PIHRS-IH Model 2020-Final Revised

Quality & Equality
With Challenges Came Changes….
• The establishment of Nine Upazila Health and Rehabilitation Centers (UHRC) and government hospitals
are now well- within their premises.
• Physical mobility for people with disabilities has increased in targeted government hospitals through
the construction of ramps and adequate toilets (currently accessible in two UHRCs).
• After 2015, people with different types of disabilities and people at risk of disability have been seeking
care, rehabilitation including referral services from all of the nine target hospitals, with separate queues
for them as well.
• For most cases, PWDS has provided priority access to doctor's rooms, but the experience of patients
varied from hospital to hospital for terms of waiting time for treatment and treatment services.
• Based on the visits and interviews with the correspondents, the results indicated that infrastructure
accessibility was expressly built for people with physical disabilities as a result of the project.
• Patients having vision, hearing, intellectual disabilities and difficulties in speech are now well informed
regarding furthering their treatment services considering the types and need of their issues.
• A Monthly reporting system has been established on disability health and counseling services from
Community Clinic to UHC and from UHC to Civil Surgeon Office.
• DRRA, along with Directorate General of Health Services (DG-Health) has developed a curriculum for
capacity building of doctors working in both district and Upazila level. a total of 115 doctors, received
training on disability assessment and identification which enables them to assess and identify different
types of disabilities
• About 242 Community Health Care Providers (CHCP) received orientation on disability identification and
referral.
• Over the project period, 11,620 patients have received rehabilitation and/or referral services and a total
of 52,518 patients with PWD’s visited across the nine target hospitals.
• It was also noticed that the decision-making for continuation of treatment and therapies for female
children and adults has improved significantly, with a noticeable reduction in the gender discrimination
mindset as well.
• Progress was made in Satkhira and Manikganj to involve DPOs in most of the Community clinics and
they are they were found to be more organized and informative regarding disability and its prevention,
identification and referral.
• Upazila Disability Health Committees (UDHCs) were established in each Upazila Health Complex (UHC).
Upazila Health and Family Planning Officer (UHFPO), the Chief Executive Officer of UHC, served as the
focal person. The Committee also comprises Upazila Social Welfare Officer, 4 members of the DPOs and
along with few other elite persons engaged in voluntary social work. They meet quarterly to reflect on
the results of this initiative.
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