Indonesia , Aceh PROJECT Quality Global Rehabilitation in Developing context

1. Indonesia , Aceh PROJECT Quality Global Rehabilitationin Developing context Introduction: Rehabilitation in Aceh Province, Indonesia Country map or photo or drawing (optional) Aceh province is a part of Indonesia country with total population more- less 4 million people and lives in 23 districts. The physical rehabilitation have been introduced to Aceh by Handicap International federation (HIF) since 2005, after tsunami disaster. The HI Federation Physically Rehabilitation project is currently working in 8 districts in Aceh Province to strengthen the rehabilitation services provided in Aceh Province, Indonesia, pursuing the following specific objectives: “To facilitate access to rehabilitation care for PwDs, reducing environmental barriers, and to improve provision of rehabilitation care for PwDs”. The means of identification, referral and management of impairments and disabilities (temporary and permanent) of people with disabilities are strengthened in 8 districts in Aceh province. This activity is supported by MAE Luxembourg. Introduction Dis • All province in Indonesia have been done on decentralization system. The means of management in health sectors such as the national policy should be follows by provincial and districts but the regulation and budgeting process are independent. • HIF have approaches to the Management of Referral system in Indonesia , from primary health community centers (PHCC) to District Hospital (DH) and to Provincial Hospital (PH) • Systemic Approach , approaches to the regulation body, the services and the PWDs Methods • The project have been implemented through Training skill to professional rehabilitation services in community level, districts ,provincial hospital • ,(Physiotherapist , Physicians, Midwifes ) . Training of trainers (TOT) on cerebral palsy, stroke and arthritis by Master trainers and coaching . • Training in field to Physiotherapist at PHCC level. Provision of accessibility devices such as corner chair, standing frame, assistive devices for daily • living to PHCC physiotherapist on handling person with Cerebral Palsy. • Together with partners HIF have been done on public awareness , produce leaflet, poster and flyers addressing rehabilitation services in PHCC • By use Aceh insurance. • To Empowerment PWDs HIF built partnership with local NGOs( non DPOs) and support information, Awareness raising on inclusive general health • and rehabilitations care for PWDs How HIF physical rehabilitation project support government of Indonesia Results & Analysis Analysis of results. Lihat words . • Direct beneficiaries have rehabilitation services in PHCC by age January – December 2011 Photo or drawing (optional) The knowledge on management of the physical rehabilitations services in Indonesia are not popular issue and not familiar as 10 diseases priority need to be care in health system in Indonesia. The regulation body didn’t understand why the rehabilitation services in community level should be important. The government have no baseline data on numbers of PWDs need inclusive health in Indonesia , that will impact to numbers of physiotherapist should be available in PHCC level. HIF should proactive to give more training on how to increasing management rehabilitations services significant with to do an advocacy to the stakeholder on how important is the rehabilitation services.In December 2011 until April 2012 HIF have been conduct a survey on to assess the satisfaction of Physical Rehabilitation clients in 8 districts Banda Aceh, Aceh Besar, Aceh Tengah and BenerMeriah, Bireuen, Pidie Jaya, Lhoksemawe and Aceh Utara.  This survey is the third of a series aiming to improve the understanding of the situation of persons with disabilities in Aceh province, and the impact of the project on this group: HIF used this survey before starting the next project as baseline data. Conclusion Conclusion Partner’s logo