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The Use of the International Classification of Functioning, Disability and Health in Primary Care: Findings of Exploratory Implementation Throughout Life

PRINZIE, Peter
LEBEER, Jo
PRINZIE, Peter
2016

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Purpose:   The International Classification of Functioning (ICF) has found widespread acceptance since it was launched in 2001. Yet, little is known about its use in Primary Care. This paper aims to contribute to the dialogue about the practical use of the ICF by exploring how this framework constitutes a supplementary source to inform disability-related decision making in integrated Primary Care.

 

Method: The implementation process of the ICF in a Latin American Primary Care and Community-Based Rehabilitation setting is described and the ICF diagram is applied to a life story as an example of its current use. Participant observation, in-depth study of reports of team meetings and the review of clinical files are the main data collection methods. Data analysis is enabled by the combination of single-case study with theory testing, which facilitates the generation of hypotheses in this exploratory study.

 

Results: A valuable time component of the ICF may support continuity in Primary Care and the universal application of the ICF framework can promote comprehensiveness by integrating individual rehabilitation and collective disability prevention. A way to mitigate the perceived dominance of biomedical disease and deficiency thinking is proposed in order to encourage the biopsychosocial focus of Primary Care. Finally, the implementation of the International Classification of Diseases (ICD-10) in the health condition domain of the ICF highlights the importance of social responsibility towards disability.

 

Conclusion: This study suggests that a creative implementation of the ICF during life course to everyone who uses universally accessible healthcare may strengthen the integrative functions of Primary Care, and may be at the heart of the information system of this essential part of the healthcare system. Further research on the complementary use of ICF and ICD-10 is suggested in order to support community-based multisectoral intervention which may be coordinated by Primary Care.

Capturing the difference we make : community-based rehabilitation indicators manual

WORLD HEALTH ORGANIZATION (WHO)
2015

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This manual presents indicators that "capture the difference (Community-Based Rehabilitation) CBR makes in the lives of people with disabilities in the communities where it is implemented. This manual presents these (base and supplementary) indicators and provides simple guidance on collecting the data needed to inform them. The indicators have been developed to show the difference between people living with a disability and their families and those without disabilities in relation to the information reported in the indicators. This comparability provides valuable information to CBR managers, donors and government agencies alike, which can be used to guide decision-making, support advocacy and improve accountability. Further, the ability of the indicators to provide a comparison of the populations of persons with disability to persons without disability aligns with the United Nations Convention on the Rights of Persons with Disabilities (CRPD), which states that persons with disability have equal rights to those without disabilities...this manual serves to standardize the monitoring of differences made by in the lives of people with disabilities and their families, making it possible to compare the difference CBR makes across areas and countries. This manual aligns with the WHO Global Disability Action Plan 2014–2021, and may also be used to monitor other development plans in an easy and efficient way”

Human Rights

www.macao-tz.org
December 2014

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Malezi AIDS Care Awareness Organization (MACAO) is a non-profit organization reaching out to neglected Indigenous people in Ngorongoro District, Arusha Region of Northern Tanzania.  Macao founded in 2003, Macao is a humanitarian organization that provides assistance to approximately 200,000 Indigenous Maasai community in Ngorongoro district for addressing needs of water and sanitation, food security, health Care Research, Education, Research environment, Maasai Traditional Research, Human Rights and sustainable economic development by strengthening their livelihoods.  In addition to responding to major relief situations, MACAO focuses on long-term community development through over 4 Area Development Project. We welcome the donors and volunteers to join us in this programs, we are wolking in ruro villages.

Community based disaster risk management (CBDRM) guidelines

PARIPURNO, Eko
et al
2011

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This set of guidelines is designed to help Community Based Disaster Risk Management (CBDRM) practitioners in building community resilience to disaster risk by coping with hazards and working around the issues of capacity and vulnerability. It is focused on building capacity in mobilising community collective resources in managing disaster risk instead of building their dependence on external support and assistance. The first half of the document details the importance of CBDRM, whilst the second explores the various tools at practitioners disposal (e.g. participatory research tools, facilitation methodologies and community organising strategies).

Closing the gap in a generation : health equity through action on the social determinants of health|Final report of the Commission on the Social Determinants of Health

WORLD HEALTH ORGANIZATION (WHO)
2008

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This is the final report of the World Health Organization’s Commission on the Social Determinants of Health (2005-2008). The report gives three main recommendations: 1 improve daily living conditions 2. Tackle the inequitable distribution of power, money, and resources 3. Measure and understand the problem and assess the impact of action. The Commission was created to provide evidence on policies that improve health by addressing the social conditions in which people live and work. The report is addressed to WHO, national governments, civil society, and other global organizations

Global strategy for further reducing the leprosy burden and sustaining leprosy control activities 2006-2010 : operational guidelines

WORLD HEALTH ORGANIZATION (WHO) : REGIONAL OFFICE FOR SOUTH-EAST ASIA
2006

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The purpose of these guidelines is to help managers of national health services to implement the new Global Strategy in their own countries. They will help managers to choose which activities can be carried out at the primary health care level and for which aspects of care patients will have to be referred. They suggest a greater emphasis on the assessment of disability at diagnosis, so that those at particular risk can be recognised and managed appropriately. They also cover prevention of disability, rehabilitation, recording and reporting and programme management. The French version of the guidelines is an unofficial translation

Engaging local non-governmental organisations (NGOs) in the response to HIV/AIDS : Community REACH Programme

PRIVATE AGENCIES COLLABORATING TOGETHER (PACT)
CORNMAN, Helen
et al
July 2005

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This paper draws on an extensive literature review of local NGO engagement, the direct experience of Pact's rapid response HIV/AIDS grants programme known as Community REACH and formal and informal interviews with the grantees highlighted in the paper. It considers the lessons learned from the programme and the authors hope that these will assist other organisations to successfully engage local partners and provide guidance to donors and national decision-making bodies. The paper is divided into four sections: the first outlines some successful strategies of local NGO engagement; the second examines local NGO strengths and weaknesses; the third provides advice to donors on effective and sustainable partnerships; and the fourth describes four funding models that harness the strengths of local NGOs to effectively respond to HIV/AIDS

HIV-related stigma, discrimination and human rights violations: case studies of successful programmes

JOINT UNITED NATIONS PROGRAMME ON HIV/AIDS (UNAIDS)
2005

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This report is a collection of case studies of projects, programmes and activities around the world that have used innovative methods to challenge HIV-related stigma, discrimination and human rights violations. The case studies are grouped under stigma-reduction approaches; anti-discrimination measures; and human rights and legal approaches. They are followed by some cross-project/activity analysis that identifies common elements and a number of key principles of success, each of which offers an entry point for innovative and potentially effective work

Expanding community-based support for orphans and vulnerable children

INTERNATIONAL HIV/AIDS ALLIANCE
FAMILY AIDS CARING TRUST (FACT)
2002

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Report based on a workshop on the proliferation, and expansion, in terms of impact and coverage, of orphan and vulnerable children (OVC) initiatives in east and southern Africa. Three levels critical to successful scale-up of activities were identified: community, facilitation, and policy/resource. The respective roles of community groups and CBOs, intermediary NGOs, government, international NGOs and donors are explored. Special consideration is given to the role of intermediary NGOs: those which provide technical and/or financial support to other NGOs/CBOs. Brief case studies are drawn on as examples

Evaluating programs for HIV/AIDS prevention and care in developing countries : a handbook for program managers and decision makers

REHLE, Thomas
et al
2002

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This handbook contains a comprehensive discussion of evaluation approaches and methodologies for HIV prevention and care programmes. Its premise is that evaluation is an integral part of any programme from initial planning onward. Section I discusses concepts and approaches to evaluation and suggests an evaluation strategy design. Section II describes operational approaches for evaluating programmes concerned with promotion of behavioural change, infection control, condom use, voluntary counselling and testing, and people living with HIV or AIDS (PLWHA). Section III focuses on methodologies for measuring behavioural trends while section IV addresses evaluation issues of programme impact assessment and cost-effectiveness analysis. This publication is designed for use by programme managers and decision makers

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