Access of persons with disabilities to relevant services to fulfill their special and general needs Ashok Bikram Jairu NASPIR December 16

th

2012

NASPIR

Coverage of Presentation

1. NASPIR Introduction 2. Objectives 3. Coverage by Physical Rehabilitation Center 4. Availability of Services in Rehabilitation Centre 5. Pathologies of Disability 6. Policies and Practices 7. Current opportunities and potentials 8. Emerging issues 9. Problems and Challenges 10. Future Direction and role of Different Stakeholders 11. Contact and Mailing Address NASPIR

NASPIR Introduction

N- National A- Association of S Service P- Provider I In R- Rehabilitation

National Association of Service Provider In Rehabilitation

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NASPIR

Objectives

•

Overall Objective

To reduce the vulnerability, isolation and exclusion of persons with physical disabilities in Nepal

•

Specific Objectives:

To ensure and optimise the accessibility and sustainability of quality physical rehabilitation services to persons with physical disabilities in different region of Nepal.

NASPIR

Access to Quality Physical Rehabilitation

•MWRH Satellite Unit, Surkhet Humla Darchula Bajhang Baitadi Bajura Mugu

HWEPC Satellite Unit DANG Dadeldhura

Doti Achham Kalikot Jumla Dolpa •NDF CENTER Kathmandu

Kanchanpur NNSWA Center,

Kailali

Kanchanpur NGMC Center Banke

Bardiya Dailekh Surkhet Banke Mustang Jajarkot Salyan Rukum

GPR Pokhara Baglung

Myagdi

Kaski

Manang

Gorkha CDPS Satellite Unit Sindhuli

Rolpa Dang Lamjung Rasuwa Pyuthan Arghakhanchi Kapilvastu Gulmi Rupandehi Parbat Sangkhuwasabha Syangja

Palpa Tanahu Nawalparasi

Chitwan Dhading

Makwanpur

Parsa Nuwakot Sindhupalchok

KTM BKT

Kavre Lalit Dolakha Solu Ramechhap Okhaldhunga Sindhuli Khotang Bhojpur Bara

Sarlahi

Taplejung Ilam Rautahat Mahottari Siraha Udaypur Saptari Sunsari Morang Jhapa Dhanusha Terhathum Panchthar

PRERANA CENTER Sarlahi HRDC-Banepa

Dhankuta

NASPIR CBRB CENTER Biratnagar

Availability of Services in PRC

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P&O Services Prostheses and Orthoses (Lower and Upper Limb Prostheses and Orthoses)

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Mobility Aids Crutches, Wheelchair, Tricycle, Waking Aid, Assistive Devices

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Physiotherapy Physio Therapy, Physical Exercise Materials

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Referral Corrective Surgery

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Hostel Facility Residential Facility, Fooding Counseling Other CBR Services NASPIR

Physical Infrastructure

• • • •

Physical Rehabilitation Centers with Appropriate and Barrier free Building Manufacturing Equipments Physiotherapy Equipments Quality and accessible Services in all 5 Regions NASPIR

Pathologies of Disability

1. Amputee 2. Stroke 3. Head Injury 4. Polio 5. Spinal Cord Injury 6. CP 7. Burn 8. CTEV 9. Other Ortho and Neuro NASPIR

Access of persons with disabilities to relevant services to fulfill their special and general needs

Current Status: Existing policies and practices and relevant data/information.

Policies and Practices: UNCRPD, WHO CBR Guideline, GoN CBR Guideline NPC:

• Three Years Planning 067/068 and 069/070 Article 7.5

•Described about Identity Card to Program for the Person With Disability

NASPIR

Current Status: Existing policies and practices and relevant data/information.

Policies and Practices: MoHP

•NHSP IP II (2010-15) •National Childhood Disability Management Strategy, 2064

(Not Practices) NASPIR

Current Status: Existing policies and practices and relevant data/information.

Policies and Practices: MoWCSW

• Nepal Interim Constitution 2063 • UNCRPD 2006 • • • • • • • • • • Rule and Regulations/Proceduers cfalws of]hgfdf ;fdflhs ;'/Iff -lqjlif{o of]hgfsf] cwf/kq, @)^&_ ckfË ;DaGwL /fli6«o gLlt tyf sfo{of]hgf, @)^# ckfËtf ePsf JolQmx?sf] kl/ro kq lat/0f lgb]{lzsf, @)^% ljz]if lzIff gLlt, @)%# zf;sLo ;'wf/ sfo{qmd sfof{Gjog ;DaGwL gLlt cf}krfl/s lzIff gLlt, @)^# /fli6«o :jf:Yo gLlt, @)$* >d tyf /f]huf/ gLlt, @)^@ aflif{s gLlt tyf sfo{qmd

NASPIR

Current Status: Existing policies and practices and relevant data/information.

Relevant Data, Information:

• Government Censuses • MoWCSW Periodic Survey (Disability and Old Aged) • Handicap International Support Rehab Center Data Base for Physical Rehabilitation Services but not Accumulated of other PR service provider’s • As Study on PR Sector in Nepal ; Sept. 2011 Manish and Sanda • Financial Contribution (Service Provider, DPOs and GoN)

NASPIR

Current opportunities and potentials

1. UNCRPD, National Plan are infevour of the Person with Disabilities for relevant services 2. Person with Disabilities are uniting for demanding services 3. PR Service Availability in All 5 Regions 4. Some funders are funding for services or capacity building of the service providers NASPIR

Emerging issues

1.

2.

3.

4.

5.

6.

7.

PR Services Availability as demanded ?

Local Government are aware for PR Services ?

DPOs are aware for PR services ?

Relevant Services or Cost availability ?

Services Sustainability ?

Data management and avoiding duplication in services ?

Retain and knowledge upgraded of Human Resources ?

NASPIR

Problems and Challenges

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Coverage of All Person with Disability with limited Funds (Both Govt. and Donors)

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Lack of Economic Empowerment of Person with Disability

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Recognition of Trained P&O in ISPO Category-2 in India

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Sustainability of the Existing Physical Rehabilitation Centers

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Lack of System of Budget plan by Govt. in PR Sector

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Lack of sensitization among the planner on PR Sector and disability NASPIR

Future Direction and role of Different Stakeholders.

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Make Accessible PR Services

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Develop Data Base of Services

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Orientation to all relevant Govt. offices and funding agencies

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Collaborative action between Existing Service Provider and Govt. + DPOs

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Develop National Level Structure for quality assurance

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Develop Monitoring plan

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Reorganization of Human Resources (P&O, PTA, CDWs) NASPIR

• • • • • • • •

Contact and Mailing Address

CBR Biratnagar-Phone No. +977-21-531594, Email: [email protected]

PRERANA Sarlahi-Phone No. 046-520442/01-212081 Email: [email protected]

Website: www.prerana.org.np

CDP Shindhuli-Phone No. 047-520130, 9851093567 Email: [email protected]

NDF Kathmandu Phone No. 01-4224968, Email: [email protected]

HWEPC Dang Phone No. 082-560240 Email: [email protected]

MWRH Surkhet Phone No. 083-420216 and 083523200 NGMC Nepalgunj Phone No. 081-540404 and 081-540405 NNSWA Kanchanpur Phone No. +977-99-522182 Email: [email protected]

, Website: www.nnswa.org