United NationsDepartment of Economic and Social Affairs Sustainable Development

HEALTHCARE ASSITANCE FOR VULNERABLE CHILDREN WITH DISABILITIES IN REMOTE AREAS

    Description
    Intro

    The health system of the countries where we deployed our operations (Costa Rica, Bali, Romania) is characterized by the lack of sufficient health facilities and the scarce offer of healthcare qualified workers fit to meet the demands. Our practice is about providing free healthcare in the areas of Osteopathy, Physical Therapy, Optometry and Psychology (OPOP) to disadvantaged children with disabilities (CWD) with limited access to health. This assistance is delivered by a group of highly qualified professional who will also train local therapist and educate the families of CWD in the areas listed above through supervised clinical cases guaranting the local sustainability of the project.

    Description

    The aim is to contribute to the universal health coverage to reach the furthest behind first, focusing on disadvantaged CWD. We actively contribute to a change through our technical expertise and hands-on practice. Our objectives are • To improve the health and well-being of CWD through free health care assistance. • To serve knowledge and clinical experience on the latest approaches to pediatric disability with local therapists. • To empower families of CWD promoting Family-Based Therapy (FBT) by providing them with resources to help of their own children. • To raise awareness on vulnerabilities affecting CWD within the community

    Contribution to SDG Implementation

    • SDG 3 Contributing to universal health coverage. Providing access to quality essential healthcare services specific to their individual needs • SDG 4 Working for reducing disparities for CWD, indigenous and vulnerable children. Promoting a culture of global citizenship. • SDG 5 Women’s empowerment by full inclusion and participation in strategical decision-making and implementation. 85% of our staff are women. • SDG 10 Promotion of social inclusion • SDG 17 Encourage and promote effective public-private and civil society partnership through which share knowledge.

    Implementation methodologies

    Planification • Locate and contact Local Therapy Centers. • Offer and proposal of our services. • 2 weeks trial period for both parties to ensure conformity. Services delivered by our staff of seniors professional of OPOP, not by volunteers. • Sign a Memorandum of Understanding (Partnership) with local strategic and operating partners Application • Execution of the project based on 2-3 Missions per year & location (100h of activity on each one) • Services delivered by a full team (Staff & Volunteers) Services provided to the main beneficiaries 1. Clinical Assistance; Evaluation, Diagnosis & Treatment of CWD. Including: OPOP and Dentistry 2. Training adapted to Local Therapists’ level of knowledge and experience 3. FBT; Educational and informative talks for families strengthening the understanding of the conditions of the CWD, including guidance, technical counsel and recommendations. Specific exercise programs based on their child’s individual needs and adapted to the home’s facilities. Services provided for the Volunteers as beneficiaries 1. Master class from each field including OPOP and master class of an integrative approach to healthcare of CWD 2. Clinical Supervision with patients 3. Certificate of completion of the trainings Our staff monitor the development of the activity through 1. Documenting the clinical intervention: Anamnesis, Evaluation, Diagnosis, Treatment, and Evolution of the CWD 2. Satisfaction of the beneficiaries through surveys & interviews Financial resourses Private funding by volunteers' donations to cover the cost of the Mission (accommodation, meals, logistics, etc) No other source of financial support was obtained so far Human resources Volunteers (different professions) Drivers Translators Project Managers Administrative staff

    Results

    Since 2017 3 Projects: Bali, Costa Rica, Romania 19 Missions 114 Volunteers from 13 countries 5 Different Healthcare Professions 806 CWD treated with 80% of improvement 4.573 Treatments 40 Local Therapists Trained 7.450€ Donated to CWD 13 Therapy Centers 17 Academic Institutions All of the above directly contributing to SDG3-4-5-10-17 Contribution SDG 3 providing health for vulnerable CWD SDG 4 improving academic performance & physical skills increasing social inclusion SDG 5 achieving equality empowering women SDG 10 promoting social inclusion SDG 17 through partnership and international cooperation Positive Favorable reception from volunteers worldwide Well received by local therapeutic centers, communities and authorities Great reception by academic institutions Breaking new ground via FBT with fully grateful families Negative Lack of a permanent presence mitigated by promoting sustainability via FBT Sociocultural conflicts mitigated by including local representatives

    Factors and Constraints

    Enabling - Willingness and commitment from volunteers - Partnerships with Public, Private & Civil-society Institutions - Large support and warm welcoming from local communities - Collaborations with local religious representative supporting our work within the community Innovation - Implementing Community-Based Rehabilitation concepts contributing to the sustainability of the project - *Stop fathering the communities by promoting own decision-making and boosting their capacities Constraints Sociocultural diversity* - *Disability believed to be related to Divine acts leading to shame and guilt - Lack of financial resources to recruit more volunteers

    Sustainability and replicability

    Our model is proven to be replicable in other countries and we have done it already twice expanding now to a total of 3 countries (19 missions, 114 volunteers, 806 CWD treated, 4.573 treatments, 40 therapist trained) The model has been replicated in Romania and Costa Rica The project sustainability is guaranteed by knowledge transferring & skill development trough training local therapist and educating families Volunteers obtain a certificate of completion to claim time spent as internship / continuous professional development guaranting continuos human resources needed for the project Plans Apply to multilateral grants Contact more Universities and Professional Registers Contact more Therapy Centers and Associations of Parents Include surgery, speech therapy and nutrition to tap into technical synergies Expand to other countries in Africa Advocacy of adapted sports as a way of inclusion and health promotion Diversify training methodologies (create e-learning training outputs)

    COVID-19 Impact

    Covid-19 has greatly impacted the implementation of the project, making it difficult to travel to some locations. A main measure has been fundraising campaigns to buy food and basic needs supplies for those families with CWD. Unemployment has raised up to 80% in most of these communities linked to the assistance projects, this has also affected the Therapy Centers not having income to pay their staff. Monthly donations have been made to pay their salaries Adapted on-line training and case discussion FBT has been a strong element of promotion of CWD health, especially during lockdown and also due to fact of the permanent closure of some of the therapy Centers where they used to go to

    Contact Name
    Jorge
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    Organization/entity
    Hands with Heart
    SDGs
    Geographical coverage

    Bali (Indonesia), Costa Rica, Romania

    Timeline
    01 September 2017 (start date)
    01 March 2031 (date of completion)
    More information
    Countries
    Indonesia
    Indonesia
    Partnership
    N/A
    Contact Information

    Jorge, HEALTHCARE ASSITANCE FOR VULNERABLE CHILDREN WITH DISABILITIES IN REMOTE AREAS