PIHRS-IH Model 2020-Final Revised

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SustainabilityPromotion and supportWorking with community members and localStakeholders for raising awareness, voiceAnd lobbying to promote rights of the personWith disability according to Rights &Protection Act 2013.For sustainability, support fromGovernment is required to adoptInclusive health in the mainstreamHealth serviceAnd SoP.Empower Persons with disabilities throughCBID strategy (health, education,Employment andOthers).22 | P a g e
essonearned• The partnership with government helped to establish the service delivery for people withdisability in Upazila level. The service and equipment support provision through the therapyunits is worthy. The factors of this is the successful engagement of the government from thevery beginning of the project.• The decrease of new patients in the third year (as can be seen in figure 2 and 3) can possiblybe explained by the following: Most of the patients have been reached and no new patientsare ‘available’. This could be due to all new patients with easy access (resource wise andlocation wise) have been reached and have been treated or are now regular patients.• As the hospitals are not able to treat all disabilities for all the care required. Therefore, thereferral system was helpful. However, referring does not automatically lead to people beingtreated, as specialized hospitals or private clinics are not easy to access. The reasons couldbe they are not always nearby (decreased accessibility) and are often too expensive (financialconstraints). Referring people with disabilities is only th e first step in their treatment.• There seems to be a difference regarding accessibility for people living close to the healthcenters and hospitals and people living in remote areas. The degree of awareness andsensitivity but also physical access to the clinics/hospitals are important elementsdetermining whether people are make use of the services that are offered. These issues mustbe considered during the designing and implementing an inclusive health project.• Though there is significant increase in women using the services there are more men usingthe health services provided by the project. A reason could be that girls and women are morerestricted in terms of decision making and movement due to safety and cultural and religiousbelievers and practices. Furthermore, absence of female therapists could be another reasonthat the female clients might be reluctant to the centers.• Diagnosis and treatment of disability is efficient and effective when specialist doctors suchas a neuro medicine specialist is available in the hospitals. Those doctors are particularlyneeded when dealing with people with complex or multiple disabilities. It might be effectiveif the neuro medicine, physical medicine or child health specialist act as focal person inspecific cases to ensure actual diagnosis and treatment of disability, especially autism,intellectual disability, Down syndrome and convulsive disorders.• Recruiting and retaining technical persons like Occupational Therapists is a challenge due toless eligible persons and high turnover. This has impacted the continuity of rehabilitationplans and assistance to people with disabilities. Possible reasons are less interest of peopleto study in this area due to limited opportunity for carrier development, especially in Govt.sector.• The difference between Satkhira and Manikganj and Chittagong can be partly explained bythe fact that the disable persons in Banshkhali and Raojan of Chittagong were not organizedfrom the beginning of the project.23 | P a g e
Page 1 and 2: romotingnclusiveealthndehabilitatio
Page 3 and 4: DRRA’SINCLUSIVE HEALTH (IH)MODEL3
Page 5 and 6: Health- Globally, more than one bil
Page 7 and 8: concept and results from the intera
Page 9 and 10: The phase II project is scheduled f
Page 11 and 12: A research study was conducted by D
Page 13 and 14: The Identification and treatment fo
Page 15 and 16: Services Satisfaction & Behavior/Qu
Page 17 and 18: Evaluation Report(Methodology/Limit
Page 19 and 20: Bearing in mind the geographical di
Page 21: • Issues in favor of PWD’s have
Page 25 and 26: OurGood Practices25 | P a g e
Page 27 and 28: Influences in the Government policy
Page 29 and 30: “Aalal says “It Feels like bein
Page 31 and 32: “Riya’s improvement has eased t
Page 33: Thank You..33 | P a g e

PIHRS-IH Model 2020-Final Revised

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