pppt for health staff training
TRANSCRIPT
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Best wishes to all of you
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Project:Project: Empowering poor & Empowering poor & marginalized people marginalized people
affected by affected by disability disability
to improve their economic statusto improve their economic status
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Schedule for Orientation on Disability
TimeSubject Facilitator Comments
10 – 10:15 am
Welcome Speech & Objectives of orientation UH&FPO
10:15 am – 11:00 am
PretestDisability (Definition, Key facts, Causes of disability, Type of disability, local burden if known, challenges faced by people with disability, services offered by Lepra Bangladesh)
UH&FPO/MODC/ disability experts
Collect data from UH&FPO, CS office or Social Welfare department
11:00 am – 11:45 am
Leprosy (Definition, Cardinal sign, diagnosis, treatment, complications and management)
MODC/TLCS/PO/HSWS
Patient demonstration
11:45 am – 12:30 pm
Physiotherapy services offered by Lepra Bangladesh HSWS/PT Demonstration of Physiotherapy materials
12:30 pm – 1:00 pm
Community Development/Rehabilitation/ Self-Help Group formation, rights of people with disability
HSWS/RO Show recent laws, policy on disability (collect hard copy)
1:00 pm - 1:30 pm
Responsibilities of health personnel Post Test & Closing remarks
UH&FPO
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Participants:Participants:
Government Health Personnel
Time: 3 hours
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Methodology
• Interactive discussion
• Use PB & MB blister pack
• Use other materials such as cotton or feather to test sensory function.
• Question and answers session• Display Assistive Devices• Materials/Atlas• Use Bangla Training Manual (English version is also
available)• Multi-media (depends on availability)
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After Orientation: • Government health personnel will be
able to refer person with disability for special services (such as physiotherapy) available in their local community.
• Government health personnel will be able to refer more leprosy suspects in early stage to Upazila Health Complex or district hospital.
• Government health personnel will take initiatives specially on disability due to leprosy.
• Government health staff will be able to support people with disability for their rights and economic development.
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Definition of disability?• The International Classification of
Functioning, Disability and Health (ICF) defines disability as an umbrella term for impairments, activity limitations and participation restrictions (WHO, 2014).
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Key facts• About 15% of world population has some
forms of disability• Between 11 – 19 crore adults have significant
difficulties in functioning in the world• According to world Bank, people with disability
are about 15 – 20 % of the poor in developing countries.
• Rates of disability are increasing due to population ageing and increase chronic health condition such as osteoarthritis, stroke, mental illness etc.
• People with disability have less access to health care service and therefore experience unmet health care needs.
•
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Causes of disability• Genetic (Biochemical disorder,
chromosomal abnormalities) • Pre- natal (Severe anemia, Rh factor,
Rubella infection during pregnancy etc.)• Peri – natal (Birth Injuries, Asphyxia,
Pre-maturity)• Post – Natal (Malnutrition, Accidental
physical trauma to the brain, disease & infection)
• Environmental
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Type of disability
• Loco motor disability (Physical disability due to polio, amputation of limb, club foot, cleft lip or cleft palate etc.).
• Vision impairment and or blindness
• Hearing and speech Impairment• Intellectual disability• Mixed/Multiple
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Challenges faced by people with disability
• Ignored by society, isolation, segregation, poverty
• Limited accessibility (in Bus, building, other public places)
• Deprived of education and employment
• Stigma• Lack of rights
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Services offered by Lepra Bangladesh
• Supply protective footwear for disability prevention
• Comprehensive disability and physiotherapy services through referral centers
• Technical support• Formation of Self Help group by People With
Disability (PWD)• Support for economic development (open
Bank account, support for small business etc)
• Self care training• Different activity (Awareness, advocacy etc.)
to establish Rights for People With Disability (PWD)
• Counseling support
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What is Leprosy?
• Leprosy is a chronic least infectious disease caused by Mycobacterium Leprae affecting primarily the peripheral nerves and secondarily skin, nasal mucosa and other tissues of the body.
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Cardinal Sign of Leprosy• Definite loss of sensation
in a hypo-pigmented patch or reddish skin patch
• A thickened or enlarged peripheral nerve with loss of sensation and/or weakness of muscle supplied by that nerve.
• Presence of Mycobacterium Leprosy in a slit skin smear
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Diagnosis/Leprosy Classification
• PB (Pauci Bacillary) – 5 or less skin patches
• MB (Multi-bacillary) – 6 or more skin patches or skin smear positive
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Leprosy Treatment by MDT (Multi-Drug Therapy)
• PB patient need PB MDT (Rifampicin &Dapsone) for 6 months
• MB patient need MB MDT (three drugs: Rifampicin, Dapsone and Clofazimine) for 12 months
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Leprosy related Complications
Lepra Reactions
• Type 1, Inflammation of skin patches & Nerves (Neuritis),
• Type 2: Erythema Nodosum Leprosum (ENL).
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Secondary complications
• Ulcers • Claw hand, foot drop, legopthalmos• Stigma• Discrimination
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Management/Intervention
• Continue Treatment with MDT• Prednisolone for reaction• For Ulcer - Rest, soaking, scraping, oiling
(SOS), clean & apply bandage• For Claw hand, Foot drop & legopthalmos –
Physiotherapy and Surgical correction• Supply footwear and other assistive devices
according to the need.• Stigma/ discrimination – counseling,
advocacy, formation of community group, Create awareness about the rights of people with disability etc.
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Responsibilities of health personnel
• For Leprosy: It depends on the position and nature of work. For more details use “National Guidelines and Technical Manual on Leprosy” (Annexure 2)
For Disability • Refer person with disability in “Disability
Referral Center”• Inform community people about availability
of physiotherapy services• Refer person with disability for surgical
intervention• Take action against discrimination• Create a positive environment in the local
community on disability issues.
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We are really grateful