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Supported Centres:

Hope Gulmi, Nepal
Ideal Centre, Nepal

Hope Centres, Kashmir
Upliftment of Kashmir
Voice Ghana
Mobility Found. Ghana

DEF - Nigeria

 

 

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Rehabilitation

The stages of rehabilitation

AWARENESS
programmes are carried out in village communities to explain the many causes of disability and what local services may be available, like preventative interventions. A range of choices and opportunities are shared for both disabled persons and their caregivers. Awareness-raising must first remove the stigma of shame or blame for parents having a disabled child or relative.

IDENTIFICATION of disabled persons by a social worker through surveys of villages and districts to record the number, types & causes of disability, details about home, family, education and finances, the level of community support available and quality of accessibility to buildings and toileting facilities.

ASSESSMENT by a trained physiotherapist or doctor of each disabled person to accurately diagnose the cause of disability to decide whether a disease or a muscular or neurological problem and to check the level of joint contractures and limb flexibility in order to gauge the necessary intervention.

Patient Form - Click image
to open Word file

This may involve medical help, fitting an orthotic (brace) support or prosthetic (artificial) limb, supplying a mobility or physiotherapy device, corrective surgery, counselling, physiotherapy or skills' training.


 
Tools developed by MEND - click to enlarge  


REFERRAL
to appropriate local health or rehabilitation service provider, preferably at little or no cost to patient . Seek low-cost or subsidised healthcare by government or NGO and help by providing transport costs for the poor to and from hospital and offer a social worker to help with x-rays and administration.

TREATMENT
is carried out by hospital, physio clinic, disability centre or other suitable health service provider who can help with hospital and surgery costs.

Two patient file photos before and after the operations - click to enlarge

FOLLOW-UP visits to disabled members homes to regularly gauge progress or problems that develop during treatment. It may be necessary to change the approach to rehabilitation and make adaptations to equipment if needed e.g. as a child grows his callipers may need lengthening or adjustments to walkers and standing frames.

SKILLS' TRAINING
is provided for disabled members to improve their income-generating ability which in turn, will uplift their sense of self-worth and dignity in their family and community. Job security and self-help skills increase independence.

FINANCIAL SUPPORT
is provided to disabled members through micro-credit loans for set-up costs to buy tools and materials so they can start a small business. Sponsors are sought from the wider community locally and overseas to cover disabled members' special school fees and rehabilitation costs.

ADVOCACY, ACCESS & HUMAN RIGHTS'
issues of disabled members are addressed by our project partners so that disabled members can have equal choices & opportunities to those who are able-bodied ..and so live more productive lives, without discrimination and disadvantage.

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MEND: Mobility Equipment for the Needs of the Disabled Kerikeri, New Zealand e-mail:  mend@xtra.co.nz  2011 - 2012
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