FOCUS ON – Rehabilitation & inclusive development: case studies on SDG10

Posted by: on Jul 5, 2019 | No Comments

In July 2019, HI & the Global Rehabilitation Alliance (GRA) launched the report “Rehabilitation for the realisation of human rights and inclusive development”. In this article, you will find the testimonies and case studies collected on the Sustainable Development Goal (SDG) 10 on Reduced Inequalities.

Download the report “Rehabilitation for the realisation of human rights and inclusive development” here

The report situates disability and rehabilitation within global discourse and policy. Building on data, case-studies and testimonies, the report provides recommendations on the implementation of effective rehabilitation-focused policies and practices, contributing to progress towards SDGs and the realisation of human rights.

Download the full collection of case studies and testimonies here

 

 Case study – HI Nepal

Since 2015, HI has been supporting the Nepal Ministry of Health to expand the coverage of rehabilitation services in five remote districts (Rasuwa, Nuwakot, Dhading, Sindupalchok, Dolakha) as part of the response to the long-term needs of people injured following the deadly earthquake that hit Nepal in April 2015. Basic physiotherapy units were integrated in districts hospitals. Physiotherapists and social workers ensured needs identification, management of impairments, delivery of assistive devices, counselling and referrals to other services, either in the rehabilitation units or during outreach.

As a result of the strengthened local health system, all communities in the five districts have benefitted from the new services, including older people, people with chronic diseases and persons with disabilities. From August 2015 to December 2017, a total of 9,725 people received rehabilitation services. Of these, 54% were women and girls and around 17% were earthquake survivors.

A pilot intervention was also implemented in Nuwakot district, which aimed to strengthen the local health sector emergency preparedness by supporting the District Hospital and three Primary Health Care centres to develop mass casualty management plans. Inclusiveness of local preparedness plans was improved through the establishment of a Vulnerability Focal Point to facilitate the identification of vulnerable individuals, ensure effectiveness of first response, and allow rehabilitation follow-up.

 

Case Study – MoveAbility South Africa

©MovAbility

©MovAbility

Abdul Hamad Kipango, 11 years old, and Musa Hussein Msfari, 9 years old, two boys from Dar Es Salaam, Tanzania, both underwent a lower limb amputation after a road accident. They recently took part in ‘Jumping Kids’, a pilot prosthetic training programme in South Africa. The programme aims increase the support available to children living with lower limb amputations without access to adequate prosthetics.

Rehabilitation professionals attended a workshop where they received training on the latest prosthetics technology, methods and rehabilitation techniques. The workshop was followed by manufacturing and fitting of sports prosthetic devices. Among the participants in the programme were two ortho-prosthetists from Tanzania, where there is a substantial unmet need for access to assistive technology.

The training was supported by MoveAbility, and hosted by Ottobock South Africa, Icexpress Prosthetics and Jumping Kids. In partnership with the Tanzania Paralympic Committee, a sports training programme is also being developed with the JMK Youth Park in Dar Es Salaam. This programme will reduce inequalities in access to sport and allow the two boys and other children with disabilities, to play sports in and out of school with classmates and friends without disabilities. Musa hopes that it will also help him to achieve his dream of becoming one of the next Tanzanian Paralympic athletes!

 

Case Study – HI Palestine

HI developed a project in the Rafah Governorate in the Gaza Strip (occupied Palestinian territories) to address urgent injury care and rehabilitation needs of the casualties of border clashes (“March of Return”) in the Gaza strip. The emergency rehabilitation and psychological intervention was crucial and needed to adequately respond to the vital post-operative needs of persons with injuries. Indeed, the Great March of Return (GMR) crisis considerably affected service provision in Gaza.

This project supports the recovery of persons with injuries. The first level is under the responsibility of medical organizations and the Palestinian Ministry of Health (MoH) and the project ultimately intervenes at the prevention level in order to minimize and decrease as much as possible the likelihood of disabilities and amputations due to the GRM crisis. It provides timely and quality multidisciplinary rehabilitative services. Psychosocial Support Services (PSS) is similarly provided and addresses trauma symptoms and aims at enhancing the wellbeing and resilience of injured persons so that they may develop coping mechanisms and psychologically recover.

Through the project, 40 professionals perform rehabilitation, post-operative and psychological care to persons with injuries due to the GMR crisis. Besides, HI provides assistive devices as per the prescribed needs, and technical support to partners. HI works to enhance referral mechanisms and support trauma pathways. From May 2018 and up to March 2019, HI has assessed 2,278 persons with injuries out of whom 2,225 have received multidisciplinary rehabilitative services. Those injured benefitted from 40,000 multidisciplinary sessions. HI has also distributed 725 assistive devices including wheelchairs, elbow and axillary crutches, and anti-bed sore mattresses. Recently, HI procured 1,000 assistive devices to be at partners’ disposals in order to respond to persons with injuries’ needs.