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Physical Rehabilitation Programme PHYSICAL REHABILITATION PROGRAMME ANNUAL REPORT 2014 International Committee of the Red Cross 19, avenue de la Paix 1202 Geneva, Switzerland T +41 22 734 6001 F +41 22 733 2057 Email: [email protected] www.icrc.org © ICRC, August 2015 CONTENTS CONTENTS ................................................................................................ 3 FOREWORD ............................................................................................... 4 1 – INTRODUCTION ................................................................................... 6 APPROACH .............................................................................................................................................7 DEVELOPING NATIONAL CAPACITY ........................................................................................................8 BEYOND PHYSICAL REHABILITATION .....................................................................................................8 POLYPROPYLENE TECHNOLOGY .............................................................................................................9 SPECIALIST SUPPORT ............................................................................................................................9 2 – OVERVIEW OF ACTIVITIES IN 2014 .................................................... 10 IMPROVING ACCESS TO SERVICES ......................................................................................................10 IMPROVING THE QUALITY OF THE SERVICES PROVIDED .....................................................................14 PROMOTING THE LONG-TERM AVAILABILITY OF SERVICES ................................................................17 BEYOND PHYSICAL REHABILITATION ..................................................................................................18 COOPERATION WITH OTHER BODIES ....................................................................................................20 4 – PROJECT ACTIVITIES ........................................................................ 24 4.1 – AFRICA .......................................................................................... 25 4.2 – ASIA .............................................................................................. 46 4.3 – THE AMERICAS .............................................................................. 68 4.4 – NEAR AND MIDDLE EAST ............................................................... 78 ANNEX 1 – ICRC PUBLICATIONS .............................................................. 88 PHYSICAL REHABILITATION ................................................................................................................88 3 FOREWORD The International Committee of the Red Cross (ICRC) the organization has worked to remove barriers hinder- is an impartial, neutral and independent organization ing access to appropriate physical rehabilitation services. whose exclusively humanitarian mission is to protect the ICRC physical rehabilitation projects are planned and lives and dignity of victims of war and other violence and implemented in such a way as to strengthen the physi- to provide them with assistance. Established in 1863, the cal rehabilitation services available in the country ICRC is at the origin of the International Red Cross and concerned, the primary aims being to improve access Red Crescent Movement. It strives through its delega- to services for people with disabilities, to upgrade the tions and missions around the world to fulfil its mandate quality of those services and to ensure their long-term to protect and assist the millions of people affected by availability. Enabling a person with physical disabilities armed conflict and other violence. to gain or regain mobility is an important step toward inclusion. However, the ICRC acknowledges that physi- The UN Convention on the Rights of Persons with cal rehabilitation alone is often not enough to ensure full Disabilities, which seeks to promote, protect and ensure participation. It thus strives to provide more comprehen- full and equal enjoyment of all human rights and funda- sive assistance for disabled people by addressing their mental freedoms, requires States Parties to take effective rehabilitative needs and by helping them to reintegrate measures to ensure that people with disabilities have access socially and economically. to rehabilitation services (Article 26) and to mobility devices (Article 20). Ensuring access to physical reha- Over time, the ICRC has acquired a leadership position in bilitation, which involves providing physiotherapy and physical rehabilitation, mainly because of the scope of its mobility devices (prostheses, orthoses, walking aids and activities, the development of its in-house technology, its wheelchairs), is the core objective of the ICRC’s Physical acknowledged expertise and its long-term commitment Rehabilitation Programme (PRP). The term “rehabilita- to assisted projects. In most countries where the ICRC has tion” refers to a process aimed at removing – or reducing provided physical rehabilitation support, such services as far as possible – restrictions on the activities of people were previously either minimal or non-existent. In most with disabilities and at enabling them to become more cases, ICRC support has served as a basis for establish- independent and enjoy the highest possible quality of life ing a national rehabilitation service that cares for those in physical, psychological, social and professional terms. in need. Between 1979 and 2014 the ICRC’s Physical Different measures, such as medical care, therapy, psycho- Rehabilitation Programme provided support for more logical support and vocational training, may be needed. than 190 projects (centres) in 50 countries and one ter- Physical rehabilitation is an important part of the rehabili- ritory. Large numbers of individuals have benefited from tation process. It is not an objective in itself but an essential physical rehabilitation services, which have included the part of fully integrating people with disabilities in society. provision of 437,910 prostheses, 595,897 orthoses, 47,638 Restoring mobility, which is the backbone of ICRC physi- wheelchairs, 455,876 pairs of crutches, physiotherapy and cal rehabilitation projects, is the first step towards enjoying follow-up (repair and maintenance of devices) with the such basic rights as access to food, shelter and education, assistance of the ICRC. finding a job and earning an income and generally having the same opportunities as other members of society. In 2014 the Physical Rehabilitation Programme provided assistance in 113 projects in 28 countries and one territory; Since 1979 the ICRC’s physical rehabilitation activities more than 318,000 people (an increase of 13% on the 2013 have diversified and expanded throughout the world as figure) benefited from various services at ICRC-assisted 4 PHYSICAL REHABILITATION PROGRAMME FOREWORD centres. The services included the provision of 20,101 low-income countries that are not covered by the Physical prostheses, 74,102 orthoses, 4,495 wheelchairs and 19,118 Rehabilitation Programme, with priority being given to pairs of crutches as well as appropriate physiotherapy projects formerly implemented by the ICRC. In 2014 the treatment for 153,461 people. Children represented 28% SFD provided assistance in 45 projects in 20 countries. and women 20% of the beneficiaries. The services provided by SFD-supported centres included the production of 5,109 prostheses and 17,759 orthoses In addition to its operational Physical Rehabilitation and the distribution of 274 wheelchairs and 2,187 pairs Programme, the ICRC provides support for physical of crutches. Of the total number of prostheses supplied, rehabilitation through its Special Fund for the Disabled 1,679 (33%) were for mine survivors. (SFD). Created by the ICRC in 1983, the SFD provides support similar to that provided through the Physical This report describes the worldwide activities of the Rehabilitation Programme. It is primarily the politi- ICRC’s Physical Rehabilitation Programme in 2014. cal context and the specific needs that decide which Information on the activities of the Special Fund for the channel the ICRC uses in a given situation. The SFD’s Disabled may be obtained from its 2014 Annual Report mission is to provide support for physical rehabilitation in (www.icrc.org/fund-disabled). T. Leblanc/ICRC T. 5 1 – INTRODUCTION The UN Convention on the Rights of Persons with on the type of disability, various measures may be needed Disabilities (UNCRPD) seeks to protect, promote and to achieve this end. They range from medical care and ensure full and equal enjoyment of all human rights and physical rehabilitation to social support, vocational train- fundamental freedoms. It requires States Parties to take ing and other help in attaining economic self-reliance. effective measures to ensure that people with disabilities Physical rehabilitation is an integral part of the process have access to mobility devices (Article 20) and reha- required to ensure the full participation and inclusion in bilitation services (Article 26) and enjoy full inclusion society of people with disabilities. It includes providing and participation in the community (Articles 19 and 26). people with physical disabilities with mobility devices, such as prostheses, orthoses, walking aids and wheel- People with disabilities generally have poorer health, lower chairs, as well as with therapy that
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