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The Rehabilitation Management System: Evaluating and planning physical rehabilitation services

PRYOR, Wesley
SMITH, Fleur
April 2017

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Ensuring quality and affordable rehabilitation services to anyone in need is at the heart of Handicap International mandate and strategy. The organisation is implementing physical rehabilitation projects in 40 countries,  The Rehabilitation Management System was initially developed to allow for more effective and reliable analysis of the quality of rehabilitation services in low resource countries. It draws on international standards, consensus and evidence and it is made of a set of scorecards that are used to monitor key components of management and support service planning. The initial instrument went through several participatory revisions and has been now implemented by Handicap International partners for about 6 years. While it covers domains that are specific to rehabilitation services, it is aligned to the broader health system strengthening framework. It is currently used in around 14 physical rehabilitation centers in 8 countries where settings and governance systems considerably vary, reflecting the different stages of development of physical rehabilitation services worldwide.

The “Rehabilitation Management System: Evaluating and planning Physical Rehabilitation services” guide follows the revision of the RMS scorecards, as a response to the demand from partner organisations, programmes and the Handicap International’s Rehabilitation Technical Unit for a greater adaptability of the system. It is hoped that this guide will further assist partners and programmes in implementing the RMS in effective and strategic management of their services in order to provide the highest quality care in the most sustainable manner.

Strengthening mental health system governance in six low- and middle-income countries in Africa and South Asia: challenges, needs and potential strategies

PETERSEN, Inge
et al
February 2017

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The aim of this study was to identify key governance issues that need to be addressed to facilitate the integration of mental health services into general health care in the six participating "Emerald" countries (Ethiopia, India, Nepal, Nigeria, South Africa, and Uganda).  The study adopted a descriptive qualitative approach, using framework analysis. Purposive sampling was used to recruit a range of key informants, to ensure views were elicited on all the governance issues within the expanded framework. Key informants across the six countries included policy makers at the national level in the Department/Ministry of Health; provincial coordinators and planners in primary health care and mental health; and district-level managers of primary and mental health care services. A total of 141 key informants were interviewed across the six countries. Data were transcribed (and where necessary, translated into English) and analysed thematically using framework analysis, first at the country level, then synthesised at a cross-country level.

Quality management of global rehabilitation services

PRYOR, Wesley
BOGGS, Dorothy
September 2013

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This seminar report outlines the proceedings and discussions of Handicap International’s seminar “Quality Management of Global Rehabilitation Services: Global Experiences, Innovations and Shaping Future Reform”. The report closely follows the structure of the seminar week, highlighting key information, contributions, discussions and recommendations from the participants.

During the seminar week, the participants from over 12 countries shared positive and challenging rehabilitation responses and analysed the quality of services, focusing upon the management and development of the workforce. Based upon their lessons learned from rehabilitation experiences, the participants then developed short-term and long-term recommendations, to be shared widely with the aim of contributing to the enhancement of global quality rehabilitation

“Quality Management of Global Rehabilitation Services: Global Experiences, Innovations and Shaping Future Reform” Seminar

Ougadougou, Burkina Faso

11–15 June 2012

Who is where, when, doing what (4Ws) in mental health and psychosocial support : manual with activity codes

IASC REFERENCE GROUP FOR MENTAL HEALTH AND PSYCHOSOCIAL SUPPORT IN EMERGENCY SETTINGS
2012

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"Humanitarian actors in emergencies often encounter challenges in knowing Who is Where, When, doing What (4Ws) with regard to mental health and psychosocial support (MHPSS). Such knowledge is essential to inform coordination. 4Ws tools are used in many areas of aid to map activities conducted across large geographical areas". This manual outlines the 4Ws with regard to mental health and psychosocial support for humanitarian actors with MHPSS coordinating responsibilities. The tool exists in two parts: a 4Ws data collection spreadsheets application (in excel online) and this manual which describes how to collect the data

Including the rights of persons with disabilities in UN programming at country level : a guidance note for United Nations country teams and implementing partners

INTER-AGENCY SUPPORT GROUP ON THE CONVENTION FOR THE RIGHTS OF PERSONS WITH DISABILITIES
2011

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"This guidance note outlines four main areas for mainstreaming the rights of persons with disabilities: UN cooperation at country level; country analysis (preceding UNDAF development); strategic planning (development of the UNDAF and its results matrix) and monitoring and evaluation (M&E)....By mainstreaming disability rights in their work at country level, UNCTs can respond to the request of persons with disabilities themselves, who have been calling for a new approach to disability, grounded on the conviction that all persons should be equally valued"

Good practice in the development of management information systems for social protection

CHIRCHIR, Richard
KIDD, Stephen
2011

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This paper "aims to fill a gap in the literature by examining good practice in the design of MISs for social protection. Section 2 will describe MISs, pointing out that they are more than systems of computer hardware and application software. Section 3 will discuss the type of information required by social protection MISs, and the challenges in capturing, transferring and processing this information. Section 4 will assess the potential for introducing new technologies into social protection MISs in developing countries. Section 5 will conclude by examining issues around the integration of MISs in countries with multiple social protection schemes, and the extent to which a national Single Registry is an appropriate model"
Pension watch : briefings on social protection in older age, Briefing no 5

Evaluation of support to CBR programme in Lesotho

MENDIS, Padmani
KACHINGWE, Andrew
KHABELE, Mabele Irene
July 2009

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This evaluation report of a CBR programme in Lesotho "looked particularly at relevance, efficiency and coherence rather than at impact, looking firstly at management and implementation and the role of disabled people and their organizations. Two other areas - education and gender -were looked at for their relevance. A fifth area that emerged during the evaluation as being in urgent need of support is livelihoods. At the grass-roots, implementation by village volunteers (LSs) has brought results for many disabled people"

Towards zero : ambitious road safety targets and the safe system approach|Summary document

INTERNATIONAL TRANSPORT FORUM (ITF)
ORGANISATION FOR ECONOMIC COOPERATION AND DEVELOPMENT (OECD)
2008

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"This is a summary of the report ‘Towards Zero: Ambitious Road Safety Targets and the Safe System Approach’...The purpose of the report is to review the state of the art in improving road safety performance and examine the role of targets in raising the level of ambition and achieving effective implementation of road safety policies. The work aims to assist governments in raising the performance threshold by developing more systematic approaches to road safety. It highlights the institutional management changes required in many countries to implement effective interventions through a strong focus on results and underlines the economic case for road safety investment. This summary document comprises the recommendations, executive summary and table of contents of the full report together with details of the experts that contributed to the work"

NFE-MIS handbook : developing a sub-national non-formal education management information system

CRONNAL, Criana
SAUVAGEOT, Claude
2005

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This manual provides "an easy-to-use methodology for setting up a Non-Formal Education Management Information System (NFE-MIS). This includes a conceptual framework for NFE, prototype data collection tools, and guidelines for the development of NFE indicators as well as for data analysis. The methodology presented in this Handbook uses a practical, step-by-step approach...At the national level, the NFE-MIS aims at providing policy-makers and planners with reliable, relevant and timely data to allow for informed decision making, better planning and delivery of NFE as well as for monitoring and evaluation of the development of NFE"
ED/BAS/LIT/2005/1

External evaluation of the community based rehabilitation program (CBR) in Jarash Camp, Amman, Jordan

YASSIR, Samar Al
November 2004

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This in an evaluation of a CBR project started in 1988 in a refugee camp. The general objective of the project is "to reach the biggest number of disabled persons in need of rehabilitation, and that an increased number of disabled persons live independently and are integrated in the society." Strategies include developing capabilities of disabled persons through the services offered by the Community Rehabilitation Centre, mobilization of local resources and awareness raising and advocacy.The evaluators found that the project urgently needs to include PWDs in the running of the project and to adopt a long-term strategy developing PWDs integration and economic autonomy. It also recommends a need for organizational change, improved monitoring and evaluation, staff motivation, and management and planning

The state of the humanitarian system

TAYLOR, Glyn
et al
July 2004

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"This report presents a system-level mapping and analysis of the performance of international humanitarian assistance. The pilot report on the State of the Humanitarian System (SOHS) was published in 2010 and focused on the years 2007 and 2008. This report includes descriptive statistics from the following two years, 2009 and 2010, and reviews performance assessments from 2009 to the end of 2011, comparing findings from the two periods. This report covers recent developments with those actors as well, and includes the perceptions and perspectives of some humanitarian aid recipients, through field based surveys in four countries"

Good governance handbook

BULLIVANT, Dr. John
et al

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"This document has been designed to provide some key principles of good governance that can aid decision making at board level in healthcare providers. The guide builds on previous best practice guidance whilst recognising the major impact of the current changes to the NHS architecture. It is intended to be of interest to existing NHS boards, emerging Clinical Commissioning Groups and Health and Wellbeing Boards and those responsible for managing governance systems and processes within healthcare"

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