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Leroy blauwet barriers and opportunities to the  implementation of a comprehensive  rehab strategy in post-eq haiti_crdr.disaster.symp.isprm11
 

Leroy blauwet barriers and opportunities to the implementation of a comprehensive rehab strategy in post-eq haiti_crdr.disaster.symp.isprm11

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  • Observations carried out through direct observation of current practitioners, interview of people with disabilities, interviews with health care providers, and exploration of DPOs
  • Infrastructure: Survey of HC workers revealed great discomfort in caring for PWD, lack of basic knowledge on tenets of rehab for MDs, RNs, PT/OT, limited health care providors Dispartities: Inaccessible clinics and lack of transport, stimatizaiton by health care workers, lack of education for PWD on prevention of secondary disability and undersanding own diagnosis, lack of value of preventative health
  • Education must involve hospital staff, community workers and rehabilitation technicians, people with disabilities themselves, and advocates from within the disability movement

Leroy blauwet barriers and opportunities to the  implementation of a comprehensive  rehab strategy in post-eq haiti_crdr.disaster.symp.isprm11 Leroy blauwet barriers and opportunities to the implementation of a comprehensive rehab strategy in post-eq haiti_crdr.disaster.symp.isprm11 Presentation Transcript

  • Barriers and Opportunities to the Implementation of a Comprehensive Rehabilitation Strategy in Post-Earthquake Haiti Andree LeRoy, MD Cheri Blauwet, MD Department of PM&R Spaulding Rehabilitation Network/Harvard Medical School
  • Introduction
    • Disability prevalence observation
    • Notable themes
    • Implementing models
    • Disaster relief to development
  • Distribution of Diagnoses l’Hopital Bon Saveur Cange Haiti
  • Notable Themes
    • Limited rehabilitation infrastructure
    • Disparities for people with disabilities
      • Positive influences of peer mentoring and international pressure of disability rights organizations
  • Rehabilitation Models
    • Urgent need for comprehensive models
    • Priorities:
      • Link between community-based and institution-based rehabilitation
      • Further education on fundamentals of PM&R
      • PWD must be involved at all times
      • Implementation in partnership with Ministry of Health for sustainability
  • Sant pou Ekselans nan Reyabilitasyon ak Edikasyon
  • Acknowledgements
    • Department of Physical Medicine and Rehabilitation, Spaulding Rehabilitation Network/Harvard Medical School
    • Partners in Health
      • Koji Nakashima MD, Megan Brock DPT
      • Emmie Kumbikano Rehab Tech
    • Our colleagues, friends, and family
    • - and most importantly -
    • The people of Haiti
  • References
    • Iezzoni LI, Ronan, LJ. Disability Legacy of the Haitian Earthquake. Annals of Internal Medicine 2010; 152:812-814.
    • O’Connell C, Shivji A, Calvot T. Handicap International Report: Preliminary
    • Findings About Persons With Injuries. Handicap International, January 29, 2010. http://www.reliefweb.int/rw/rwb.nsf/db900SID/
    •  
    • Raissi, GR. Earthquakes and Rehabilitation Needs: Experiences From Bam, Iran. J Spinal Cord Med. 2007;30:369–372.
    •  
    • Haig AJ, Im J, Adewole A, Nelson V, Krabak B. The practice of Physical Medicine and Rehabilitation in Sub Saharan Africa: white paper or black mark? PM R 2009 Nov; 1(11); 1048.  
    • United Nations Convention on the Rights of Persons with Disabilities and Optional Protocol. Accessed at http://www.un.org/disabilities/ on Mar 24 2011.
    • World Report on Disability. World Health Organization. Accessed http://www.who.int/disabilities/world_report/2011/en/index.html on Jun 10 2011.