Australian Red Cross Delegates Program

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18Delegates Program Annual Report 2011-2012> CASE STUDYDevices thatchange livesA Red Cross orthopaedic centre in Afghanistan offers rehabilitativeservices for people with a wide range of disabilities. From biomechanicstraining to the use of orthotic devices, Australian Red Cross delegateMARTINA LUKIN is supporting local technicians to provide the bestpossible treatment with limited resources.Decades of conflict have contributed to the range of disability issues in Afghanistan.In Kabul, the orthopaedic centre managed by the International Committee of theRed Cross (ICRC) sees and treats many of these disabilities every day, supportingpeople with mobility impairments to achieve a better quality of life.It is here that Red Cross delegate and ortho-prosthetist Martina Lukin works on thefrontline of disability services, sharing her expertise and helping staff to strengthentheir technical skills.“A result of war is that people are poorer than they would normally be, they are lesseducated, there is less access to nutritious foods, medicines and so on, whichmeans there is also a higher proportion of people with birth defects, spinal cordinjuries and other problems,” Martina says.“The orthopaedic program in Afghanistan is quite unique in the sense that we seeeveryone regardless of whether they have stepped on a landmine or not, becausetheir need is just as great. If we can help, then we try.”Although an accurate figure of Afghanistan’s population living with a physicaldisability is not available, estimates vary from 300,000 to 2 million 1 .It is little wonder then that people sometimes spend up to two days travelling to seespecialists in Kabul. ICRC has an additional six orthopaedic centres across thecountry, but Kabul is by far the largest.“We fit over 15 new patients every day...and that’s just for orthotics,” says Martina.“Every patient we see will leave our centre with some type of device that canchange their life, be it a simple shoe raise, a back brace, prosthesis or a pair ofankle foot orthoses. For some patients it’s the difference of being bed-bound tobeing able to stand and walk... for others it’s the difference between having chronicback pain and being able to live a normal life again.”Almost all Martina’s ICRC colleagues are people living with a disability. Althoughhighly skilled, many of the technicians have been trained primarily on the job and donot have formal qualifications. As a result, Martina’s role is instrumental.Only five months into her assignment, Martina has implemented regular case studysessions where the technicians are encouraged to discuss and analyse cases ofparticular interest, with a focus on how the orthotic or prosthetic treatment can beimproved.In coming months she will hold knowledge refresher sessions in areas such asbiomechanics and the effects of ground reaction forces in orthotics.1. Mallick, S 2007, Case Study: Persons with Disabilities in Afghanistan, United Nations DevelopmentProgramme, viewed 11 September 2012,http://regionalcentrebangkok.undp.or.th/practices/governance/a2j/docs/CaseStudy-01-Afghanistan.pdf
“This is something that the technicians enjoy and it provides a good platform forasking questions and better understanding some ideas or concepts that can helpto improve their technical work,” Martina says.“I'm here to encourage the local staff to develop and strengthen their skills andknowledge, which is already at a very high standard, but most importantly to makesure our patients are receiving, and will continue to receive, the best possibletreatment with the limited resources we have available.”As well as physical rehabilitation, the ICRC orthopaedic centres support socialintegration of people living with a disability by providing vocational training, microcredit-loans and home education for children. “In terms of rehabilitation service wego from start to finish and the quality is really high,” Martina says.“We give people support to be able to go back to their families and survive in theircommunities, because sometimes it’s not very easy for them to integrate intosociety,” Martina explains. “It’s about increasing awareness about people withdisabilities and showing people that they can work and survive on their own.”Despite the complex array of needs and levels of disability in Afghanistan, Martinatakes a fairly uncomplicated approach to her work at the centre and she hopes thather colleagues will receive long-lasting benefit from her guidance and the skills thatshe has to share.“I like to follow an assessment process which I feel is really simple and effective...sothat is the kind of thing I want to convey to my technicians and hope that they takeon a similar process that will help to simplify their work and make them moreefficient and confident in what they do.”Photo: Australian Red Cross Ortho-Prosthetist delegate, Martina Lukin stands with her Afghani colleague, NoorMohamad. Martina is working with the International Committee of the Red Cross Orthopaedic Program as a technicaladvisor to improve the quality and management of services provided to people requiring prosthetic limbs inAfghanistan. Photo: Australian Red Cross/Mat Orr.
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Page 29 and 30: TrainingA total of 22 new delegates
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Page 33 and 34: Climate changeThis century, climate
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Australian Red Cross Delegates Program

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