Mano River Programme Quality Global Rehabilitation in Developing context

1. Mano River Programme Quality Global Rehabilitationin Developing context Introduction: Rehabilitation in HI Monrovia Programme (Sierra Leone & Liberia) Description of the context of Rehabilitation in your countries: In Sierra Leone, rehabilitation services are primarily provided by 4 rehabilitation centres. 3 of these in the provinces of Bo, Kono and Western Area Rural District (the National Centre) were previously developed and managed by HI . After a 5 year handover strategy at the end of 2011 these centres became 100% owned and managed by the Ministry of Health and Sanitation. The focus of HI’s work is now on supporting the centres to complete outreach activities to reach those in the community. The 4th centre in Makeni district, is supported by another INGO and is also in the process of being integrated into the ministry. Liberia has 1 rehabilitation centre also historically 100% supported by HI. This is based in the capital Monrovia, and also been going through the process of handover to the Ministry of Health and Social Welfare. This will be completed at the end of this year. The staff of this centre and now employees of the ministry and are responsible for the management. Country map or photo or drawing (optional) Introduction What guidelines and principles do you use to manage yourrehabilitation services? What instruments, if any, support thoseprocesses? Handicap International are no longer responsible for the operational management of the centres. Over the years, when the centres where managed by HI, data collection tools, mostly related to beneficiary attendance and activity levels were used, most of which are still in existence and used today. Other management tools, such as staff attendance schedules are and those related to financial expenditure/budget management are defined by the local and national institutional bodies responsible for providing these services. Clinical record systems are in existence which are paper based and filed alphabetically Methods Beneficiaries receiving services from Bo, Kono and National Rehabilitation Centres in Sierra Leone 2011 Results & Analysis The tools currently in existence allow the collection of data on those receiving services both from the attendance at the centre and from outreach activities (example above). Data is also collected on: demographics, type of impairments, services provided (P&O/physical therapy or wheelchair) and number of sessions attended by each service user. This allows comparison over time as a way of measuring the level of output and can also be used to monitor the proportion or disproportion of certain groups receiving services which can potentially be used to inform future planning. Conclusion There are a limited number of robust management tools in use at the centres at this time, however those that are used collect some rich data on the outputs of the services. There are little or none that measure clinical effectiveness, service user satisfaction or staff satisfaction and others, such as financial reporting are part of the institutions larger accounting systems. There is a strong will amongst the current managers to develop competences in this area to help improve services provision Photo or drawing (optional) Conclusion Authors : Joanne Lee… Handicap International Photo credits : Handicap International PRH project team 2011 Sierra Leone…