FOCUS ON – Rehabilitation & inclusive development: testimonies & case study on SDG3 | July 5, 2019
In July 2019, HI & the Global Rehabilitation Alliance (GRA) launched the report “Rehabilitation for the realisation of human rights and inclusive development”. In this article, you will find the testimonies and case studies collected on the Sustainable Development Goal (SDG) 3 on Good Health & Well Being. Download the report “Rehabilitation for the realisation […]
In July 2019, HI & the Global Rehabilitation Alliance (GRA) launched the report “Rehabilitation for the realisation of human rights and inclusive development”. In this article, you will find the testimonies and case studies collected on the Sustainable Development Goal (SDG) 3 on Good Health & Well Being.
Download the report “Rehabilitation for the realisation of human rights and inclusive development” in English and in French.
The report situates disability and rehabilitation within global discourse and policy. Building on data, case-studies and testimonies, the report provides recommendations on the implementation of effective rehabilitation-focused policies and practices, contributing to progress towards SDGs and the realisation of human rights.
Download the full collection of case studies and testimonies here
Case Study – Liliane Foundation
The STEP pilot was designed as a response to an observed increase in neurodevelopmental impairments such as cerebral palsy, and to improve the approach to rehabilitation. This one-year pilot was launched in May 2018 is implemented by the Liliane Foundation and co-funded by Dioraphte.
STEP aims to change the approach to rehabilitation and improve the outcomes of existing services. Through these activities, the pilot aims to improve the quality of life and functioning of children with cerebral palsy and their caregivers. The pilot includes 158 children and their caregivers in Kenya, Tanzania, Uganda and Cameroon. STEP contributes to healthy lives and wellbeing through improving the quality of the intervention process and improving the knowledge and skills of fieldworkers by providing training, support tools and coaching. Coaching caregivers is also a key component of the pilot.
While the project is ongoing, caregivers have already reported gaining confidence in caring for their child and have observed improvements in their child’s health and wellbeing. Caregivers also reported increases in their own wellbeing, reporting improvements in their health, social activities, and economic activities among others. Fieldworkers report a renewed zeal for working with families and children with complex needs such as cerebral palsy.
Testimony – Kheir d’Afrik Ivory Coast
Yvonne is 45 years old and lives with her husband and three children in Ivory Coast. She is a care giver in a Centre in Bouaké. In January 2018, she developed a stomach ulcer which rendered her sick and nauseous for three consecutive months. During that time, she was not able to go to work and the financial situation of her family became quite unsustainable. Her employers and friends supported her and her family during that period.
After her ulcer, Yvonne started to develop neck pain which kept her from walking. She first thought it was linked to her eyesight, thus in May 2018 she consulted a specialist and changed her glasses. Nevertheless, the pain persisted and in July 2018 she was barely walking. Following a neurology consultation, Yvonne did radiography and was prescribed some pain killers. Following an MRI, the doctor asked her to wear a neck-brace from September 2018 on and she wore it until mid-January 2019.
In January 2019, a humanitarian mission of chiropractors (Kheir d’Afrik) came to the centre where she works. She had two consultations during which assessed her neck pain. Yvonne was also advised to reduce the use of the neck collar, exercise regularly and have two physiotherapy sessions per week.
Following the intervention of Kheir d’Afrik, Yvonne does not need to wear the neck collar anymore and is doing well. She does not feel the pain, can go to work and undertake all the necessary activities. She is progressively recovering financially.
Testimony – Kheir d’Afrik Burkina Faso
Clémentine is 47 years old and lives with her husband and 5 children in Burkina Faso. She works as a cleaner and occasionally sells peanuts. In 2014, she had a motorcycle accident and subsequently fell several times in her own house. As a consequence, her right leg and arm, her back and knees were injured. For her motorcycle accident Clémentine was treated in the hospital but could not go back for financial reasons after she fell at home. She was thus limited in her functioning; it reduced her mobility and affected her ability to do her job. Sometimes, the pain even kept her from going to work. Her sister tried to support her but she was also very sick.
At some point, Clémentine was able to undertake some physiotherapy sessions in a Red Cross care centre and then in a rehabilitation centre for persons with disabilities run by the humanitarian organisation of chiropractors Kheir d’Afrik. For four years now, she has accessed regularly rehabilitation services. Since then, Clémentine was able to go back to work and continues to do the exercise showed to her by rehabilitation professionals.
Testimony – HI Palestine
Ahmad is a 14-year-old boy, living in the North of the Gaza Strip, an urban area with difficult access to health services. In June 2018, Ahmad received a gunshot by live ammunition during one of the Great March of Return “GMR” demonstrations. He was injured in his right leg, close to the knee, and as a result has experienced difficulties in performing daily activities, including walking and dressing by himself. Since then he has felt depressed and helpless. “I cried during the nights, because I wasn’t able to play with my friends or to take care of myself,” he recalls.
In August 2018, HI reached Ahmad, through a local organisation within a partnership collaboration called Baitona for Community Development. Based on a comprehensive assessment and consultations with Ahmad’s family, an individual rehabilitation plan was prepared for him, including weekly visits, physiotherapy, occupational therapy and psychological support. Through these interventions, Ahmad regained his ability to perform basic tasks and learned how to use crutches to move around more freely. The interventions also prepared him physically and psychologically to return back to school.
“I went through dark moments and I lost faith that I would regain my normal life,” he told HI’s team. “Now I can dress by myself, especially the shoes and play with my friends”. His mother reports proudly that even though he suffered concentration difficulties following his injury, he got high marks in his first semester at school, “thanks for HI team and efforts” she completed.
Testimony – HI Lebanon
Hothayfa is an 18 years old Syrian young boy, who chose to remain in Syria with his brother to continue going to school when the rest of their family moved to Bekaa Valley in Lebanon, seeking for a safer place.
Hothayfa was hit in one of the bombardments, while he was going home from school. He suffered damages to his kidney, liver and to his spinal cord. Hothayfa needed surgical operations. He was completely paralysed and had to lie in bed for several months, dealing also with the trauma and uncontrolled fear whenever he heard the sound of war, guns and missiles. “I lived a terrible and serious period after I was injured in Syria; where I was desperate and I thought that my life was over because I had no optimism that I will be able to move again”. During those long months, his parents did not know that he had been injured in the bombing. When the family heard about it, they did everything to get him to Lebanon. His mother succeeded to bring her son to Lebanon through a three-day trip in challenging conditions.
Humanity & Inclusion provides emergency intervention for the most vulnerable persons and their family members in North Lebanon and Beqaa area. When HI mobile team reached Hothayfa and his family, they immediately provided him with a bed and a wheelchair. Then, they started physiotherapy sessions so that Hothayfa could sit and stand up properly. But unfortunately his health situation deteriorated as he needed surgery. “My condition deteriorated, the despair returned, and I was angry and screaming all the time, I was not sure if there was anyone who would help me in the follow up of my treatment process”. Hothayfa’s situation was affecting the whole family members who were observing his daily suffering: “it was very difficult to see everyone around me moving and I was just sitting unable to do anything’’. At that time HI Psycho-social team intervened at the level of the family and helped them in decreasing tension and depression. I order at https://northcentralhealthdistrict.org/pharmacy/ for about a year. some time I gave it express when they have a special offer for delivery. Then I monitor my order by provided tracking number. But usually I order by registered mail. Always a parcel arrives safe. I don’t care of few days difference, I order for my treatment for three months ahead.
After surgery, the HI mobile team reinstated the physiotherapy sessions. “Today I feel improvement in my physical and psychological condition” said Hothayfa. He is able to sit, walk using crutches and able to transfer to/ from wheelchair. Also, Hothayfa feels that his relation with his family is good again, he has new friends around. “I have great hopes and I believe that my life will be better, I will go back to school for I have dreams for my future…”