Outline of the presentation
• Context
• Nepal’s participation in the research
• How the research helped/contributed in strengthening the
physical rehabilitation services in Nepal
• What was learned
• Constraining factors
• Enabling factors
• Conclusion
Key Stakeholders of the PR Sector in Nepal
• Government of Nepal :
– 5 Ministries involved
• 13+ Service Providers :
–
–
–
–
3 centres are managed by Government
4 centres managed by local NGOs
2 centres by private organizations
4 centres by hospitals
• Professional Associations
• Disabled People Organizations :
– National Federation of Disabled Nepal – NFDN
– Nepal Association of Physical Disabled -NAPD
• International stakeholders
• Funding agencies
Nepal’s participation in the research
Initial field trip by a
Searcher from
LSHTM
workshop was
organised by
LSHTM and HI
Assessment of
physical rehabilitation
sector organised by
2nd workshop was
consultants
jointly organised by
LSHTM and HI to
follow-up progress
How the research helped/contributed
• An increased the understanding of rehabilitation among actors
• Underliend the requirement of common vision for sustainability of
rehabilitation services.
• The sectorial concept for physical rehabilitation has been emerging
with increasing interactions among service providers, DPOs and
government authorities.
• Support to NASPIR (National Association of Service Providers in
Rehabilitation) for the development of National Strategic Direction on
the Physical Rehabilitation Sector.
• Opening the avenue with authorities (MOWCSW, MOHP, MOPR and
NPC) for financing the rehabilitation services.
What was learned
• Developing a common vision amongst the actors for the
rehabilitation sector is a first step towards the building of
sustainability in the sector
• Maintaining regular communication and interaction with
the Government authorities remains essential to promote
decisions on policies and resource allocation for the
physical rehabilitation services.
• The sustainability indicators that were jointly defined
during the sustainability study in 2010 and 2012 can be
promoted as a part of the progress monitoring tools of
the rehabilitation sector.
Constraining factors
• Three Government authorities (MWCSW, MOPR,
MOHP) have emerged as the key public actors for
disability rehabilitation. However, the multiplicity of public
actors in the rehabilitation sector appears more as a
constraint than as a support due to absence of a
coherent vision and leading authority for the sector in
Nepal.
• Frequent turnover of government officials, resulting in
the lack of institutional memory and the need to restart
coordination from the beginning, impacts making
decisions for rehabilitation policies/programmes.
• There is as yet no comprehensive updated data on
disability as well as on rehabilitation service provisions in
Nepal.
Enabling factors
• In Nepal, the sectorial concept for physical rehabilitation
is new, however, rapidly evolving.
• Increasing interest of the national public authorities in the
physical rehabilitation services:
– MWCSW, the main line-ministry for disability, has committed to earmark
funds for 3 rehabilitation centres
– The MOPR has funded NDF rehabilitation centre for the rehabilitation of
the conflict victims
– The MOHP, appearing as a new actor, has recently allocated some
funds for the provision of physical rehabilitation services.
• Nepal, being a state party of the UN CRPD, is
developing endeavors to meet the obligations of CRPD;
including provision of rehabilitation services to persons
with disabilities.
Conclusions Questions
• Who is in-charge of the general management and
coordination of the rehabilitation sector?
• Who will the future rehabilitation service providers be?
Local NGOs or private organisations or public services?
• How will the rehabilitation services be financed? If
service providers are NGOs and private organisations.
These questions are key to determine the sustainability of
the sector.