly public health, education and social welfare departments, as well as the participation of the handicapped and their families.

She disclosed that, by the end of this century, China plans to further improve the community convalescence networks by completing language training for 60,000 deaf children, convalescence training for 100,000 people with faulty limbs and 60,000 mentally handicapped children, as well as recovery services for 1.2 million psychotics. The government will also provide 2.4 million items of special articles and equipment for this purpose.

(Beijing Review p.16 No.13, 1998)


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