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MNCH & DISBILITY SEMINAR Vientiane Mayo 2011

MNCH & DISBILITY SEMINAR Vientiane Mayo 2011. REFERRAL AND COUNTER REFERRAL INPUT. Dr. Brenda Tapia Nicaragua. MNCH & Disability Referral and counter referral. The first steps for development the refererral is to know the local situacion: Number of service for children care

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MNCH & DISBILITY SEMINAR Vientiane Mayo 2011

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  1. MNCH & DISBILITY SEMINARVientianeMayo 2011 REFERRAL AND COUNTER REFERRAL INPUT Dr. Brenda Tapia Nicaragua

  2. MNCH & Disability Referral and counter referral • The first steps for development the refererral is to know the local situacion: • Number of service for children care • Where is located the services (health ministry, social ministry, NGO, privates services) • Kind of services ( early stimulation, habilitation, CBR, other: inicial education, nutricional program, vaccination ) • Human resources (doctor, nurses, promotor, others) • introduce the refererence of developmet delay, impairment children • Rehabilitation services. Compentences for to work with children

  3. MNCH & DisbilityReferral and counter referral Project team and partnerrefflection: Howintroducingtheissue of thedisability in the MCH sistem • what do youwanttowork? • Whatdo you can towork? • Whatthesistemispreparedfortowork?

  4. MNCH and DisabilityReferral and counter referral Motivation , Motivation, and Motivation. • Sensitization of the personal involucred. • Comunicationaboutyourprojectorprogram. Isimportanttheapropiationat diferentslevels.

  5. MNCH and DisabilityReferral and counter referral • Design a refferralflowcharteasytouse and realistic. • Thebestistoincluidetheidentification and referral of child a risk and childswithimpairment in thesistem of healthcarechildhood. • Approvedbythesistem

  6. MNCH & DisbilityReferral and counter referral Nicaragua experience. Point strenghts • Goodappropriation of primarylevelhealthworker in theimportance of earlydetection of developmentdelay. • Great interestfortoworkwithchildren. • Regional and municipal health director involucred in theproject.

  7. MNCH & DisabilityReferral and counter referral Nicaragua experience. Point weak • Theflow chart wascomplex • Thecounterrefferralis a institutionalweakness . • The personal health and services of themore complexlevelneedstoreceivespecializedtraining. • Thehealthsistemisnotpreparedforgivehabilitationtoallimpairmet. Ej. hearing and vision.

  8. MNCH & DisabilityReferral and counter referral • REALISTIC • SIMPLE • COMPREHENSIVE • COMPATIBLE WITH THE HEALTH SISTEM • COORDINATE

  9. first level comunitary level

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