According
to National Leprosy Eradication Program (2002) the objective of rehabilitation
is to facilitate equal opportunities for the people concerned to fulfill a role
in the home and in the society to enable them to optimize their quality of
life. The UN defines rehabilitation as “all measures and at reducing the impact
of disability for an individual enabling him/her to achieve independence,
social integration, a better quality of life and self-actualization.
to National Leprosy Eradication Program (2002) the objective of rehabilitation
is to facilitate equal opportunities for the people concerned to fulfill a role
in the home and in the society to enable them to optimize their quality of
life. The UN defines rehabilitation as “all measures and at reducing the impact
of disability for an individual enabling him/her to achieve independence,
social integration, a better quality of life and self-actualization.
Comprehensive rehabilitation
Over
the years more and more attention has been paid to physical rehabilitation of
leprosy affected person (LAP) however, the affected person, limitation in daily
activities and restriction in (social) participation are much important than
impairment as such. How useful is reconstructive surgery if a person does not
have a job or other meaningful work to go back to? Why provide protective
footwear if a person has to earn a living with begging and can do so more
effectively with visible food-ulcers? If constructive surgery is done for
cosmetic, stigma reducing reason, the underlying reason is often to improve
social acceptance and integratum. To enable a person to live a life with
dignity and respect, a comprehensive approach to rehabilitation is needed successful
POD and rehabilitation activities increase the credibility of services. This in
turn promotes early self-reporting of new cases and better treatment compliance
and thus contributes to the reduction of leprosy as a public health problem,
socioeconomic rehabilitation, particularly vocational training and incoming
generation, may be essential for POD (e.g. a change in agriculture method to
protect damaged hands and feet) appropriate and timely rehabilitation will
prevent people with leprosy related disabilities and perpetuating the negative
image of leprosy as a crippling disease leading to destitution.
the years more and more attention has been paid to physical rehabilitation of
leprosy affected person (LAP) however, the affected person, limitation in daily
activities and restriction in (social) participation are much important than
impairment as such. How useful is reconstructive surgery if a person does not
have a job or other meaningful work to go back to? Why provide protective
footwear if a person has to earn a living with begging and can do so more
effectively with visible food-ulcers? If constructive surgery is done for
cosmetic, stigma reducing reason, the underlying reason is often to improve
social acceptance and integratum. To enable a person to live a life with
dignity and respect, a comprehensive approach to rehabilitation is needed successful
POD and rehabilitation activities increase the credibility of services. This in
turn promotes early self-reporting of new cases and better treatment compliance
and thus contributes to the reduction of leprosy as a public health problem,
socioeconomic rehabilitation, particularly vocational training and incoming
generation, may be essential for POD (e.g. a change in agriculture method to
protect damaged hands and feet) appropriate and timely rehabilitation will
prevent people with leprosy related disabilities and perpetuating the negative
image of leprosy as a crippling disease leading to destitution.
Integrated rehabilitation
The
National Leprosy Eradication Program (NLEP) subscribes to the principal of
integrating the rehabilitation of people with leprosy and related disabilities
into general rehabilitation program. This does not mean that they will receive
preferential treatment or better quality services. Than people with other
disabilities in the same areas. As leprosy control activities have now become
the responsibility of multiple health workers in the general health services,
in the same way rehabilitation of people with leprosy related disability should
be integrated into general rehabilitation service. An integrated approach will
help to breakdown stigma and enhance sustainability of rehabilitation services.
National Leprosy Eradication Program (NLEP) subscribes to the principal of
integrating the rehabilitation of people with leprosy and related disabilities
into general rehabilitation program. This does not mean that they will receive
preferential treatment or better quality services. Than people with other
disabilities in the same areas. As leprosy control activities have now become
the responsibility of multiple health workers in the general health services,
in the same way rehabilitation of people with leprosy related disability should
be integrated into general rehabilitation service. An integrated approach will
help to breakdown stigma and enhance sustainability of rehabilitation services.
The
interaction between the local community and the secondary and tertiary centres
are mutually beneficial. The secondary and tertiary care centers get a feel for
the ground realities and the community get the benefit of the knowledge and
expertise of these centers. Together they can then evolve solutions that are
relevant and appropriate for the community, in addition, linking with other
community development programs, government organizations will further enrich
the rehabilitation programs and facilitate long term sustainability.
interaction between the local community and the secondary and tertiary centres
are mutually beneficial. The secondary and tertiary care centers get a feel for
the ground realities and the community get the benefit of the knowledge and
expertise of these centers. Together they can then evolve solutions that are
relevant and appropriate for the community, in addition, linking with other
community development programs, government organizations will further enrich
the rehabilitation programs and facilitate long term sustainability.
Physical medicine and
rehabilitation institutes
rehabilitation institutes
Central
Council of Health and Family Welfare (5th – 6th)
recommended setting up of department of physical medicine and rehabilitation in
all medical colleges. At present only 31 colleges have PMT Department.
Council of Health and Family Welfare (5th – 6th)
recommended setting up of department of physical medicine and rehabilitation in
all medical colleges. At present only 31 colleges have PMT Department.
Community based rehabilitation (CBR)
Institution
rehabilitation provides excellent services to address the problems of
individual disabled person and is often available only for a small number at a
very high cost. Moreover, the endeavors in an institution are often out of
context to the felt needs of the disable person and thus falls short of their
expectations in an institutional rehabilitation program, the community is not linked
with process. Hence when the disable per son returns home, it may become
difficult for them to integrate into their community.
rehabilitation provides excellent services to address the problems of
individual disabled person and is often available only for a small number at a
very high cost. Moreover, the endeavors in an institution are often out of
context to the felt needs of the disable person and thus falls short of their
expectations in an institutional rehabilitation program, the community is not linked
with process. Hence when the disable per son returns home, it may become
difficult for them to integrate into their community.
In
responses to this conceptual change CBR is now defined as a community
development program that has seven different components.
responses to this conceptual change CBR is now defined as a community
development program that has seven different components.
i.
Creation of a positive attitude
towards people with disabilities
Creation of a positive attitude
towards people with disabilities
ii.
Provision of rehabilitation services
Provision of rehabilitation services
iii.
Provision of education and training
opportunities.
Provision of education and training
opportunities.
iv.
Provision of long term care
facilities
Provision of long term care
facilities
v.
Creation of micro and macro income
generation opportunities
Creation of micro and macro income
generation opportunities
vi.
Prevention of causes of disabilities
Prevention of causes of disabilities
vii.
Monitoring and evaluation.
Monitoring and evaluation.
Socio-economic rehabilitation
Increased
accessibility to see rehabilitation services for LAP also will be tried through
developing links with social welfare departments, meeting with social welfare
department at district level will; facilitate these provisions, local NGOs and
CBOs will be supported for this purpose.
accessibility to see rehabilitation services for LAP also will be tried through
developing links with social welfare departments, meeting with social welfare
department at district level will; facilitate these provisions, local NGOs and
CBOs will be supported for this purpose.
