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Re-enablement of the neurologically impaired hand - 2 : surgical correction|Report of a surgical workshop held at Green Pastures Hospital and Rehabilitation Centre, November 2004, Pokhara, Nepal

SCHWARZ, RJ
BRANDSMA, JW
December 2006

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"In this paper, the common surgical procedures (of neuropathic conditions of the hand) are discussed. The procedures for uncomplicated neurologically impaired hand with paralysis of ulnar, median or radial nerve paralysis will be discussed first, followed by surgical interventions for the impairments that may have developed secondary to the paralysis or the surgery. Recommendations for best practice and further research will be given"
Leprosy Review, Vol 77, Issue 4

Programming experiences in early childhood development

UNITED NATIONS CHILDREN'S FUND (UNICEF)
November 2006

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This document presents examples and case studies from 21 countries. They demonstrate the benefit of cross-sectoral programming to support early childhood development, some building on early child care or education programme

Tackling social exclusion in health and education : case studies from Asia

GARDENER, Janet
SUBRAHMANIAN, Ramya
July 2006

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This paper draws together some of the lessons from a study to identify ways of tackling social exclusion through promising practices in health and education in the Asia region. It uncovers some of the processes through which ethnic minorities, disadvantaged castes, the ultra-poor, women and migrants have been excluded; outlines the ways in which projects have identified social exclusion and found ways to realign incentives for greater inclusion; and seeks to draw programmatic lessons for the design and implementation of more effective responses

The participation scale : measuring a key concept in public health v4.1

VAN BRAKEL, Wim H.
et al
February 2006

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This is a report of a study, carried out in Nepal, India and Brazil, to develop a scale to measure (social) participation for use in rehabilitation, stigma reduction and social integration programmes. The report concludes that the Participation Scale is reliable and valid to measure client-perceived participation in people affected by leprosy or disability

Using social transfers to improve human development

DEPARTMENT FOR INTERNATIONAL DEVELOPMENT (DFID)
February 2006

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This note provides an introduction to how social transfers - particularly cash transfers and vouchers - can improve human development, particularly for the extreme poor and socially excluded

Gendered experiences : marriage and the stigma of leprosy

TRY, Leonie
2006

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Stigma is rife in many areas of health and healthcare and it has implicit impacts that are often overlooked. Due to the continued social construction of the stigma of leprosy, it is clear that a greater understanding is needed of how stigma is experienced. This study considers the experiences of marriage of those vulnerable to stigmatisation due to leprosy and more specifically identifies different experiences of leprosy-affected women and men and the possible implications.

The effects of the stigma of leprosy on the income generation of leprosy affected people in the Terai area of South East Nepal

CALCRAFT, JH
2006

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[Author's abstract] This study explores the effect of stigma on the income generation of people affected by leprosy in the southeast Terai area of Nepal. Semi-structured interviews were conducted to explore experiences of stigma and the effect on income generation. Results showed a negative effect on income generation - with employment being lost as a direct result of stigma in several cases. The negative physical effects of the disease were for many the main reason for lost income, or employment

Disability at a glance : a profile of 28 countries and areas in Asia and the Pacific

UNITED NATIONAL ECONOMIC AND SOCIAL COMMISSION FOR ASIA AND THE PACIFIC (ESCAP)
2006

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This publication provides "...disability-related data and policy-related information so that readers are able to see in detail how a particular country or area defines disability and collects related statistics, and implements the Biwako Millennium Framework, in particular, with regard to the establishment of a relevant institutional framework and policies." It is intended "...that this publication will serve as a basis for continuing dialogue amongst the stakeholders on reviewing current status of Government commitments on disability and serve as an impetus for further actions"

Case study on addressing sanitation needs of disabled people in Nepal

SHRESTHA, Guna Raj
January 2006

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This is an evaluation report of a pilot project in rural Nepal that developed, tested and ensured accessible latrines to disabled people. The report details and describes individualised adapatations for household latrines. It would be useful to people interested in accessible latrines for disabled people.
The project was implemented by WaterAid Nepal's partner NEWAH

Risk factors for participation restriction in leprosy and development of a screening tool to identify individuals at risk

NICHOLLS, PG
et al
December 2005

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This paper explores risk factors for participation restrictions experienced by people affected by leprosy. The objective was to develop a screening tool to identify individuals at risk. An initial round of qualitative fieldwork in eight centres in Nepal, India and Brazil identified 35 potential risk factors for participation restriction. This was further assessed through quantitative fieldwork in six centres in India and Brazil. In all, 264 individuals receiving leprosy treatment or rehabilitation services made a retrospective assessment of their status at time of diagnosis. Their level of participation restriction was assessed using the Participation Scale, and regression analysis identified risk factors for participation restriction. Four consolidated items were identified as the basis for a simple screening tool to identify individuals at risk: physical impact of leprosy, an emotional response to the diagnosis, female gender and having little or no education. Such a tool may form the basis for a screening and referral procedure to identify newly diagnosed individuals at risk of participation restrictions and the need of actions that may prevent such restrictions
Leprosy Review, Vol 76, Issue 4

STEP : an intervention to address the issue of stigma related to leprosy in southern Nepal

CROSS, Hugh
CHOUDHARY, Ramesh
December 2005

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"This paper focuses primarily on the extent to which a Stigma Elimination Programme (STEP) affected the social participation of people affected by leprosy in southern Nepal. The Participation Scale (popularly known as The P Scale) was applied to compare leprosy affected people who participated in STEP groups with a control group comprising leprosy affected people who lived in villages where STEP had not been implemented"
Leprosy Review, Vol 76, Issue 4

Building the capacity of local organizations in reproductive health : Nepal case study

GHIMIRE, Jagdish
NAKARMI, Gopal
MCKAIG, Catharine
2005

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This report describes the process World Neighbors used to partner with local non-governmental organisations in developing a reproductive health component in Terai, a rural area in the southeastern plains of Nepal. This document describes the setting, design, and unique aspects of the programme, as well as its key accomplishments and lessons learned. The central strategy of the program model is to support reproductive health (RH) through women's empowerment. A key element is the provision of RH services through local NGO-run clinics and outreach services using female providers. Within this framework run several special initiatives include: working with local NGOs that have little or no RH experience; establishing NGO-run self-reliant, rural clinics; providing outreach services linked with self-help groups; the development of formal savings and credit cooperatives (which, in turn, support the clinics); the supportive approach to monitoring and supervision, and addressing the practical needs of rural women

Making latrines user-friendly for everyone|An exploratory research study on the discomfort faced by pregnant women, elderly, overweight, sick and disabled people when using squat latrines

NEPAL WATER FOR HEALTH WESTERN REGION OFFICE POKHARA
April 2004

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This study report explores the problems experienced by ‘physically challenged’ people, including pregnant women, elderly, overweight, sick and disabled people, when using squat latrines. The study methodology is outlined, and the results found that most of these users experience similar types of discomfort when using the latrines with some psychological stress. Latrine design solutions are provided with drawings and photos. This study is useful for people interested in accessible squat latrine design

Ancient roots, new shoots : endogenous development in practice

HAVERKORT, Bertus
VAN T' HOOFT, Katrien
HIEMSTRA, Wim
Eds
2003

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This book describes the approach of COMPAS, a network of partners that supports 'development from within', based on local knowledge and practices. The body of the book consists of case studies which illustrate how development can be based on locally available resources, knowledge, values and leadership institutions; how there can be genuinely local determination of development options; and how the benefits of development within local areas and communities can be fostered

ICTs application for better health in Nepal

Pradhan, M R
2003

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This article explores the strengths and weaknesses of the Internet to augment traditional health services and supply new ones. In doing so, it presents concrete cases in the developing world, with reference to Nepal, where the Internet is being used for health-related activities ranging from patient/doctor consultation through database services, to the management of epidemics

Responding to reproductive health needs: a participatory approach for analysis and action

WORLD NEIGHBORS
2001

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A report and training guide documenting two workshops in Nepal in the late 1990s, designed to help NGO trainers gain skills to assist communities in identifying and addressing reproductive health needs. Specific objectives include helping participants develop a gender-sensitive approach, analyze their current activities with regard to gender issues, and gain skills in the use of participatory methods and tools. Describes the methodology, objectives and stages of the workshops, and includes participatory exercises and tips

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