Overview related to orthopaedic devices and functional rehabilitation - FATO background in Africa – Challenges of the Sustainability of Physical rehabilitation sector Nepal – January 2013 (internal) Masse Niang (FATO President) Isabelle Urseau (HI Scientific support) 1/26

Summary Context Context Methodology Methodology The surveyThe survey Data collectionData collection Analysis of the surveysAnalysis of the surveys Population and first results ( ) Population and first results ( ) Descriptive of the target population and countries that answered the surveyDescriptive of the target population and countries that answered the survey Production of graphsProduction of graphs Data analysisData analysis Limits and current issues Limits and current issues Ongoing activitiesOngoing 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 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 To coordinate the change into a national/action plan for the medium and long term FATO, WHO, ICRC/SFD collaboration – few background FATO, WHO, ICRC/SFD collaboration – few background Objective > descriptive data Objective > descriptive data Tool > survey Tool > survey Conduction of a testConduction of a test Context 3/26

Methodology The survey 4/26

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

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

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

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

Population and first results Descriptive 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 10/26

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

194 graphs 12/261

Data analysis – Examples, East African countries 13/26

Example, East African countries 14/26

15/26

Limits and current issues Quality of data base Quality of data base Missing data Missing data Internships Internships Follow up of countries between congresses Follow up of countries between congresses To shift from the data collection to the revision or development of national plans, and monitoring To shift from the data collection to the revision or development of national plans, and monitoring Tchad exampleTchad 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 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 recommendationsTo link with the WHO World Report on Disability recommendations Re mobilize participating countries and new ones to use the revised data base tools 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 policies Social and Disability/Rehabilitation 20/26

Ongoing activities Identification 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; Reforming policies, laws, and delivery systems; Developing funding mechanisms; Developing funding mechanisms; Increasing human resources for rehabilitation; Increasing human resources for rehabilitation; Expanding and decentralizing service delivery; Expanding and decentralizing service delivery; Increasing the use and affordability of technology and assistive devices; Increasing the use and affordability of technology and assistive devices; Expanding research programmes. 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 Criteria of analysis already existing in the survey Strategic planStrategic plan Available health resources and infrastructuresAvailable health resources and infrastructures Administration, coordination and services controlAdministration, coordination and services control Participation of PwDParticipation of PwD Criteria of analysis missing 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 Addressing barriers to development of rehabilitation: Good practices for the national plans