challenges of the sustainability of physical rehabilitation sector
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Overview related to orthopaedic devices and functional rehabilitation - FATO background in Africa –. Challenges of the Sustainability of Physical rehabilitation sector Nepal – 24-26 January 2013 (internal). Masse Niang (FATO President) Isabelle Urseau (HI Scientific support). 1/26. - PowerPoint PPT PresentationTRANSCRIPT
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Overview related to orthopaedic devices and functional rehabilitation
- FATO background in Africa –
Challenges of the Sustainability of Physical rehabilitation sector Nepal – 24-26 January 2013
(internal)Masse Niang (FATO President)
Isabelle Urseau (HI Scientific support)1/26
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Summary Context Methodology
• The survey• Data collection• Analysis of the surveys
Population and first results (2010-2011)• Descriptive of the target population and
countries that answered the survey• Production of graphs• Data analysis
Limits and current issues• Ongoing activities
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For several years: involvement of many international organizations in the offer of rehabilitation services which remain insufficient in regards to the expectations of the persons with disabilities
To coordinate the change into a national/action plan for the medium and long term
FATO, WHO, ICRC/SFD collaboration – few background
Objective > descriptive data Tool > survey
• Conduction of a test
Context
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MethodologyThe survey
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Adobe Acrobat Document
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Data collection
Dissemination of the survey > Word file Forming National committees
Return rate> 73%
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Preparation of surveys to treatment > file rate of 53,3%
A first result before analysis > awareness
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Analysis of the surveys Processing of data collected
• With the Sphinx Plus2 Software > converting the format of the survey
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Adobe Acrobat Document
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Interviewers, Kenya team
8/26THANKS TO ALL PARTICIPANTS!
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Population and first resultsDescriptive of the target population and
countries that answered the survey
Map of FATO countries members and in an
on-going registration Map of countries that answered
the survey9/26
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Countries categorized through HDI
14%3
11%
2385%
high HDImedium HDIlow HDI
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Countries categorized through distribution of population
(density and rural conditions of life)
519%
622% 12
44%
415%
low rural population/high densitylow rural population/low densityhigh rural population/low densityhigh rural population/high density
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194 graphs
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Data analysis – Examples, East African countries
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Number of countries with strategies, person in charge and budgets in Poverty, Disability, Rehabilitation and
Social field
01234
Poverty reduction
Disability
Funcional rehabilitation
Social services
Strategy / NationalplanPerson in charge of
Budget
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Example, East African countries
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Professional development & Recognition - Physio & P&O -
2 4
32
1
3 1 3
3
01
2
Professionals'organisations
Professional standards
Initial training
Continuing education
Evaluation ofprofessionals
Legal documents ofregulation
PhysiotherapistsProsthetists/Orthotists
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Limits and current issues Quality of data base Missing data Internships Follow up of countries between
congresses To shift from the data collection to
the revision or development of national plans, and monitoring• Tchad example
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File rate(revision > 45%)
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Limits and current issues To strengthen, synthesize and
organize the collected data with the survey through relevance groups and key indicators• To link with the WHO World Report on
Disability recommendations
Re mobilize participating countries and new ones to use the revised data base tools
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National commitment in social protection and rehabilitation
sectors - 2 new indicators -
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National policiesSocial and Disability/Rehabilitation
Madagascar
Chad
Togo
Guinea Bissau
Cote D'Ivoire
Congo (Brazzaville)
Liberia
Burundi
Niger
Cape VerdeCongo (Kinshasa)
Sierra Leone
Rwanda
Cameroon
Benin
Guinea
Burkina Faso
Zambia
Senegal
Namibia
Mauritania
Gabon
Zimbabwe
Uganda
Mali
Kenya Tanzania
Sudan
Algeria
Politiques nationalesEn matière de social et de handicap / réadaptation
Social
Handicap/réadaptation
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Ongoing activitiesIdentification of criteria for analysis in
regards to barriers to rehabilitation service provision that can be overcome through a
series of actions:
Reforming policies, laws, and delivery systems; Developing funding mechanisms; Increasing human resources for rehabilitation; Expanding and decentralizing service delivery; Increasing the use and affordability of technology and
assistive devices; Expanding research programmes.
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■ Reforming policies, laws, and delivery
systems, including development or revision of national rehabilitation plans;
Criteria of analysis already existing in the survey
• Strategic plan• Available health
resources and infrastructures
• Administration, coordination and services control
• Participation of PwD
Criteria of analysis missing
• System of health information and strategy in communication
• System of orientation for patients/clients
• Definition of priorities• Inter sectors
collaboration (to develop)
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Elaboration of Countries, HR, Mapping of services cards
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New synthesis
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Personnel in link with rehabilitation (“indice pondered in base 100”)
- MD + specialized HR + benchworkers -
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VI FATO International congressNext congress in Ivory Coast in September 2013.
Addressing barriers to development of rehabilitation: Good practices for the national plans