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Learning from experience: Guidelines for locally sourced and cost-effective strategies to modify existing household toilets and water access

WORLD VISION
CBM Australia
2018

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This learning resource is the result of a partnership between World Vision Australia and CBM Australia that aims to improve inclusion of people with disabilities in World Vision’s Water, Hygiene and Sanitation (WASH) initiatives, including in Sri Lanka. The guidelines are based on experiences and observations from World Vision’s implementation of the Rural Integrated WASH 3 (RIWASH 3) project in Jaffna District, Northern Province, funded by the Australian Government’s Civil Society WASH Fund 2. The four year project commenced in 2014. It aimed to improve the ability of WASH actors to sustain services, increase adoption of improved hygiene practices, and increase equitable use of water and sanitation facilities of target communities within 11 Grama Niladari Divisions (GNDs) in Jaffna District.

To support disability inclusion within the project, World Vision partnered with CBM Australia. CBM Australia has focused on building capacities of partners for disability
inclusion, fostering connections with local Disabled People’s Organisations, and providing technical guidance on disability inclusion within planned activities. World Vision also partnered with the Northern Province Consortium of the Organizations for the Differently Abled (NPCODA) for disability assessment, technical support and capacity building on inclusion of people with disabilities in the project.

HOME MODIFICATIONS FOR WASH ACCESS
This document is one of two developed in the Jaffna District and describes the strategies which were used to assist people with disabilities to access toilet and water facilities at their own home. The strategies were designed to be low cost and were developed using locally available materials and skills in the Jaffna District of Sri Lanka. Houses and toilet structures in the region were made of brick and concrete. No new toilets were built and modifications involved only minor work to existing household structures, water points and toilets.

NOTE:
The development of this learning resource was funded by the Australian Government's Civil Society WASH Fund 2.

Prosthetic and orthotic services in developing countries

MAGNUSSON, Lina
October 2014

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This thesis aims to generate further knowledge about prosthetic and orthotic services in developing countries, with a focus on patient mobility and satisfaction with prosthetic and orthotic devices, satisfaction with service delivery, and the views of staff regarding clinical practice and education. The findings are based on patient questionnaires in Malawi and Sierra Leone, including QUEST 2.0, as well as interviews with prosthetic/orthotic technicians in Sierra Leone and Pakistan

School of Health Sciences Dissertation series No. 56, 2014; No. 66, 2014

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

The provision of wheeled mobility and positioning devices

GARTON, Francesca
June 2013

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This policy paper describes Handicap International’s mandate and values in operational terms as applied to the theme of provision of wheeled mobility and positioning devices. It presents the approaches and references for Handicap International’s actions, choices and commitments. It aims to ensure coherence in terms of practices whilst taking into account different contexts. Essentially this is a guidance document for programme staff which defines the topic and outlines the target populations, methods of intervention (expected results, activities) and indicators for monitoring and evaluation. This policy aims to ensure that all projects carried out by Handicap International programmes are consistent with the methods of intervention presented
PP 09

Wheelchair service training package : intermediate level (WSTP-I)

KHASNABIS, Chapal
MINES, Kylie
Eds
2013

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This wheelchair service training package is the second part of the WHO wheelchair service training package series and addresses the needs of people who have severe difficulties in walking and moving around and also having poor postural control. Special attention was given on the provision of appropriate wheelchairs for children who have poor postural control and are unable to sit upright independently. It is designed to support the training of personnel or volunteers to provide an appropriate manual wheelchair and cushion for children and adults who need additional postural support to sit upright
Note: A Trainers manual, Reference manual for participants, Participant’s workbook and Posters are available from the link above
Note: A DVD is available upon request which contains all the necessary forms and checklists; manuals and guides including the trainer’s manual; and sets of posters and presentations

The provision of wheeled mobility and positioning devices

GARTON, Francesca
URSEAU, Isabelle
July 2012

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This policy brief provides an overview of Handicap International’s 2012 policy paper on the provision of wheeled mobility and positioning devices (WP&MD) for people with disabilities
PP Brief No 9
Note: this policy should be read in conjunction with Handicap International’s rehabilitation policy paper which provides a broad framework for understanding the organization’s work on rehabilitation, including WP & MD

Wheelchair service training package : basic level (WSTP-B)

KHASNABIS, Chapal
MINES, Kylie
2012

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The main purpose of the training package is to develop the minimum skills and knowledge required by personnel involved in wheelchair service delivery. An important aim of the training package is to get it integrated into the regular paramedical/rehabilitation training programs such as physiotherapy, occupational therapy, prosthetics and orthotics, rehabilitation nursing
The package contains necessary forms and checklists, manuals and guides including trainer’s manual and set of posters and presentations. First click "Strat.pdf" which will come with four tabs - click tab "Manuals and guides" - open the Trainer’s manual to prepare yourself to deliver the training. Then click the "Timetable and sessions" tab to open the timetable. Click the hyperlinks of each session, which lead you to the exact slides and video location. The best way to deliver the training is to proceed through the lessons in sequential order respecting the timing allotted for each session as much as possible
Note: The whole training package is available on the Website for the training institutes and wheelchair service providers. It is recommended to download the complete package (requires 3 GB space)

Joint position paper on the provision of mobility devices in less resourced settings : a step towards implementation of the convention on the rights of persons with disabilities (CRPD) related to personal mobility

WORLD HEALTH ORGANIZATION (WHO)
UNITED STATES AGENCY FOR INTERNATIONAL DEVELOPMENT (USAID)
2011

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"This joint position paper was developed in response to a meeting about personal mobility and mobility devices, held on 28-29 October 2009 at World Health Organization headquarters, Geneva, Switzerland. This paper aims to guide and support countries, especially those with limited resources, in the implementation of relevant articles of the CRPD associated with the provision of mobility devices"

Managing disability : a reference manual for rehabilitation professionals in India

HANDICAP INTERNATIONAL INDIA
2010

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This manual "aims to provide readers in India with guidance on introduction to disabilities, causes, identification and management from multidisciplinary approach. it highlights the ways to ensure that disability management is streamlined in the organization/centre. It can serve as a tool to train newly inducted rehabilitation professionals in the team of a centre. If used correctly, this manual will help promote the comprehensive knowledge on chronic disability, sensitivity towards people with disabilities and commitment to serve empathetically. It will also assist in promoting evidence based practice and delivering rights based approaches"
Permission has been given for the uploaded document to be reproduced and made publicly available on the Source website

Community-based rehabilitation : CBR guidelines|Health component

WORLD HEALTH ORGANIZATION (WHO)
et al
2010

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This component of the CBR Guidelines focuses on health and how to make it inclusive. It describes "the role of CBR is to work closely with the health sector to ensure that the needs of people with disabilities and their family members are addressed in the areas of health promotion, prevention, medical care, rehabilitation and assistive devices. CBR also needs to work with individuals and their families to facilitate their access to health services and to work with other sectors to ensure that all aspects of health are addressed"
It outlines key concepts and then presents the core concepts, examples and areas of suggested activities in each of the following five elements: Health promotion; Prevention; Medical care; Rehabilitation; and Assistive devices. This guideline is useful for anyone interested in health component of CBR

Promoting access to the built environment

WILM, Susanne
NOE, Christiane
November 2008

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“"These guidelines on 'Promoting Access to the Built Environment' reflect international standards and recommendations about accessibility in the built environment, and have been developed to assist CBM, its partners and other interested agencies in creating a more fully accessible environment"

Report on the consensus conference on wheelchairs for developing countries

SHELTON, Sarah
JACOBS, Norman A
Eds
2008

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This conference report assisted the development of guidelines on provision of manual wheelchairs in less-resourced settings for which training and education are key elements. It recommends the adoption of the wheelchair International Organization for Standardization (ISO) standards as a minimum. This report is useful for government and non-government policy makers, practitioners, providers and users of wheelchair services

Guidelines on the provision of manual wheelchairs in less resourced settings

ARMSTRONG, William
et al
2008

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These guidelines are designed to promote personal mobility and enhance the quality of life of wheelchair users. The aim is to assist Member States in developing a system of wheelchair provision that is consistent with the implementation of the Convention on the Rights of Persons with Disabilities. Chapter topics includes: design and production, service delivery, training, and policy planning

Walking aid compliance in children with spastic diplegia

RAJA, Kavitha
2005

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[Author's abstract] : A three month prospective self report study of 50 children using different types of walkers or elbow crutches was done to determine compliance with use of the prescribed device. Data were collected by means of log entries made by the child's care givers throughout the day. The data collected consisted of number of times and the distance the child walked each time. Overall mean compliance was 49.1%. Children using the reciprocal walker showed the greatest compliance while those using walkers with gutter attachments and elbow crutches showed the least. Compliance was greatest for distances of 50-100m while it was the least for distances over 150m

Outreach workers training in rehabilitation

FRANCK, Bernard
2004

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This training manual was developed from an outreach worker training from physical rehabilitation centres (PRC) in Cambodia. The 100 hour training is divided into two parts: a theorical part organised in the PRC and a practical part organised in the field. Case studies, presentations and individual practical job training are provided in addition to pre and post tests to evaluate knowledge acquisition

The relationship between prosthetics and orthotics services and community based rehabilitation (CBR)

WORLD HEALTH ORGANIZATION (WHO)
INTERNATIONAL SOCIETY FOR PROSTHETICS AND ORTHOTICS (ISPO)
November 2003

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"This document attempts to describe the relationship between prosthetics and orthotics services and community-based rehabilitation activities. It shows how the services offered by central/specialized, provincial and district institutions and the community can work together to provide a comprehensive prosthetics and orthotics service across the country. It should be noted that no definitive model of community based rehabilitation in prosthetics and orthotics is available; each country requires to develop its own system according to its needs and the resources available"

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