Development of an international 18 month Orthopaedic ShoeTechnology Programme for

Southeast Asia

Nguyen Hai Thanh, VietcotRianne van Pijkeren, Lepra FondsAlphons Dehing, FontysFred Holtkamp, Fontys

January 22th 2016

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1. Introduction2. Inducement3. Course design - requirements4. Course in headlines5. The development process

- results: December 2015

Content

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• Request:– from Leprosy Relief and Liliane Foundation

• Fontys:– continues development OST profession– bridging the gap Vocational and Bachelor*

2. Inducement I

*: Dutch situation - scaffolding of profession:Vocational : shoe technicianVocational plus : shoe technologist / pedorthistBachelor : shoe engineer / pedorthist

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• Result: – project: These Shoes are Made for Walking

• focus at Cat II level (EQF-level: 4-5)

- Partners: Dutch Leprosy Relief and Liliane FoundationVietcot (training partner), Fontys.(development partner)

- Funding by: Dutch Postcode Lottery

2. Inducement II

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• Aim: – Educating orthopeadic shoe technologisits for East Asian countries

• function,• clients,• local needs.

• Students• from: region South East Asia: Cambodia, Indonesia, India Myanmar,

Philippines and Vietnam, etc.• level: secondary+ education.

(command of English language TOEFL* 450)

• Challenge: design of a comprehensive curriculum

*Test Of English as a Foreign Language

Project: These Shoes are made forWalking

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Fontys in the Netherlands

Fontys (Eindhoven, Netherlands)

Fontys Eindhoven

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• Eindhoven

Fontys (Eindhoven, Netherlands)

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Vietcot (Hanoi, Vietnam)

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3. Course design requirementsseen from the profession

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Profession: orthopeadic shoe makerProduct = bespoke mobility solutions

Craft: shoe makerProduct = shoes

Starting points: 1) development in the Netherlands2) needs in Vietnam

Function design - central starting pointImplementation - patient focused

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AFootprint

Complex problems

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Complex bespoke manufacturing

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Complex environment

PatientCare

TechnologicalKnowledge

MedicalScience

OrthopaedicShoe

Maker

NB: Entrepreneurialskills required!!

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Resulting in OST design andmanufacturing process

Function andfunctionality

AnatomyBiomechanicsPathology

Setting up requirements

Design

Function andfunctionality

Manufacturing craftmanship

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• The curriculum to equip the students with knowledge and skills, (Miller – reflective practitioner)

• Students will become OST professional in consecutive steps: – semester 1: Artisinal shoe maker – semester 2: Orthopaedic shoe maker (incl. podiatry knowledge)– semester 3: Entrepreneurial orthopaedic shoe technologist plus

specialisation

• Therefore Comprehensive 18 month curriculum for:50% theory (theory modules)50% practice (practical learning)

Educational Design requirements

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4. Course structure

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• Course concept ready• First group graduated

– 2015 December 7th

Vice Minister of Labor, Invalids and Social Affairs of Vietnam, Dr. Doan Mau Diep, and representatives of:IVO (International Body of Orthopedic Shoe Technologists),ISPO (International Society of Prosthetics and Orthotics), ICRC (International Committee Red Cross), Fontys University and various other international organizations.

NOW these shoes are made for walking. Results December 2015

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•Students evaluation / satisfaction: ok•Cohort II started in June 2015•Cohort III will start in June 2016•Partnership Fontys Vietcot is developing

>> Discussion: accreditation process IVO…

To date…

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What is the need for?;

• Foot care– Chiropodist– Podiatry

• Shoe making – Orthopaedic shoemakers / pedorthists

Is there a need for?

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Foot problems in ZO-Azie

Country Human Development Population % population with People withIndex rank disabilities (national foot problems(out of 187) definitions)

Vietnam 128 (medium) 91,519,289 6.4% 457,596

Indonesia 124 (medium) 248,216,193 1.4% 1,241,081

Myanmar 149 (low) 54,584,650 2.8% 272,923

Laos 138 (medium) 6,586,266 8.0% 32,931

Cambodia 139 (medium) 14,952,665 4.5% 74,763

Totals 409,272,797 2,079,295

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• 230,000 people born with cerebral palsy end up in a wheelchair if there are no special shoes.

• 400,000 people born with club feet can be treated with an operation or the so-called Ponseti method, both needing permanent special shoes.

• Roughly 75,000 people still suffer the consequences of polio. Theyneed splints with special shoes.

• About 10,000 people have permanent foot deformities because of leprosy. If they are not using special shoes, oft en this will lead to amputations.

• An estimated 1.7 million people have severe foot problems due to diabetes, which without special shoes may lead to 80,000 amputations.

Over 2 million people will benefit from special shoes in the five target countries:

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• Graduate students starts their own department / business.

• Help by: founding / sponsoring: – Dutch Postcode lottery, Stichting Beter ter Been e.a.

• Creating their own network• Emerging area: more people in need for foot aid

(podiatry, shoes, OT shoes etc)• Middle class is growing in S.O. Azia.

And now after graduation...

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An impression

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