1. © P. Vermeulen / Handicap International © W. Daniels pour Handicap International © B. Franck / Handicap International Project / Subject: Emergency rehabilitationAuthor: Sunil PokhrelLast updated: Diffusion:Version:Validation/status: The health-related réhabilitation response after a mega earthquake in Nepal The health-related réhabilitation response after a mega earthquake in Nepal Intervention by Handicap International Nepal

2. After math 2 Title of document http://drrportal.gov.np/ndrrip/main.html?id =0

3. Injury profile and preparedness 3 Title of document “The trauma protocols facilitated the international and national medical team to proceed for the treatment of seriously injured people “, A report on post disaster needs assessment and recovery plan, Ministry of health, Nepal.

4. HI response time line 11.56 AM, 25 th April 2015 3 PM Rapid assessment at one largest hospital(TUTH) 4 PM, Accessed assistive device stock 4 Title of document 5 PM Provision of devices at govt. hospital 9 PM Continued rehabilitation services Strategic team meeting at HI Meeting with emergency incident command at TUTH Continued and expanded response in other 3 major hospitals Participation in health cluster meeting, reporting Set up of injury rehabilitation sub cluster ( day 15) Setting up 6 PT units in 5 most affected districts, contribution in NPPAD, Outreach events through specialized rehab centers, cross referrals ( +3 months) DAY1DAY1 D A Y 2 to till date

5. 5 Title of document Rehabilitation services, pre-earthquake

6. 6 Title of document From preparedness to response

7. Rehabilitation response activities ► Physiotherapy ► Orthotics and Prosthetics ► Occupational therapy ► Client education: IEC ► Psychosocial first aid ► Referrals 7 Title of document

8. Injury rehabilitation sub-cluster ► Information exchange ► Need identification ► Promote professional associations ► Collaborations ► Support MOHP on developing rehabilitation action plan; core working groups HIUK-EMTMOHPWHO Profess ional associa tion Service provider s, Other INGOs 8 Title of document

9. Key role of professional associations ► Encouraged member professionals to contribute on the rehabilitation response ► Supported the immediate recruitment of professionals ► Advocated for the use of retention measures for the emergency rehabilitation professionals ► Quality assurance of emergency rehabilitation services ► Capacity building of national professionals in partnership with FMTs and umbrella organizations 9 Title of document

10. Reflections on the response Challenges ► Wound management ► Step down facilities ► Assistive devices training to rehabilitation professional(Emergency wheelchair)-challenge ► Disconnected care: Discharge and follow up ► Proper record keeping Lessons learned ► Mock drills should be the part of regular practice of health facilities ► Stock piling was available but it was not sufficient ► Preparedness was effective for life saving/surgery ► Early rehabilitation and follow must be included in preparedness both for physical and mental trauma ► Psychosocial first aid in hospital ► The mobilization of professional associations networks contributed to rapid deployment of staff 10

11. Recovery and transition: towards health system strengthening 11 Title of document

12. Expected results and challenges: medium to long term 12 Title of document POTENTIALS: ► Show the value and relevance of PT services in districts as well ► Ensure quality and continuum of care in the long term ► Improve early identification of impairments and early interventions ► Inform policies on health and rehabilitation Challenges: ► Funds after the transition phase ► Less exposure to government health system ► Transportation costs and time in remote areas for staff

13. 13 Title of document