Process

• Identification of children requiring HBR
• Assessment of all the children
• Preparation of Physiotherapy plan for each child 
• Demonstration of all exercises to parents under HBR
• Follow up visits on monthly basis to child's residence to note down the improvements and plan future programme
• Regular counseling to parents regarding the importance of HBR programme, proper nutrition and maintenance of good health and hygiene

Achievements

• The HBR has helped to limit the further progression of disability/impairment in all the children covered under HBR
• Since our intervention (through HBR) there is no such child among the 16 children whose condition has deteriorated
• Few children have significant improvement

Challenges

• The parents do not follow the HBR programme which affects the improvement of the child
• Visiting once in a month for follow up
• Few children require some aids and appliances which the parents are unable to provide them either due to their poorness or due to lack of interest
• Few children have progressive genetic disorders