Access of persons with disabilities to
relevant services to fulfill their special and
general needs
Ashok Bikram Jairu
NASPIR
December 16th 2012
NASPIR
Coverage of Presentation
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NASPIR Introduction
Objectives
Coverage by Physical Rehabilitation Center
Availability of Services in Rehabilitation Centre
Pathologies of Disability
Policies and Practices
Current opportunities and potentials
Emerging issues
Problems and Challenges
Future Direction and role of Different Stakeholders
Contact and Mailing Address
NASPIR
NASPIR Introduction
NASPIR-
National
Association of
Service
Provider
In
Rehabilitation
National Association of Service Provider In Rehabilitation
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NASPIR
Objectives
Overall Objective
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To reduce the vulnerability, isolation and exclusion of
persons with physical disabilities in Nepal
Specific Objectives:
•
To ensure and optimise the accessibility and sustainability
of quality physical rehabilitation services to persons with
physical disabilities in different region of Nepal.
NASPIR
Access to Quality Physical Rehabilitation
•MWRH Satellite Unit, Surkhet
Humla
HWEPC Satellite Unit DANG
Darchula
Bajhang
Mugu
Bajura
Baitadi
Dadeldhura
Doti
Achham
Kalikot
•NDF CENTER Kathmandu
Jumla
Dolpa
Mustang
Kanchanpur
Dailekh
Jajarkot
Kailali
Rukum
Surkhet
Bardiya
NNSWA
Center,
Kanchanpur
CDPS Satellite
Unit Sindhuli
Manang
Myagdi
Salyan
Baglung
Kaski
Rolpa
Banke
Gulmi
Arghakhanchi
Syangja
Sangkhuwasabha
Tanahu
Palpa
Kapilvastu
NGMC Center
Banke
Rasuwa
Parbat
Pyuthan
Dang
Gorkha
Lamjung
Nawalparasi
Rupandehi
GPR Pokhara
Nuwakot
Sindhupalchok
KTM
BKT
Dolakha
Solu
Chitwan
Kavre
Makwanpur Lalit
Ramechhap
Okhaldhunga
Parsa
Sindhuli
Bhojpur
Khotang
Bara
Sarlahi
Dhading
Siraha
Rautahat
Mahottari
PRERANA
CENTER Sarlahi
NASPIR
Taplejung
Udaypur
Sunsari Morang
Saptari
Terhathum
Panchthar
Ilam
Jhapa
Dhanusha
Dhankuta
HRDC-Banepa
CBRB CENTER Biratnagar
Availability of Services in PRC
•P&O Services
Prostheses and Orthoses
(Lower and Upper Limb Prostheses and
Orthoses)
•Mobility Aids
Crutches, Wheelchair, Tricycle,
Waking Aid, Assistive Devices
•Physiotherapy
Physio Therapy, Physical Exercise Materials
•Referral
Corrective Surgery
•Hostel Facility
Residential Facility, Fooding
Counseling
Other CBR Services
NASPIR
Physical Infrastructure
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Physical Rehabilitation Centers with
Appropriate and Barrier free
Building
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Manufacturing Equipments
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Physiotherapy Equipments
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Quality and accessible Services in all
5 Regions
NASPIR
Pathologies of Disability
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Amputee
Stroke
Head Injury
Polio
Spinal Cord Injury
CP
Burn
CTEV
Other Ortho and
Neuro
NASPIR
Access of persons with disabilities to relevant services
to fulfill their special and general needs
Current Status: Existing policies and practices and
relevant data/information.
Policies and Practices:
UNCRPD, WHO CBR Guideline, GoN CBR Guideline
NPC:
• Three Years Planning 067/068 and 069/070
Article 7.5
•Described about Identity Card to Program for
the Person With Disability
NASPIR
Current Status: Existing policies and practices and
relevant data/information.
Policies and Practices:
MoHP
•NHSP IP II (2010-15)
•National Childhood Disability Management
Strategy, 2064
(Not Practices)
NASPIR
Current Status: Existing policies and practices and
relevant data/information.
Policies and Practices:
MoWCSW
• Nepal Interim Constitution 2063
• UNCRPD 2006
• Rule and Regulations/Proceduers
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NASPIR
Current Status: Existing policies and practices and
relevant data/information.
Relevant Data, Information:
• Government Censuses
• MoWCSW Periodic Survey (Disability and Old Aged)
• Handicap International Support Rehab Center Data
Base for Physical Rehabilitation Services but not
Accumulated of other PR service provider’s
• As Study on PR Sector in Nepal; Sept. 2011 Manish and Sanda
• Financial Contribution (Service Provider, DPOs
and GoN)
NASPIR
Current opportunities and potentials
1. UNCRPD, National Plan are infevour of the
Person with Disabilities for relevant services
2. Person with Disabilities are uniting for
demanding services
3. PR Service Availability in All 5 Regions
4. Some funders are funding for services or
capacity building of the service providers
NASPIR
Emerging issues
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PR Services Availability as demanded ?
Local Government are aware for PR
Services ?
DPOs are aware for PR services ?
Relevant Services or Cost availability ?
Services Sustainability ?
Data management and avoiding
duplication in services ?
Retain and knowledge upgraded of
Human Resources ?
NASPIR
Problems and Challenges
• Coverage of All Person with Disability with limited
Funds (Both Govt. and Donors)
• Lack of Economic Empowerment of Person with
Disability
•Recognition of Trained P&O in ISPO Category-2 in India
• Sustainability of the Existing Physical Rehabilitation
Centers
• Lack of System of Budget plan by Govt. in PR Sector
• Lack of sensitization among the planner on PR Sector
and disability
NASPIR
Future Direction and role of Different Stakeholders.
• Make Accessible PR Services
• Develop Data Base of Services
• Orientation to all relevant Govt. offices and funding
agencies
• Collaborative action between Existing Service Provider
and Govt. + DPOs
• Develop National Level Structure for quality assurance
• Develop Monitoring plan
• Reorganization of Human Resources (P&O, PTA, CDWs)
NASPIR
Contact and Mailing Address
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CBR Biratnagar-Phone No. +977-21-531594,
Email: cbrbrt@nns.com.np
PRERANA Sarlahi-Phone No. 046-520442/01-212081
Email: prerana@ntc.net.np Website: www.prerana.org.np
CDP Shindhuli-Phone No. 047-520130, 9851093567
Email: cdps@ntc.net.np
NDF Kathmandu Phone No. 01-4224968,
Email: drfmc@wlink.com.np
HWEPC Dang Phone No. 082-560240
Email: hwepcdang@ntc.net.np
MWRH Surkhet Phone No. 083-420216 and 083523200
NGMC Nepalgunj Phone No. 081-540404 and 081-540405
NNSWA Kanchanpur Phone No. +977-99-522182
Email: mnswa06@ntc.net.np, Website: www.nnswa.org