Disability prevalence in Nepal is closely linked to poverty. Also malnutrition, lack of cleanliness and hygiene, and inadequate quality health services have caused and aggravated disability. Natural catastrophes aggravate the issues further. Infrastructures of Health posts in rural areas, often under staffed and under resourced, have now been completely destroyed in several districts.
Although disability in Nepal is a major issue, yet it has not been in high priority for service providers or duty- bearers. There is not adequate service provision to ensure that persons with disability, particularly children, have normal development as others and take advantage of the facilities and opportunities offered by the State. Referring to national prevalence, if country neglects disability population, over 2 million people would be left behind.
There is no clear data on disability in Nepal. The most reliable prevalence presented by the Central Bureau of Statistics and National Living Standard Survey of the Government of Nepal is 1.94% and 3.6% of the population respectively. Among different categories, physical disability occupies the highest percentage of 29.2%. It is not difficult to speculate that the percentage might have increased due to natural catastrophic incidents.
Children with physical disabilities are living with poor quality of life in Nepal. We would like to make a positive difference to their plight through comprehensive treatment and rehabilitation services by reaching more children with disability and enabling them to enjoy their rights of mobility with increased access to the available services. When there are inadequate resources even to feed themselves, they don't seek costly rehabilitation services for their children with disabilities.
Children with physical disabilities and their families will directly benefit from the project activities.
Rehabilitated Children with physical disabilities will enjoy an increased quality of life.
As always, we emphasize several different components of the HRDC effort and the varied short and long-term benefits that result thereof. We have the following foci and conduct the activities briefly presented subsequently:
1.Screening through mobile camps, treatment through our satellite centers and treatments provided on an ambulatory basis have benefitted hundreds of thousands of children from the length and breadth of the country.
Health and Rehabilitation Mobile Camps: Two rounds of mobile camps (6 clinics) at different districts i.e., Taplegunj, Panchthar and Kavre will be organized for identification, drawing-up rehabilitation plans, providing on-the-spot service, measuring needed assistive devices, etc. The camp will screen 300 children with physical disabilities and a comprehensive rehabilitation plan will be prepared for each individual patient.
2.We provide comprehensive care, which includes surgical interventions; follow-up care to sustain the results of interventions.
Approximately 30 children with a physical disability will undergo corrective surgery
3.Customized low-cost assistive devices will be fabricated and distributed to needy clients for their functional mobility. In addition to providing the devices, we make every effort on how they best utilize them so that the purpose is fully met.
30 children with physical disabilities (CWDs) get 45 assistive devices for correcting deformity, providing better functional mobility and/or sustaining the rehab again as much as possible.
4.Trainings of different categories of medical and para-medical personnel are also coupled with the activities of HRDC to meet the needs of professionals in this arena. Additionally, we empower clientele to sustain the rehabilitation gain.
In addition to training to professionals in an approach for them to practically learn by way of services delivery, physiotherapy services will be given to 300 children to assist them reach rehabilitation plan jointly set with families / guardians. For those who are hospitalized, we continuously involve them, where relevant, in the simple physical exercises, simple would clinic, etc. so that the same could be continued in their home environment.
The timeline of the project is of one year after payment .