WHO Rehabilitation in Health Systems: Guide for Action ... · WHO Rehabilitation in Health Systems:...
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WHO Rehabilitation in Health Systems: Guide for Action
Step 1: STARS Situation Assessment Guyana - November 2018
Lessons Learnt
Monika Mann, PT, MPH
Presented at
The 2nd Global Rehabilitation 2030 Meeting
July 9, 2019
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RECENT ADVANCES
• Rehab included in UHC package of essential services (although gaps with AT provision)
• In recent years PT education has transitioned to a baccalaureate level
• Baccalaureate OT and SLP programs were also developed. (At the time of the assessment the OT program was on hold due to lack of faculty.)
• The majority of rehabilitation services have historically been rendered by rehabilitation assistants. That program is being phased out in order to upgrade rehabilitation professions.
• Rehabilitation services are now offered in all 10 administrative regions.
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With strong rehabilitation leadership and
support from the MOH, Guyana has
accomplished notable advances in the sector
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Guyana Ministry of Health Vision 2020
Framework
1. Advance the well-being of all people of Guyana
2. Reduce health inequities
3. Improve the management and provision of evidence-based, people responsive, quality health services
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In-Country Situation Assessment
• 29 interviews
• 7 site visits
• 3 regions visited
• Full Day Technical Working Group Workshop
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Lessons Learnt
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#1: Begin at the end:
Embrace reverse planning
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In-Country
After leaving CountryBefore submitting report
and RMM
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2. Don’t rely on assumptions
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Re-state scope and goals for the STARS assessment
and Rehabilitation Plan of Action
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3. Prepare stakeholders for the Rehabilitation Maturity Model:
Nature, mechanism, and interpretation
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Rehabilitation Maturity Model (RMM)
The RMM evaluates rehabilitation along a continuum of development.
RMM identifies 50 components of rehabilitation and describes them according to four-levels of maturity rating them 1 – 4.
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Not Guyana!
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#4: Don’t Miss the Forest
for the Trees
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Data collection and submission of a country report is NOT the ultimate goal.
It is an is an output not and outcome.
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The ultimate goal is that the country will Strengthen Rehabilitation in the health
system by following through with the entire Rehabilitation Plan of Action.
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How could the process have been improved?
Better
COMMUNICATION
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The Meta
Process
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Thank you!17
The Amazing Guyana
Technical Working Group