F-2-09-06
48: QUALITY ASSURANCE MANAGEMENT
NGANWA A. BAINGANA, Ministry of Health, Entebbe, Uganda.
ABSTRACT
Rehabilitation is developing countries despite the GBR approach is still highly dependent on charity and the wishes of external donors and internally by religious organizations. This has led to vertical, isolated single disability programs.
Purpose: The Rehabilitation Section started a project to ensure quality, integration and accessibility of rehabilitation services, based on the Quality Assurance cycle. Standards, guidelines and policies were developed for intervention in 8 areas of disability.
Results: The first third of the Quality Assurance cycle is complete with standards developed focusing on service provision, staffing, management support and health information system. The underlying theme at all levels is inter-sectoral collaboration and participation of consumers. At lower levels, (Health Centre and below) the standards recommend integrated services implemented by PHC worker. At district level rehabilitation allied professionals have been introduced while specialist doctors are at regional referral hospitals. The next challenge is the training of personnel in the use of the standards, guidelines and provision of the required equipment at various levels.
In conclusion, Uganda is attempting to develop medical rehabilitation services based on the Quality Assurance cycle.
F-2-09-07
THE CEBU DOCTORS' COLLEGE MODIFIED COMMUNITY BASED REHABILITATION PROGRAM (CBR)
Jeanne O. Fiordelis (Cebu Doctors' Colleges Inc. Cebu, Phil.)
The CBRP is more effective with closer supervision and repeated in-service training. To achieve the long term results and financial feasibility of a rehab program in a community setting, the Cebu Doctors' College of Physical Therapy modified its outreach physical therapy (PT) clinics to operate also as a CBR training module. The clinics were set up in barrio health centers or homes and manned by a PT; PT interns; and community health volunteers. The approach to disability management is clinical and designed to train the client or care-giver for an eventual home program. The WHO CBR model was used as a training tool for the education health workers, patients, care-givers. The tools and devices used also were constructed from indigenous materials.
Since 1984, ten extension services have been operational. Of these five are modified CBR. Support was from government and non-government agencies as well as the community.
