What are the SFD’s main activities?
Through a permanent presence or regular visits to the assisted projects, the SFD’s prosthetists carry out three types of activity:
- ensuring the production of a significant number of orthopaedic appliances in the rehabilitation centres so that the disabled can be served within a reasonable time limit;
- developing and maintaining a high standard of quality in the production of prostheses and other orthopaedic devices;
- training local counterparts, aiming at internationally recognized professional standards.
One of the characteristics of the SFD is its two-pronged approach, both patient-oriented and structure oriented. The assistance should lead to increased accessibility of patients to services and to increased organizational capacity of the service provider. Due to financial limitations of the SFD, the local partner should already have a certain degree of managerial, technical and financial autonomy before the assistance is started.
According to the specific situation, a combination of the following three types of assistance is applied.
Technical assistance consist of usually short missions to assisted projects by the SFD expatriate orthoprosthetist or physiotherapist to:
- coach the national personnel
- introduce / consolidate the use of polypropylene technology
- help establish patient service protocols, based on in-house guidelines
- help develop a cost recovery strategy
- promote physiotherapy
Financial assistance consists of:
- material donations to assisted centres
- reimbursements to centres or patients for provided patient services
- short courses in technology, management and physiotherapy
- sponsorships of students to recognised schools
The ICRC Special Fund for the Disabled Programmes 2014: 22 countries / 49 projects
Programmes 2014: 22 countries / 49 projects
Where does the SFD work?
The Fund operates mainly out of three regional bases in Tanzania (for Africa), in Viet Nam (for Asia) and in Nicaragua (for Latin America).
Africa. The SFD regional office for Africa was established in 1993 in Addis Ababa, Ethiopia. In 2010, the SFD opened a sub-regional office in Lomé, Togo, in order to be closer to the partners it supports in Western Africa. At the end of 2012, the SFD relocated its regional office to Dar es Salaam, Tanzania. In Africa, material and financial assistance to be provided to 17 service providers and 3 training institutions in 9 countries: Benin (2 centres), Côte d’Ivoire (2 centres), Madagascar (3 centres), Mali (1 centre), Rwanda (1 school), Somalia (3 centres), Tanzania 3 centres and 1 school), Togo (2 centres and 1 school), Zambia (1 centre). Direct managerial support and support associated to LMG pilot training programme.
Asia. The SFD started assisting the rehabilitation centre in Ho Chi Minh City following the ICRC's departure in the late eighties. In addition to assuring continuity of services at this centre for destitute persons with disabilities, SFD support was progressively extended to other centres in Vietnam, in close collaboration with the Ministry of Labour, Invalids and Social Action and with the Vietnamese Red Cross. The latter is actively involved in identification, referral and follow-up of patients. The SFD assistance is now provided at a national scale, covering more than 90% of the national area. In addition, the two orthoprosthetists based in Ho Chi Minh City also support projects in India and Laos. In Asia, partnerships with providers of services: 9 centres under MOLISA, in Viet Nam (2 offering training) Partnerships with training centres: 3 schools Partnership with the Vietnamese and the Spanish Red Cross for the Social Inclusion programme.
Latin America. Since the beginning of the ninetees, the SFD has supported the former ICRC orthopaedic workshop in Managua, CENAPRORTO. The Centre is managed by the Ministry of Health and it went through a successful reorganization starting 2000. To meet demands, the SFD opened an additional centre in 2005, CAPADIFE, in close collaboration with the local foundation Walking Unidos. The SFD, based in Managua, also supports other rehabilitation centres in the region, e.g. in El Salvador, Peru and in Cuba. In Latin America, material and financial assistance to be provided to 18 centres in 9 countries: Argentina (2), Bolivia (1), Cuba (1), Dominican Republic (3), Ecuador (1), El Salvador (3), Haiti (1), Nicaragua (5) and Peru (1) Support to 50 beneficiaries of social inclusion programme managed by a local NGO in Nicaragua. Managerial support through external resources (SGS NGO Benchmarking and external consultant).
Tajikistan. In January 2009, following the withdrawal of the ICRC – in conformity with its mandate – the SFD took over the support for the physical rehabilitation project in Tajikistan. It is the second project in the Europe - Central Asia zone since the SFD started support to the former ICRC project in Albania in 2004. The Tajikistan project is supervised by the SFD office in Viet Nam. Material, financial and technical assistance provided to the State Enterprise Orthopaedic Plant (SEOP) in Dushanbe and its satellite centre in Khujand.