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Prosthetics & Orthotics in Haiti – Observations. Al Ingersoll, BA, CP, P&O Programs Director. Mesi, Merci, Thank you!!!. International P&O MUST be proud of response! 1,000+ Prosthesis fit in less than 6 months 100’s custom & pre-fabricated Orthotics. CHAOTIC ?. C urrent situation H iPOE
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Prosthetics & Orthotics in Haiti – Observations Al Ingersoll, BA, CP, P&O Programs Director
Mesi, Merci, Thank you!!! • International P&O MUST be proud of response! • 1,000+ Prosthesis fit in less than 6 months • 100’s custom & pre-fabricated Orthotics
CHAOTIC? • Current situation • HiPOE • Amputees • Organizations • Technology • Injured • Cost
#’s of people with amputations.Reports too high! • Pre-quake or Post? • Pre-quake capacity output very low • WHO #’s / Documentation • Media • Database effort • Outcomes
Recent earthquake amputation % • 2008 Sichuan, China • One UK study of 3324 pt. - 5.5% (183) amp. • 2005 Bam, Iran – • Iran study of 274 pt. = 2.9% amp • 2005 Pakistan – UK study • 6797 pt., 4057 admissions 150 amp (2.2%) • 2004 Indian Ocean – no studies found
1 P&O Providers as of September 2010 Pre-Quake 1 FT, 2 PT 1 10+ 1 1
HHH/HI Technology Consumer, education & funding to sort out… Dynacast ICRC OWW Otto Bock Proteor Seattle Mainly custom, little pre-fab
Challenges Apathy Corruption High costs Infrastructure absent Language Misperceptions Shipping/Customs Short term volunteer Weather
What Haiti P&O needs from International community. • Long term ISPO Cat I & II • Funding available to hire!!! • ISPO P&O Education • Low cost durable gel liner • KAFO joints • $100 MP knee – more mountains Switzerland • CUSTOM made and fit ORTHOTICS
Hispaniola P&O Education • HiPOE - Dominican Republic & Haiti • History • Rationale – No ISPO Cat. I or II in Haiti • Blended learning approach • Provider • University of Don Bosco, San Salvador, El Salvador • New reality • Haiti Ministry of Health & SEIPH approve? • Start date?
HiPOE • Univ. Degree • Partial option • Length • 1 - 5modules/6mo • Costs • $1500 each • Exam – ISPO cat II • Jobs?
Most current HHH/HI stats • 650 Persons w/Disability registered • 300 LE Pros • 300 LE Orth, 275 custom • 72 UE Pros evaluated – not started • Staff – ISPO Cat I = 3 International • Cat II = 10 - International • Cat III = 7 - Haitian
Healing Hands for Haiti • Partnered w/Handicap International for P&O • Am Red Cross / ICRC-SFD building – NEW! • Outpatient therapy clinic opening soon • Assist w/PM&R staffing, SCI, WHO Working Group meetings • 380 Motivation wheelchairs • Maintained employment of entire staff!!!