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

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

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

Context

3/26

MethodologyThe survey

4/26

Adobe Acrobat Document

Data collection

Dissemination of the survey > Word file Forming National committees

Return rate> 73%

5/26

Preparation of surveys to treatment > file rate of 53,3%

A first result before analysis > awareness

6/26

Analysis of the surveys

Processing of data collected• With the Sphinx Plus2 Software >

converting the format of the survey

7/26

Adobe Acrobat Document

Interviewers, Kenya team

8/26THANKS TO ALL PARTICIPANTS!

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

Countries categorized through HDI

14%3

11%

2385%

high HDImedium HDIlow HDI

10/26

Countries categorized through distribution of population

(density and rural conditions of life)

519%

622% 12

44%

415%

low rural population/high densitylow rural population/low densityhigh rural population/low densityhigh rural population/high density

11/26

194 graphs

12/261

Data analysis – Examples, East African countries

13/26

Number of countries with strategies, person in charge and budgets in Poverty, Disability, Rehabilitation and

Social field

0

1

2

3

4Poverty reduction

Disability

Funcional rehabilitation

Social services

Strategy / Nationalplan

Person in charge of

Budget

Example, East African countries

14/26

Professional development & Recognition - Physio & P&O -

2 4

3

2

1

31

3

3

01

2

Professionals'organisations

Professional standards

Initial training

Continuing education

Evaluation ofprofessionals

Legal documents ofregulation

Physiotherapists

Prosthetists/Orthotists

15/26

Limits and current issues 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

16/26

File rate(revision > 45%)

17/26

Limits and current issues 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

18/26

National commitment in social protection and rehabilitation

sectors - 2 new indicators -

19/26

National policiesSocial and Disability/Rehabilitation

Madagascar

Chad

Togo

Guinea Bissau

Cote D'Ivoire

Congo (Brazzaville)

Liberia

Burundi

Niger

Cape Verde

Congo (Kinshasa)

Sierra Leone

Rwanda

Cameroon

Benin

Guinea

Burkina Faso

Zambia

Senegal

Namibia

Mauritania

Gabon

Zimbabwe

Uganda

Mali

Kenya Tanzania

Sudan

Algeria

Politiques nationalesEn matière de social et de handicap / réadaptation

Social

Handicap/réadaptation

20/26

Ongoing activitiesIdentification of criteria for analysis in

regards to barriers to rehabilitation service provision that can be overcome through a

series of actions:

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.

21/26

■ 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

Elaboration of Countries, HR, Mapping of services cards

23/26

24/26

New synthesis

Personnel in link with rehabilitation (“indice pondered in base 100”)

- MD + specialized HR + benchworkers -

25/26

VI FATO International congress

Next congress in Ivory Coast in September 2013. Addressing barriers to development of rehabilitation:

Good practices for the national plans