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Challenges of the Sustainability of Physical rehabilitation sector

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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Challenges of the Sustainability of Physical rehabilitation sector

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  1. 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

  2. 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 2/26

  3. Context • 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 3/26

  4. MethodologyThe survey 4/26

  5. Data collection • Dissemination of the survey > Word file • Forming National committees • Return rate > 73% 5/26

  6. Preparation of surveys to treatment > file rate of 53,3% • A first result before analysis > awareness 6/26

  7. Processing of data collected With the Sphinx Plus2 Software > converting the format of the survey Analysis of the surveys 7/26

  8. Interviewers, Kenya team THANKS TO ALL PARTICIPANTS! 8/26

  9. 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 survey 9/26

  10. Countries categorized through HDI 10/26

  11. Countries categorized through distribution of population (density and rural conditions of life) 11/26

  12. 194 graphs 12/261

  13. Data analysis – Examples, East African countries 13/26

  14. Example, East African countries 14/26

  15. 15/26

  16. Limits and current issues 16/26 • 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

  17. File rate(revision > 45%) 17/26

  18. Limits and current issues 18/26 • 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

  19. National commitment in social protection and rehabilitation sectors - 2 new indicators - 19/26

  20. National policiesSocial and Disability/Rehabilitation 20/26

  21. Ongoing activitiesIdentification of criteria for analysis in regards to barriers to rehabilitation service provision that can be overcome through a series of actions: 21/26 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.

  22. ■ 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) 22/26

  23. Elaboration of Countries, HR, Mapping of services cards 23/26

  24. New synthesis 24/26

  25. Personnel in link with rehabilitation (“indice pondered in base 100”)- MD + specialized HR + benchworkers - 25/26

  26. VI FATO International congress Next congress in Ivory Coast in September 2013. Addressing barriers to development of rehabilitation: Good practices for the national plans

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