Presentation at the 2nd International Symposium: ICF Education. 30 June 2017 (Cape Town). http://www.icfeducation.org

1. 2nd International Symposium: ICF
Education
Cape Town, South Africa, 30 June 2017
Matilde Leonardi, FDRG co-chair

2. South Africa gave SINGING to ICF
WHO2017_Prof. Matilde LEONARDI

3. 2005
ICF CY field trial
The story starts from Louise

4. b 340 Alternative vocalization functions
Functions of the production of other manners of
vocalization.
Inclusions: functions of the production of notes and range of sounds, such as
in singing, chanting, babbling and humming; crying aloud and screaming
Exclusions: mental functions of language (b167); voice functions (b310);
articulation functions (b320); fluency and rhythm of speech functions (b330)
b 3400 Production of notes Functions of production of
musical vocal sounds.
Inclusions: sustaining, modulating and terminating production of single or
connected vocalizations with variation in pitch such as in singing,
humming and chanting
WHO2017_Prof. Matilde LEONARDI

5. HAPPY Birthday ICF!
May 2001- May 2017

6. Where and which ICF today?
• New Health Scenarios
• New international scenarios that use
ICF: WHO World report, UNCRP,WHO
Disability Action Plan, SDGs, Healthy
Ageing, Rehabilitation 2030
• Future of ICF: a global tool for
supporting HIS and reaching of
Universal Health Coverage

7. BIOMEDICINE:100 years of progresses
Disease = broken car

8. New global health scenarios (ageing, NCds..)
Biomedicine alone is not enough anymore

9. Prof. M. Leonardi- 28 Novembre
2013
WHERE is the diseases is almost
impossible to say;
WHAT to cut or add is very difficult to
define

10. People are NOT the disease
that they Have
Everybody can have a health
condition that in interaction with an
hindering environment becomes
Disability

11. Prof. M. Leonardi-
IL MODELLO BIO-PSICO-SOCIALE
NELL’ICF dell’OMS
Condizione di salute
(malattia/disturbo)
Fattori
ambientali
Fattori
personali
Funzioni &
Strutture corporee
(menomazione)
Attività
(limitazione)
Partecipazione
(restrizione)

12. WHO2014_Prof. Matilde LEONARDI
WHO2014_Prof. Matilde
LEONARDI
UN/WHO and Persons with Disabilities: more than
60 years of public health actions
Universal Declaration of Human Rights 1948
UN Declaration of the Rights of Disabled People 1975
UN Standard Rules on equalization of opportunities for Pwd 1993
Global Burden of Disease 1990 and 2010
International Classification of Functioning, Disability and Health-
ICF and ICF-CY 2001 and 2007
Disability as a bio-psycho-social issue
WHO World Health Survey 2002-2004
Survey of health conditions and disability in 70 countries around the world
United Nations Convention on the
Rights for Persons with Disabilities CRPD 2006
World Report on Disability 2011
A comprehensive look at disability around the world.
WHO Global Disability Action Plan 2014-2021 2014
A new instrument to support Member States

13. WHO2014_Prof. Matilde
LEONARDI
UNCRPD
International treaty to reinforced
the understanding of disability
as a human rights and
development priority.
It should become the frame
for policy development. For all
policies for all stakeholders.
2006

14. • 67th World Health Assembly
adopted a resolution endorsing in
May 2014 the WHO global disability
action plan 2014–2021: Better
health for all people with
disability.
• The Action Plan provides a major
boost to WHO and governments’
efforts to enhance the quality of life
of the one billion people with
disabilities around the world.

15. WHO recognizes Disability as a global public
health issue, a human rights issue and a
development priority
Disability is a global public health issue
because people with disability face widespread barriers in accessing health
and related services,such as rehabilitation,
and have worse health outcomes than people without disability.
Disability is a human rights issue
because adults, adolescents and children with disability
experience stigmatization, discrimination and inequalities;
they are subject to multiple violations of their rights including their dignity.
Disability is a development priority
because of its higher prevalence in lower-income countries and
because disability and poverty reinforce and perpetuate one another.

16. The Action Plan has three objectives:
WHO2014_Prof. Matilde LEONARDI
WHO2014_Prof. Matilde
LEONARDI
(1) to remove barriers and improve access
to health services and programmes;
(2) to strengthen and extend rehabilitation, habilitation,
assistive technology, assistance and support services,
and community-based rehabilitation; and
(3) to strengthen collection of relevant and
internationally comparable data on disability
and support research on disability and
related services.

17. Matilde LEONARDI

18. Health state (from SAGE 2013)
20406080
50 100 50 100
male female
China Ghana India
Mexico Russia South Africa
age
SAGE

19. _Prof. Matilde LEONARDI

22. _Prof. Matilde LEONARDI

23. _Prof. Matilde LEONARDI
The aim of the initiative is to increase the awareness
of the need to provide a strengthened rehabilitation
services which is equitable around the world. This is
to meet the future healthcare demands as a result of
the rise of NCD’s and an aging population.

25. Setting GOALS in rehabilitation with
ICF
Rehabilitation is often described as a process that starts
when the diagnosis is made and continues as long as the
person needs interventions.
This process comprises four steps:
1. assessment,
2. goal setting,
3. interventions and
4. outcome measurement.
In each step, the WHO International Classification of
Functioning, Disability and Health (ICF) can be used and
the results can be summarized in a rehabilitation plan.

26. An ICF based rehabilitation plan that
comprises a common language,
understood by team members, patients
and their family, is a valuable tool in the
rehabilitation of persons with injuries and
diseases to the nervous system.
The use of the ICF enables the development
of a common framework for
neurorehabilitation methodology,
regardless of diagnosis or disability.
Lexell J.

27. Prof. M. Leonardi-
The Biopsicosocial model allows a description of the
global picture: an holistic approach to the person

28. Prof. M. Leonardi-

29. • The United Nations Sustainable
Development Goals n3 says that all UN
Member States have agreed to try to
achieve Universal Health Coverage by
2030. This includes financial risk protection,
access to quality essential health-care
services and access to safe, effective,
quality and affordable essential medicines
and vaccines for all.
Prof. M. Leonardi-

30. ICF
Future challenge:
How ICF can assist
countries and WHO
in measuring progresses
towards UHC

31. Prof. M. Leonardi- 28 Novembre
2013
Ethical issue of ICF
Africa has been teaching me the key question that ICF
brings with it

32. Prof. M. Leonardi-
The ICF QUESTION: Now that you know my barriers
WHAT ARE YOU GOING TO DO FOR ME?

33. ICF 2017
Sud Africa 28th June 2017

34. Prof. M. Leonardi- 28 Novembre
2013
30thJune 2017
Capetown
ICF symposium
Dr.ssa Matilde Leonardi, FDRG Co-chair
matilde.leonardi@istituto-besta.it
neurologo, pediatra
Responsabile
SSD Neurologia, Salute Pubblica, Disabilità
Direttore Scientifico Centro Ricerche sul Coma
Direttore WHO Collaborating Centre Research Branch