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IOA AROUND THE WORLD. IOA REGIONS. ASIA 15 countries EUROPE 42 countries NORTH AMERICA & CARIBBEAN 8 countries SOUTH AMERICA 9 countries SOUTH PACIFIC 2 countries. Points To Note.
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IOA REGIONS • ASIA 15 countries • EUROPE 42 countries • NORTH AMERICA & CARIBBEAN 8 countries • SOUTH AMERICA 9 countries • SOUTH PACIFIC 2 countries
Points To Note The Asian region is easily the largest in the IOA in terms of population and therefore of potential numbers of Ostomates. Ostomy Services and Stoma Care Nursing is by and large, sadly lacking, inadequate or totally non existent.
. Traditional Nomadic tents called GER
Traditional Ger • The traditional life style is one Ger- one Family basis. In another words the GER has only one round shaped common room in which everything together like kitchen, beds, dining and living area. An average family has 4-6 people (couple and 2-4 children). • There is no running water, shower, utility and rest room in GER. A common toilet is outside in a fence some 15-25 m away from the GER.
A common toilet is outside in a fence some 15-25 m away from the GER.
TWINNING Following the founding of the association in Mongolia, Japan stepped in to help. A delegation from the Japanese Association visited Japan and as a result a twinning arrangement has been agreed upon.
Responsible Factors • Training of Doctors & Nurses • Healthcare Authorities • Ostomy Products • Management of Stoma • Ostomy Associations • Government Agencies • Patients & Society
Ostomates Requirements • Information about his / her diseases • Physical Requirements and Support • Post Stoma Rehabilitation • Back to Pre stoma life
Health Care Authorities • Hospitals – Stoma Care Not Priority • Hospitals – Not Sponsoring Nurses For Training • Stoma Care Clinics – do not Exist
Training of Nurses • Insufficient Training Centers • Insufficient Trained Nurses • Insufficient Information During General Nursing Training • Trained Nurses – Not Practicing Stoma Care
WCET Training Schools • Indonesia – 1 School • Japan – 2 Schools • Korea – 2 Schools • Malaysia – 1 School • Mexico – 1 School • New Zealand – 1 School • Norway – 1 School • Slovenia – 1 School • Spain – 2 Schools • Sweden – 1 School • Thailand – 1 School • United Kingdom – 4 Schools • USA – 6 Schools • Austria – 1 School • Australlia – 4 Schools • Belgium – 1 School • Brazil – 3 Schools • Canada – 1 School • China – 4 Schools • Finland – 2 Schools • France – 4 Schools • Germany – 2 Schools • Hong Kong – 2 Schools • Hungary – 1 School • Italy – 1 School • India – 1 School
CHINA There are about 100 thousand persons who receive ostomy surgery every year. Groups in China • the GuangXi Stoma Association, • the Guangzhou Stoma Association, • the Beijing Stoma Association, • the Hangzhou Stoma Association • the Shanghai Stoma Association.
DIFFICULTIES • Ostomates are scattered around a vast area • No regular funding • No public funding for ostomy equipment • No outside agency support; only support is from the Hong Kong Stoma association. • Coloplast • ConvaTec
Training of Nurses China has more than 100 ,000 ostomy surgeries per year • In 1994, 2 ETs, Trained in Australia • In 2000, 5 ETs, Trained In Hong Kong • In 2007, 120 ETs, Trained in China at ET School in Guangzhou
JAPAN • In 1977 Invalidity Pension was provided to ostomates until the age of 65 years. • In 1979 ostomates were recognized as Handicapped persons. • Appliances are readily available across Japan, they are very expensive. • Being recognized as handicapped, ostomates can get reimbursement from the government .
JAPAN • This reimbursement is subject to how much the FAMILY income is. It is not based on how much the individual ostomate earns but the total income of the household. • The reimbursement that is allowed for low income households is colostomate /ileostomate 8,000 yen per month B537; urostomate 13,000 yen per month B 686
Stoma Care in Italy • 50,000 Ostomates in Italy • 500 fully trained ET Nurses • 2000 trained nurses in stoma care across all provinces of Italy
ForKnowledge – Will Travel From Boliviato Argentina 6:30 am - all one day and all one night, and all another day - Teresa and Vittorio, two ostomates travel to get information at the ALADO MEETING
Asociación Boliviana de Ostomizados ABO Década de los años 70 PROBLEMAS Falta absoluta 100% de material para estomas improvisación Arq. Teresa Antequera Peña Vice-presidenta de ABO
Asociación Boliviana de Ostomizados ABO Década de los años 70 PROBLEMAS Y CONSECUENCIA 1.- Bajo conocimientos de los médicos en el implante y el manejo de estomas. Necrosis de transversostomía Prolapso de transversostomía Y mala ubicación del estoma Arq. Teresa Antequera Peña Vice-presidenta de ABO
Ostomy Products • Knowledge About Products Among Doctors & Nurses • Availability of Products • Quality of Products • Economics of Products
Ostomy Products Knowledge About Products Among Doctors & Nurses
