UNICEF ASSISTIVE Devices for Children 6 th – 7 th July, 2015 Marc Zlot ICRC Physical Rehabilitation Activities

Physical Rehabilitation Physical Rehabilitation is an important part of the integrated rehabilitation process, enabling persons with physical impairment to gain mobility This is the main condition for the person to participate in education, work and social life Between 1979 and 2014: 170 projects (centres) in 48 countries and one territory were supported by the ICRC

PRP & SFD Scope of Activities 2015

The primary aims of ICRC physical rehabilitation activities are: Improve access to services for people with physical disabilities Improve the quality of those services To ensure their long-term availability and To promote inclusion and participation of persons with physical disabilities in society In order to achieve these aims, the ICRC takes a twin-track approach: assistance is given to both the national system and to the users of its services Objectives

Two-Pronged Approach People-oriented Promote access Information Identification, referral & follow-up Reimbursement of services Transport, accommodation & food Structure-oriented Financial & material support Technical & managerial support Capacity building Training Supporting national bodies

Operational Examples Improving access to services Developing human resources Improving the ICRC in-house technology In 2014, more than 318’000 people (32% children, 20% women) had access to assistive technology at ICRC-assisted centers (PRP only) 20’000 prostheses, 74’000 orthoses, 4’500 wheelchairs & 19’000 pairs of crutches along with appropriate physiotherapy to 150’000 users Conducting formal training in Afghanistan, Ethiopia and Bangladesh Supporting opening of new schools in Yemen and Sudan Supporting existing schools (P&O and PT) In 2015, 156 candidates subsidized to attend formal P&O and PT training Research continued, to upgrading and further developing the entire range of products: new prosthetic hand and foot Currently field testing of new 4-bar prosthetic knee Collaboration with Engineering Universities

Operational Examples Promoting inclusion and participation Long-term functioning of services Monitoring quality and impact of services Access to sport activities, which increases self-confidence and self- esteem, in most countries Support for activities during the International Day of Persons with Disabilities (December 3 rd ) Supporting national coordinating bodies for development and implementation of national strategies Supporting development of management tools Sponsorships to attend SLP & EMP Beneficiaries Feedback and Technical Assessment (BF&TA) Study: Impact of physical rehabilitation on persons with disabilities, in collaboration with the LSHTM Collaborating with Teeside University (UK) on PT Quality Standards

Other Activities Physical Rehabilitation Committee Developing comprehensive approaches to the management of diabetes, clubfoot and cerebral palsy Defining and implementing “corporate” P&O, PT and W/C standards Training & Education Committee Defining and implementing “corporate” training policy Developing comprehensive, contextual adaptable training packages with competency-based curriculum Addressing the needs for pedortics Addressing the needs to include other professions

Collaborations (among other with …) ISPO – Supporting ISPO education activities ISPRM - International Society of Physical and Rehabilitation Medicine WCPT – World Confederation of Physical Therapist – national association recognition, education, etc. WHO – Development Group for the development of Health-Related Rehabilitation Guidelines; Core Working Group for the development of a guidance document on minimum standards for réhabilitation in emergencies; GATE FATO - Member of Congress Scientific Committee and Chair of FATO Advisory Board ISWP – International Society of Wheelchair Professionals, member of the Advisory Board Global Club Foot Initiative (GCI) - Member of the Governing Board Nottwil Swiss Paraplegics Centre - Professional expertise for the management of SCI Cerebral Palsy Association (Eastern Cape) - Professional expertise for CP management International Centre for Evidence in Disability (LSHTM) – Research Engineering Universities for the development of the ICRC-developed technologies

Supporting Youth 62’000 children assisted in Afghanistan, RCA, South Sudan, Syria, Yemen (progressive increase) in 2014 Provision of mobility and assistive devices Parents’ education (e.g. children with CP, CF) In Afghanistan, schooling and vocational training In supported projects: referrals to DPOs, vocational centers I am one of thousands! Thank you!