| Chatara Rehabilitation Centre |
AIMS:
1.Holding the objectives to provide quality medical and rehabilitation services of that remote community. and provide a local, focal point for effective assessment
of disabilities and for referral to intensive or specialist
treatment that may be required at other rehabilitation centers
2. To provide exercise and physiotherapy to disabled persons
both at the Centre and at their homes.
3. To provide awareness of rehabilitation to parents and caregivers
4. To allow relief for parents to work during daytime hours.
5. To provide training for physiotherapy trainees and volunteers
BACKGROUND:
Chatara is in the bank the Sapta Koshi River, the largest River of Nepal, and is a foothill town in Sunsari District about 600 KM distance from capital city Kathmandu where it opens up wider touching the plains of the Terai, this location is also a border line of three districts Dhankuta, Udayapur and self Sunsari of Eastern Nepal. Barahakshetra, the famous religious temple is located 5 km towards north from Chatara, which is the site of an annual religious festival and is sacred to both Hindus and Buddhists.
Stating the present condition of Chatara, there is a two storied building known as Health Centre which provides only some general physician facilities. One of the part of the same building is damaged by the trap 10 year's conflict within the country and offers little comfort for waiting patients and the three rooms used by staff are small and crowded. There are no maternity beds for overnight care, or emergency equipment and only a small pharmacy with varying, limited quantities of drugs that are donated from the NGO or supplied by the government. A few community nurses, whose small part of salary are sponsored by community and it offers advice and referrals to larger hospitals in Dharan which is 17 KM distance and rough road structure which takes 2-3 hours to be reached. Sometimes, in summer, the road is blocked because of a small river blocking the way to Dharan. All patients who cannot walk to the health post must be carried by porter. The population consists of Bramhins, Chettri and Rai and minorities in castes and the health post serves about 25000 people including the neighboring districts
STAFF:
* We will initially employ a trained physiotherapist fulltime, a PT aide, a dentist 1-2 days a week a nurse, cleaner and handyman. .
Initial management/ accounting at VAD Nepal office, Thamel
The CENTRE:
To avoid complications and conflict by using government land and old buildings, suitable land about 17 meters by 15 meters will be donated by the local VDC ( Village Development Committee) to construct a new accessible, 9 room, single floor ,12 meter x 12 meter brick and wood building using local construction methods. Most woods and workforce will be donated through the community as much as they can and all contributors will be appreciated with the certificates from VAD NEPAL.
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REHABILITATION takes all these steps to be effective! |
1. AWARENESS programmes are carried out in village communities to explain the many causes of disability, services that are available, preventative interventions, choices and opportunities for both disabled persons and their caregivers and to remove the stigma of shame or blame for having a disabled child or relative.
2. IDENTIFICATION of disabled persons by social worker by surveys of villages and districts to record the number, types & causes of disability, home, family and education details, the level of community support, and accessibility to buildings and toileting facilities.
3.ASSESSMENT by a trained physio -therapist of each disabled person to accurately diagnose the cause of disability whether disease, muscular, neurological, joint contractures or limb flexibility in order to gauge the necessary intervention. This may include medical help, fitting an orthotic & prosthetic limb, or supplying a mobility device, corrective surgery, counseling, physio-therapy or vocational training.
4.REFERRAL to appropriate local health or rehabilitation service provider, preferably at little or no cost to patient or subsidized by government or NGO. Provide transport cost for the poor to and from hospital and help with x-rays and liaison.
5.TREATMENT by hospital, physiotherapy clinic or other suitable disability or health service provider.
6.FOLLOW-UP visits by trained staff to regularly gauge progress or problems that develop during treatment.Change approach to rehabilitation and make adaptions to equipment if needed e.g to calipers and walkers.
7.SKILLS' TRAINING is provided to disabled members to improve their income-generating ability which in turn, uplifts personal sense of self worth and dignity in their family and community.
8.FINANCIAL SUPPORT is provided to disabled members through micro-credit loans for set-up costs to buy tools and materials so that can start their small businesses. Important is seeking sponsors from the local community and overseas to cover disabled members' special school fees and rehabilitation costs .
9.ADVOCACY, ACCESS & HUMAN RIGHTS' issues of disabled members are addressed so they can gain equal choices & opportunities so as to live more productive, normal lives, without discrimination. |
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