Meeting Report
MEETING ON REHABILITATION AS PART OF THE CONTINUUM OF PEOPLE-CENTRED HEALTH CARE
13–15 December 2016 Seoul, Republic of Korea
Meeting on Rehabilitation as Part of the Continuum of People-Centred Health Care 13–15 December 2016 Seoul, Republic of Korea
WORLD HEALTH ORGANIZATION REGIONAL OFFICE FOR THE WESTERN PACIFIC Report Series No. RS/2016/GE/62(KOR) English only
MEETING REPORT
MEETING ON REHABILITATION AS PART OF THE CONTINUUM OF PEOPLE-CENTRED HEALTH CARE
Convened by: WORLD HEALTH ORGANIZATION REGIONAL OFFICE FOR THE WESTERN PACIFIC AND THE NATIONAL REHABILITATION CENTER FOR PERSONS WITH DISABILITIES, REPUBLIC OF KOREA
Seoul, Republic of Korea 13–15 December 2016
Not for sale Printed and distributed by: World Health Organization Regional Office for the Western Pacific Manila, Philippines March 2017
NOTE
The views expressed in this report are those of the participants of the Meeting on Rehabilitation as Part of the Continuum of People-Centred Health Care and do not necessarily reflect the policies of the conveners.
This report has been prepared by the World Health Organization Regional Office for the Western Pacific for Member States in the Region and for those who participated in the Meeting on Rehabilitation as Part of the Continuum of People-Centred Health Care in Seoul, Republic of Korea from 13 to 15 December 2016.
CONTENTS
SUMMARY ........................................................................................................................................................... 1 Recommendations for Member States ................................................................................................................ 2 Recommendations for WHO .............................................................................................................................. 3 1. INTRODUCTION .............................................................................................................................................. 5 1.1 Meeting organization .................................................................................................................................... 5 1.2 Meeting objectives ........................................................................................................................................ 5 2. PROCEEDINGS ................................................................................................................................................. 5 2.1 Opening session ............................................................................................................................................ 5 2.2 Global and regional perspectives on rehabilitation ....................................................................................... 5 2.3 Country and area updates .............................................................................................................................. 6 2.4 People-centred health care and rehabilitation as part of an integrated health service ................................... 6 2.5 Rehabilitation in different systems ............................................................................................................... 7 2.6 Designing improved rehabilitation services .......................................................................................... 8
2.7 Country/area planning for implementation of the WHO Global Disability Action Plan .............................. 8 3. CONCLUSIONS AND RECOMMENDATIONS ............................................................................................. 8 3.1 Conclusions .................................................................................................................................................. 8 3.2 Recommendations......................................................................................................................................... 9 3.2.1 Recommendations for Member States ................................................................................................... 9 3.2.2 Recommendations for WHO ............................................................................................................... 10 ANNEX 1. Programme of Activities ................................................................................................................... 11 ANNEX 2. List of participants, temporary advisers, resource person and secretariat ......................................... 15 ANNEX 3. Participant’s Workbook .................................................................................................................... 21
Keywords: Conservation of natural resources / Continuity of patient care / Disability / Health priorities / Health systems plan / Patient discharge / Rehabilitation / Universal coverage
SUMMARY Disability is often associated with rehabilitation services. Many people with disability require rehabilitation services to address barriers in society and functional limitations. The general population as well as people with disability benefit from rehabilitation services and assistive technology. Currently in the Western Pacific Region there are significant unmet rehabilitation needs. Ministries of health are central to the development of quality rehabilitation services for all people, and in particular for people with disability. The WHO Regional Office for the Western Pacific supports ministries of health to build more inclusive and accessible people-centred health services, including rehabilitation services. This meeting convened experts and representatives from Member States in Asia to share knowledge and good practices on rehabilitation. Country representatives came from Cambodia, China (including Hong Kong SAR and Macao SAR), the Lao People’s Democratic Republic, Malaysia, Mongolia, the Philippines, the Republic of Korea, Singapore and Viet Nam. People responsible for rehabilitation services from ministries of health, ministries of social affairs (or similar) and national disabled people’s organizations were invited. This meeting provided an opportunity to analyse rehabilitation for all people, as part of the continuum of care. It also supported Member States in discussing and understanding how to improve rehabilitation services, particularly for people with disabilities, in line with the WHO Global Disability Action Plan 2014–2021. Hosted by the Korea National Rehabilitation Center for Persons with Disabilities (NRC), the meeting was opened by Dr Shin Young-soo, WHO Regional Director for the Western Pacific, Dr Bang Moonkyu, Vice-Minister of Health and Welfare (Republic of Korea), and Dr Lee Seong Jae, President of the NRC. Experts presented their insights on: rehabilitation developments worldwide and in the Region; health through the life-course; Global Cooperation on Assistive Technology (GATE); the universal health coverage (UHC) action framework for the Western Pacific; rehabilitation within UHC; rehabilitation as part of a successful referral system and discharge planning; the leadership role of rehabilitation doctors and other medical leaders; integrated patient empowerment through chronic care in the community; ageing populations and rehabilitation; country-specific examples of how to strengthen rehabilitation; and rehabilitation during health emergencies.
Participants used a workbook entitled “Me again: stronger rehabilitation for a better life” to share experiences on implementing the WHO Global Disability Action Plan 2014–2021, depict and comment on the experience of rehabilitation patients in specific settings, and prioritize activities to improve rehabilitation services in country within the next six months. A visit to the NRC showcased how comprehensive rehabilitation services are provided and organized in a high-income setting.
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Conclusions 1) Rehabilitation is an integral part of people-centred and holistic health service delivery. 2) Assistive technology is a powerful tool for improving the health and increasing the participation of older people and people with disabilities. 3) A more systematic and strategic approach to fully identify and address health-care access barriers experienced by people with disabilities is needed. 4) People with disabilities and their representative organizations have to be engaged more in health-care planning and service delivery. 5) Disability data is a complex area to understand and specific approaches to measurement are needed. Recommendations for Member States Member States led by their respective ministries of health may consider aligning their national action plans on disability with the WHO Global Disability Action Plan 2014–2021 by doing the following: 1) Develop a national rehabilitation framework to improve the delivery of people-centred rehabilitation services for all by ensuring, through good governance practices, an adequate health workforce, equitable financing, available and affordable assistive technology and a reliable health information system. 2) Review and transform, as may be appropriate, the model of care for rehabilitation services by optimizing the rehabilitation patient’s journey from inpatient to outpatient and community settings and by including adequate support for families of rehabilitation patients especially children. 3) Align disability-inclusion efforts such as the review of national health screening guidelines, as appropriate, with the broader agenda of universal health coverage, health equity and peoplecentred integrated health care. 4) Develop a national priority assistive products list modelled after the WHO Priority Assistive Products List1 as part of the GATE programme2. 5) Deliver precisely targeted rehabilitation services for all people, particularly people with disability. 6) Support health system interventions to have people with chronic health conditions and people with disabilities return to the workforce. 7) Strengthen collaborative and multidisciplinary efforts between ministries of health and other ministries that may be providing rehabilitation services, with ministries of health taking the lead to coordinate rehabilitation service delivery as part of the broader continuum of peoplecentred health care. 8) Work more closely with stakeholders such as disabled peoples organizations and nongovernmental organizations to improve community-based rehabilitation.
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See http://www.who.int/phi/implementation/assistive_technology/global_survey-apl/en/ See http://www.who.int/disabilities/technology/gate/en/
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9) Work with key ministries and national statistical agencies on planned approaches to improve country capacity to collect and manage reliable disability data. Member States led by their respective ministries of health may further consider the following countryor area-specific recommendations: 10) Finalize guidelines and tools for rehabilitation services, develop a rehabilitation handover plan supervised by a national rehabilitation transition committee, and integrate reliable disability data collection tools into national household surveys in Cambodia. 11) Address policy, financial and operational barriers to the effective delivery of rehabilitation services alongside improved data collection and use in China. 12) Formulate a strategic framework for rehabilitation services in Hong Kong SAR (China) that includes guidance for public–private partnerships, particularly with nongovernmental organizations, for service delivery. 13) Operationalize a disability-inclusive national health screening service, integrate assistive technology into community-based rehabilitation, and conduct a national disability survey for 2017 in the Republic of Korea. 14) Strengthen human resources for rehabilitation in the Lao People’s Democratic Republic. 15) Strengthen community rehabilitation services, improve the procedures to apply for assistive technologies, and survey children with disabilities in Macao SAR (China). 16) Conduct training on disability-inclusive health services, develop rehabilitation service standards, and plan based on needs and capacities drawn from data on disability in Mongolia. 17) Build capacity and raise the awareness of stakeholders on disability-inclusive health services, strengthen the capacity of primary and secondary service providers as regards assistive technology and community-based rehabilitation, and advocate for a national integrated database on persons with disabilities in Malaysia. 18) Monitor and review existing policies on disability and rehabilitation, broadly integrate disability inclusiveness across government sectors and agencies, develop a national rehabilitation plan, review pathways to independent living and community reintegration, and review the existing disability registry in the Philippines. 19) Draw up a rehabilitation blueprint/plan, improve the selection of high-quality assistive technologies, and have clearer definitions and standards for disability data in Singapore. 20) Build a rehabilitation network to improve public awareness, have more rehabilitation services covered by health insurance, improve training on palliative care, improve the supply of assistive technologies, and have demonstration sites/provinces for implementation of interventions in Viet Nam. Recommendations for WHO 1) WHO is requested to continue supporting Member States as they implement the WHO Global Disability Action Plan 2014–2021, including the design and use of mechanisms for Member States to monitor progress.
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2) WHO is requested to further support Member States to better understand that rehabilitation is a health strategy for all, best supported by ministries of health as part of the continuum of people-centred health care. 3) WHO is requested to convene a follow-up Member State consultation in 2017 specifically addressing rehabilitation within UHC, and to address service gaps and unmet rehabilitation needs for countries in the Western Pacific Region.
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1. INTRODUCTION 1.1 Meeting organization The Meeting on Rehabilitation as Part of the Continuum of People-centred Health Care was held in Seoul, Republic of Korea from 13 to 15 December 2015. The meeting was organized by the World Health Organization (WHO) Regional Office for the Western Pacific and co-sponsored by the Korea National Rehabilitation Center for Persons with Disabilities (NRC). Plenary discussions and interactive activities were held at the Lotte Hotel in Seoul. A visit to the NRC on 13 December 2016 showcased how comprehensive rehabilitation services are provided and organized in a high-income setting. The programme of activities may be found in Annex 1. Participants (see Annex 2) used a workbook (Annex 3) entitled “Me again: stronger rehabilitation for a better life” to share experiences on implementing the WHO Global Disability Action Plan 2014–2021, depict and comment on the experience of rehabilitation patients in specific settings, and prioritize activities to improve rehabilitation services in country within the next six months. 1.2 Meeting objectives The objectives of the meeting were: 1) to share knowledge, experience and good practices in the coordination, planning and delivery of rehabilitation services across the Region; 2) to analyse how rehabilitation is for all people as part of the continuum of people-centred and integrated health services; and 3) to identify national and regional actions to strengthen rehabilitation services for all people, particularly people with disability, in line with the WHO Global Disability Action Plan 2014–2021. 2. PROCEEDINGS 2.1 Opening session Dr Lee Seong Jae, President of the Korea National Rehabilitation Center, welcomed all participants. Dr Shin Young-soo, WHO Regional Director for the Western Pacific, gave opening remarks. Dr Bang Moonkyu, Vice-Minister of Health and Welfare, Republic of Korea, gave congratulatory remarks. Mr Darryl Barrett, Technical Lead for Disability and Rehabilitation at the WHO Regional Office for the Western Pacific, facilitated an introduction of participants and discussed the meeting objectives and agenda. 2.2 Global and regional perspectives on rehabilitation Dr Alarcos Cieza, Coordinator, Blindness Deafness Prevention, Disability and Rehabilitation (BDD), HQ/BDD presented WHO global rehabilitation developments. She proposed that in providing rehabilitation services, Member States should strive to integrate rehabilitation into their health systems, across the continuum of care. This includes the proper allocation of financial resources for rehabilitation services to meet recommendations on service delivery. Furthermore, where health insurance exists or is to be implemented, it should cover rehabilitation services.
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Mr Darryl Barrett, Technical Lead, Disabilities and Rehabilitation/Responsible Officer, WHO WPRO discussed regional issues related to rehabilitation and people with disability in the Western Pacific Region. He highlighted the findings of a 2015 Member State survey looking at Member State capacity to implement the WHO Global Disability Action Plan 2014–2021, establishing baseline data for the action plan. The survey revealed limited rehabilitation sector planning and identified the government as the primary source of financing for rehabilitation. There is also a disproportionate and limited number of rehabilitation staff in the Region, where the wide availability of rehabilitation services was manifest almost exclusively in high-income countries. Dr Hai-Rim Shin, Coordinator, Noncommunicable Diseases and Health Promotion, Division of Noncommunicable Diseases and Health Through the Life-Course (DNH), WHO WPRO discussed rehabilitation as a key intervention for better health through the life-course. She illustrated the need for rehabilitation services. She also discussed how successful health interventions through past decades have led to changing demographics, including increased life expectancies, more people experiencing chronic diseases and conditions, and therefore a greater need for rehabilitation and assistive devices. Dr Yoshiko Tobimatsu , President National Rehabilitation Centre for Persons with Disability, Japan discussed Global Cooperation on Assistive Technology (GATE) as well as the provision of assistive technologies in Japan. The GATE initiative envisions a world where everyone in need has access to high-quality, affordable assistive products to lead a healthy, productive and dignified life. To achieve this, the GATE initiative focuses on four interlinked activities concerning assistive technology: policy framework, priority assistive products list, training package, and service delivery model. Dr Albert Francis Domingo, Consultant, Division of Noncommunicable Diseases and Health Through the Life-Course (DNH), WHO WPRO discussed the universal health coverage (UHC) action framework for the Western Pacific Region. Designing a holistic model of care that includes rehabilitation services can help achieve UHC. In this regard, rehabilitation may be integrated with other health programmes by considering the linkages of rehabilitation with noncommunicable diseases, occupational health, urban health and healthy ageing, among others. 2.3 Country and area updates Member State delegates, assisted by their counterpart WHO country office staff and temporary advisers, were asked to discuss updates on the delivery of rehabilitation services in their respective countries and areas. 2.4 People-centred health care and rehabilitation as part of an integrated health service Member State delegates, assisted by their counterpart WHO country office staff, were asked to discuss the patient journey for rehabilitation patients in their respective countries and areas. Professor Stephanie Short, Professor, Faculty of Health Sciences, The University of Sydney, Australia discussed rehabilitation within UHC. She explained that relationships with patients, their families and communities have a strong influence on sustainable rehabilitation practice. Similarly, within the Region, relationships between policy-makers, providers and people with disabilities are the foundation for sound practice that will enable us to work together across low-, middle- and highincome countries to achieve our sustainable development goals through UHC.
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Dr Tak Lun Poon from the Hong Kong Society for Rehabilitation, Hong Kong discussed the importance of rehabilitation as part of a successful referral system and discharge planning. A good referral system is essential to provide adequate rehabilitation services to patients who need them. It also supplies an adequate number of patients to sustain the operations of referral centres and institutes. A good referral system should be able to direct the patient to the most appropriate service with the most appropriate timing; provide continuous care from acute through rehabilitation stages; be costeffective; provide patient-centred care; and provide strategic feedback for resource allocation. All countries and areas should develop their own referral systems that would work best given the local situation. Dr Josephine Robredo Bundoc, Head, Prosthetics, Orthotics and Wheelchair Services, University of the Philippines Manila-Philippine General Hospital, Philippines discussed the roles of rehabilitation doctors and other medical leaders. The five main roles are care provider, manager, decision-maker, communicator and community leader. As care providers, rehabilitation doctors and other medical leaders should work for the inclusion of people with disabilities within the health system as a whole. As managers, they should maximize linkages, partnerships and networking. As decision-makers, their decisions should support making rehabilitation more appropriate, available and affordable. As communicators, they should advocate for the protection, restoration and adoption of people with disabilities in society. Finally, as community leaders, they should lead initiatives that are rooted in the participatory process with communities. 2.5 Rehabilitation in different systems Dr Pamela Pui-yu Leung, Deputy Chief Executive Officer, Hong Kong Society for Rehabilitation, Hong Kong discussed integrated patient empowerment through chronic care in the community. She presented the example of the Hong Kong Society for Rehabilitation (HKSR), which identifies empowerment of people as the nucleus or foundation of any community-based rehabilitation (CBR) programme. Also known as an integrated empowerment programme, the HKSR model of chronic care (1) promotes access through hospital-community partnerships for timely referral and support along the patient pathway; (2) empowers through direct participation of the person and their family, thus enabling knowledge, skills and self-efficacy; and (3) encourages partnerships with people and disabled people’s organizations. Dr Yoshiko Tobimatsu, President, Rehabilitation Centre for Persons with Disabilities, Japan discussed ultra-ageing societies and persons with disabilities. In an ultra-ageing society, at least 21% of its population aged 65 years old and over. Japan is a country with an ultra-ageing society. As people age, their functional level deteriorates and this needs more health care, including rehabilitation services. Meanwhile, the number of older persons with disabilities is also increasing. The general function of older persons with disabilities also declines with advancing age. Rehabilitation interventions are needed to mitigate this decline. Dr Vivath Chou, Technical Officer, Disability and Rehabilitation, WHO Office for Cambodia discussed country-specific examples of how to strengthen rehabilitation in Cambodia. A significant challenge in the country is the division of the rehabilitation sector across two government ministries and multiple agencies. Furthermore, despite the gradual increase of government funding in health and the improvement in health financing mechanisms, these do not especially cover rehabilitation services. Cambodia seeks to address these issues and strengthen rehabilitation through a multidisciplinary approach.
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Mr Wesley Pryor, Acting Head, Disability Inclusion for Health and Development, Nossal Institute for Global Health, Australia discussed rehabilitation in disasters and health emergencies. The world, and its population health, is changing quickly. Despite huge advances in medicine and public health, we are experiencing more frequent and more serious health crises including conflict, natural disasters, disease outbreaks, climate change and food insecurity. For every death, many more people are left with long-term health needs, including rehabilitation. Rehabilitation service providers and professionals are able to prepare for and respond to these health emergencies. Ensuring people who receive acute medical services have proper discharge planning can minimize complications and maximize inclusion in long-term emergency responses. New policy imperatives and good practice guidelines are a strong basis for action. Recent experiences in cases like the Ebola crisis, recent earthquakes, floods and conflicts can inform future plans. 2.6 Designing improved rehabilitation services Member State delegates, assisted by their counterpart WHO country office staff and temporary advisers, were asked to propose three priority activities to work on if they could hypothetically access financial resources (around US$ 10 million). This work was designed to allow participants to consider what would be ‘possible’ to achieve, if resources were available. Participants visited the NRC to observe how the Republic of Korea is delivering rehabilitation services for the country. The NRC is an organization specialized in medical treatment, research and supportive and educational services for rehabilitation. Dr Bum-Suk Lee, Medical Director of NRC, discussed the role of NRC in providing rehabilitation services, helping people with disability return to their home communities, conducting practical research, improving awareness about disability at the local community level, establishing the country’s medical rehabilitation system, and helping people with disabilities in Asia and the Pacific to improve their health. 2.7 Country/area planning for implementation of the WHO Global Disability Action Plan Member State delegates assisted by their counterpart WHO country office staff and temporary advisers were asked to propose their country or area action plans for 2017. This activity was designed to allow participants to consider what would be ‘probable’ to achieve when they return to their countries.
3. CONCLUSIONS AND RECOMMENDATIONS 3.1 Conclusions The main conclusions of the meeting were as follows: 1) Rehabilitation is an integral part of people-centred and holistic health service delivery. 2) Assistive technology is a powerful tool for improving the health and increasing the participation of older people and people with disabilities. 3) A more systematic and strategic approach to fully identify and address health-care access barriers experienced by people with disabilities is needed. 4) People with disabilities and their representative organizations have to be engaged more in health-care planning and service delivery.
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5) Disability data is a complex area to understand and specific approaches to measurement are needed. 3.2 Recommendations 3.2.1 Recommendations for Member States Member States, led by their respective ministries of health, may consider aligning their national action plans on disability with the WHO Global Disability Action Plan 2014–2021 by doing the following: 1) Develop a national rehabilitation framework to improve the delivery of people-centred rehabilitation services for all by ensuring, through good governance practices, an adequate health workforce, equitable financing, available and affordable assistive technology and a reliable health information system. 2) Review and transform, as may be appropriate, the model of care for rehabilitation services by optimizing the rehabilitation patient’s journey from inpatient to outpatient and community settings and by including adequate support for families of rehabilitation patients especially children. 3) Align disability-inclusion efforts such as the review of national health screening guidelines, as appropriate, with the broader agenda of UHC, health equity and people-centred integrated health care. 4) Develop a national priority assistive products list modelled after the WHO Priority Assistive Products List3 as part of the GATE programme4. 5) Deliver precisely targeted rehabilitation services for all people, particularly people with disability. 6) Support health system interventions to have people with chronic health conditions and people with disabilities return to the workforce. 7) Strengthen collaborative and multidisciplinary efforts between ministries of health and other ministries that may be providing rehabilitation services, with ministries of health taking the lead to coordinate rehabilitation service delivery as part of the broader continuum of peoplecentred health care. 8) Work more closely with stakeholders such as disabled peoples organizations and nongovernmental organizations to improve community-based rehabilitation. 9) Work with key ministries and national statistical agencies on planned approaches to improve country capacity to collect and manage reliable disability data. Member States led by their respective ministries of health may further consider the following countryor area-specific recommendations: 10) Finalize guidelines and tools for rehabilitation services, develop a rehabilitation handover plan supervised by a national rehabilitation transition committee, and integrate reliable disability data collection tools into national household surveys in Cambodia. 11) Address policy, financial and operational barriers to the effective delivery of rehabilitation 3 4
See http://www.who.int/phi/implementation/assistive_technology/global_survey-apl/en/ See http://www.who.int/disabilities/technology/gate/en/
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services alongside improved data collection and use in China. 12) Formulate a strategic framework for rehabilitation services in Hong Kong SAR (China) that includes guidance for public–private partnerships particularly with nongovernmental organizations for service delivery, as appropriate. 13) Operationalize a disability-inclusive national health screening service, integrate assistive technology into community-based rehabilitation, and conduct a national disability survey for 2017 in the Republic of Korea. 14) Strengthen human resources for rehabilitation in the Lao People’s Democratic Republic. 15) Strengthen community rehabilitation services, improve the procedures to apply for assistive technologies, and survey children with disabilities in Macao SAR (China). 16) Conduct training on disability-inclusive health services, develop rehabilitation service standards, and plan based on needs and capacities drawn from data on disability in Mongolia. 17) Build capacity and raise the awareness of stakeholders on disability-inclusive health services, strengthen the capacity of primary and secondary service providers as regards assistive technology and community-based rehabilitation, and advocate for a national integrated database on persons with disabilities in Malaysia. 18) Monitor and review existing policies on disability and rehabilitation, broadly integrate disability inclusiveness across government sectors and agencies, develop a national rehabilitation plan, review pathways to independent living and community reintegration, and review the existing disability registry in the Philippines. 19) Draw up a rehabilitation blueprint/plan, improve the selection of high-quality assistive technologies, and have clearer definitions and standards for disability data in Singapore. 20) Build a rehabilitation network to improve public awareness, have more rehabilitation services covered by health insurance, improve training on palliative care, improve the supply of assistive technologies, and have demonstration sites/provinces for implementation of interventions in Viet Nam. 3.2.2 Recommendations for WHO 1) WHO is requested to continue supporting Member States as they implement the WHO Global Disability Action Plan 2014–2021, including the design and use of mechanisms for Member States to monitor progress. 2) WHO is requested to further support Member States to better understand that rehabilitation is a health strategy for all, best supported by ministries of health as part of the continuum of people-centred health care. 3) WHO is requested to convene a follow-up Member State consultation in 2017 specifically addressing rehabilitation within UHC, and to address service gaps and unmet rehabilitation needs for countries in the Western Pacific Region.
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ANNEX 1. Programme of Activities
Day 1: Tuesday, 13 December 2016, Emerald Room (2F) 8:00 – 8:30 8:30 – 9:45 Registration Opening ceremony Welcome remarks Dr Lee Seong Jae President National Rehabilitation Center Seoul, Republic of Korea Dr Shin Young-soo Regional Director for the Western Pacific WHO WPRO Dr Bang Moonkyu Vice Minister of Health and Welfare Republic of Korea Mr Darryl Barrett Technical Lead Disabilities and Rehabilitation Division of NCD and Health Through the Life-Course WHO WPRO
Opening remarks
Congratulatory remarks
Introduction of participants
Group photo 09:45 – 10:15 10:15 – 10:25 Coffee/tea break Meeting objectives and agenda Administrative announcement 10:25 – 12:00 Global and regional perspectives on Rehabilitation WHO Global rehabilitation developments Dr Maria Alarcos Cieza Moreno Coordinator Blindness Deafness Prevention Disability and Rehabilitation (BDD) HQ/BDD Mr Darryl Barrett Mr Darryl Barrett Mr Darryl Barrett
Regional rehabilitation and disability survey
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Health through the life course
Dr Hai-Rim Shin Coordinator Noncommunicable Diseases and Health Promotion Division of NCD and Health Through the Life-Course WHO WPRO Dr Yoshiko Tobimatsu President, National Rehabilitation Centre for Persons with Disability Japan Dr Albert Domingo Consultant, Noncommunicable Diseases and Health Promotion Division of NCD and Health Through the Life-Course WHO WPRO
Global Cooperation on Assistive Technology (GATE)
Universal Health Coverage (UHC) Regional Framework
Questions and Answers 12:00 – 13:00 13:00 – 15:00 15:00 – 15:30 15:30 – 16:45 Lunch break (Emerald Room,2F) Country updates on rehabilitation Coffee / tea break Mapping the patient pathway: Peoplecentred health care and rehabilitation as part of an integrated health service Panel discussion: Reflection on peoplecentred health care and rehabilitation as part of an integrated health service Rehabilitation within Universal Health Coverage Professor Stephanie Short Professor, Health Sciences Faculty of Health Sciences The University of Sydney Australia Dr Maria Alarcos Cieza Moreno All Member States All Member States
16:45 – 17:30
Rehabilitation and Health Information Systems Importance of rehabilitation to successful referral systems and discharge planning Leadership – the role of the rehabilitation doctor and other medical leaders
Dr Tak Lun Poon Hong Kong Society for Rehabilitation, Hong Kong Dr Josephine Bundoc Consultant, Department of Rehabilitation Medicine University of the Philippines Philippine General Hospital
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18:00 – 20:00
Reception hosted by the National Rehabilitation Centre of Korea Garnet Suite (37F), Lotte Hotel
Day 2: Wednesday, 14 December 2016 08:00 – 08:30 08:30 – 10:00
Recap from Day 1 Panel discussion: Rehabilitation in different systems Integrated patient empowerment programme: chronic care in the community
All Member States
Dr Pamela P.Y. Leung Deputy Chief Executive Officer (Service) Hong Kong Society for Rehabilitation Dr Yoshiko Tobimatsu Dr Vivath Chou Technical Officer Disability and Rehabilitation WHO Cambodia Mr Wesley Pryor Senior Technical Adviser Disability and Rehabilitation Nossal Institute for Global Health The University of Melbourne Australia
Ageing populations and rehabilitation Strengthening rehabilitation in Cambodia
Rehabilitation during health emergencies
Questions and Answers 10:00 – 10:30 10:30 – 12:30 12:30 – 13:30 13:30 – 17:00 Coffee / tea break Group activity: Ultimate Rehab Designing improved rehabilitation services Lunch break (Emerald Room, 2F) Visit to Korea National Rehabilitation Centre NRC All Member States
Day 3: Thursday, 15 December 2016 08:00 – 09:00 09:00 – 10:00
Recap and reflections on rehabilitation as part of the continuum of people-centred care Country group work: Country planning on actions to implement the Global Disability Action Plan All Member States
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10:00 – 10:30 10:30 – 12:00 12:00 – 13:00 13:00 – 14:00
Coffee / tea break Continuation of country group work Next steps, summary and closing Lunch (Emerald Room, 2F) Mr Darryl Barrett
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ANNEX 2. List of participants, temporary advisers, resource person and secretariat
1. PARTICIPANTS Dr Piseth Raingsey Prak, Director, Preventive Medicine Department, Ministry of Health, #80 Blvd Samdech Pen Nuth, Boeng Kak II, Tuol Konk, Phnom Penh, Cambodia. Tel. No.: (855) 12862022, E-mail: pisethrainsey@gmail.com Mr Malyno Yeap, Director of Welfare for Persons with Disabilities Department, Ministry of Social Affairs, Veterans and Youth Rehabilitation, #31I, Moulvillage, Dangkor, Phnom Penh, Cambodia. Tel. No.: (855) 12658141, Fax No.: (855) 23726086, E-mail: malyno.mosvy@gmail.com Mr Saorath Ngin, Executive Director, Cambodian Disabled People's Organisation (CDPO), #25, Road 237, Sankath Depo I, Khan Tourl Kok, Phnom Penh, Cambodia. Tel. No.: (855) 12851841, E-mail: saorathngin@yahoo.com / director@cpdo.org Dr Meng Zhang, Director, National Health and Family Planning Commission, of the People’s Republic of China, No 1 Xizhimenwainanlu, Xicheng District, Beijing 100044, People’s Republic of China. Tel. No.: (8610) 68792200, Fax No.: (8610) 18610992698, E-mail: zm870102@163.com Mr Chuan He, Deputy Director, Division 2, Department of Rehabilitation, China Disable Persons' Federation, No. 186 Xizhimen South Road, Xicheng District, Beijing, People’s Republic of China. Tel. No.: (8610) 66580089, Fax No.: (8610) 66580397, E-mail: hechuan@cdpf.org.cn Mrs Yuchi Liu, General Vice Director, China Disabled Persons' Federation, Social Service Guidance Center, No. 10 Jiaomen Beilu, Fengtai District, Beijing 100068, People’s Republic of China. Tel. No.: (8610) 13811576613, Fax No: (8610) 67579807, E-mail: niu.niu0606@163.com Dr Yu-sze Cissy Choi, Senior Manager, Rehabilitation and Patient Empowerment, Head Office, Hospital Authority, Kowloon, Hong Kong. Tel. No.: 2300 6965, Fax No.: choiys1@ha.org.hk Dr Soi Tou Wong, Head, Department of Community Rehabilitation Ward, Central Hospital of S. Januario, Health Bureau, Macao. Tel. No.: (853) 66512833, E-mail: felizwong@gmail.com Dr Khamko Chomlath, Chief of Administration and Planning, Center of Medical Rehabilitation, Ministry of Health, Khouving Road, Simuong District, Vientiane Capital, Lao People’s Democratic Republic, P.O. Box 5030. Tel. No.: (856) 2121404, Fax No.: (856) 21242702, E-mail: chomlako@yahoo.com Mr Khampheth Manivong, Director General, Center of Medical Rehabilitation, Ministry of Health, Khooving Boulevard, Simuang Quarter, Vientiane Capital, Lao People’s Democratic Republic. Tel. No.: (856) 21214044, Fax No.: (856) 21242702, E-mail: khamphetm@gmail.com Mr Thongchanh Inthachak, Program Manager, Lao Disabled People’s Association, Phonesavang Village, Chanthabuly District, P.O. 6751, Vientiane, Lao People’s Democratic Republic. Tel. No.: (856) 2022213409, E-mail: thongchanh@gmail.com
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Dr Ruzita binti Mustaffa, Public Health Physician, Perak State Health Department, Pejabat Kesihatan Daerah Hilir Perak, Jalan Maharaja Lela 36000, Teluk Intan, Perak, Malaysia. Tel. No.: (601) 95742355, Fax No.: (605) 6212401, E-mail: drruzita@moh.gov.my Dr Tungalag Nyamaa, Specialist, Policy Implementation and Coordination, Ministry of Health, Government Building-8, Olympic Street-2, Ulaanbaatar 14510, Mongolia. Tel. No.: (976) 9998157, E-mail: ntungaa456@gmail.com Dr Gerel Dondovdorj, President, Mongolian National Federation of the Blind, Building "C" of Occupational and Training Enterprise for the Blind, 3-r khoroo, Chinggis Avenue, Khan-Uul District, Ulaanbaatar 14510, Mongolia. Tel. No.: (976) 70044179/(976) 88111379, Fax No.: (976) 70044179, E-mail: Gereldondow@gmail.com Mrs Batdulam Tumenbayar, Director, Development Division of PWD, Ministry of Labor and Social Protection, Government Building-2, United Nations Street-5, Ulaanbaatar 15160, Mongolia. Tel. No.: (976) 51260202, Fax No.: (976) 11328634, E-mail: batdulam@mpdsp.gov.mn Ms MariaCristina Raymundo, Senior Health Program Officer, Department of Health, San Lazaro Compound, Rizal Avenue, Sta Cruz, Manila, Philippines. Tel. No.: (632) 6409003, E-mail: tinalraymundo@yahoo.com Dr Ma Eulalia J. Beredo, Chief, Rehabilitation Department, Philippine Orthopedic Center, Ma. Clara corner Banawe, Bgy Lourdes, Quezon City, Philippines. Tel. No.: (632) 7114276 loc 249, E-mail: beredo_lally@yahoo.com Ms Carmen Reyes Zubiaga, Executive Director, National Council on Disability Affairs (NCDA), NCDA Building, Isidora Street, Barangay Holy Spirit, Quezon City, Philippines. Tel. No.: (632) 9516401/9516033, Fax No.: (632) 9516401, E-mail: council@ncda.gov.ph Mr Randy DC Calsena, Planning Officer III, National Council on Disability Affairs (NCDA), Isidora Street, Barangay Holy Spirit, Quezon City, Philippines. Tel. No.: (632) 2839030, Fax No.: (632) 9522809, E-mail: randy.calsena@gmail.com Mr Byung wang Jun, Director-General, Bureau of Policy for Persons with Disabilities, Ministry of Health and Welfare, 6th, 13, Doum 4-ro, Sejong-si, Seoul, Republic of Korea. Tel No.: (82) 44 2023300, Fax No.: (82) 44 2023960, E-mail: bwjun38@hanmail.et Dr Wan ho Kim, Director, Division of Public Health and Rehabilitation, National Rehabilitation Center, 58, Samgaksan, Gangbuk-gu, Seoul, Republic of Korea. Tel No.: (822) 9011615, Fax No.: (822) 9011591, E-mail: wanhokim@gmail.com Ms Joanna Teo, Deputy Director (Hospital Services), Ministry of Health, 16 College Road, Singapore, Singapore. Tel.No.: (65) 63251389, Email: joanna_teo@moh.gov.sg Ms Sin Yee Loh, Manager, Disability Division, Ministry of Social and Family Development, 512 Thomson Road MSF Building, #09-00 Singapore 298136. Tel. No. (65) 6354 7074, E-mail: loh_sin_yee@msf.gov.sg Ms Lan Tran Thi, Vice Director, Social Work Division, Social Protection Department, 35 Tran Phu-Ba Dinh, Ha Noi, Viet Nam. Tel. No.: (844) 984688603, Fax No.: (844) 3748675, E-mail: lanbtxh@yahoo.com; lantranbtxh@gmail.com 16
Dr Minh Hanh Nguyen, Expert, Rehabilitation and Assessment Division, Medical Service Administration, Ministry of Health, 138A Giang Vo Street, BA Dinh District, Ha Noi, Viet Nam. Tel. No.: (844) 91024905668, E-mail: minhhanhkcb@gmail.com
2. TEMPORARY ADVISERS
Dr Josephine Bundoc, Head, Prosthetics, Orthotics and Wheelchair Services, University of the Philippines Manila, Philippine General Hospital, Taft Avenue, Manila 1000, Philippines. Tel. No.: (632)5369605, Fax No.: (822) 9011591, E-mail: pennybundocmd@yahoo.com Ms Monique Kuo, Director, International and China Division, Hong Kong Society for Rehabilitation, Room 16, 1/F HKSR Lam Tin Complex, 7 Rehab Pathm Lam Tin, Kowloon, Hong Kong. E-mail: monique.kuo@rehabsociety.org.hk Dr Boram Lee, Head of Medical Care, Division of Public Health & Rehabilitation, National Rehabilitation Centre, Ministry of Health and Welfare, Seoul, Republic of Korea. Tel. No.: (822) 9011812, Fax No.: (822) 9011591, E-mail: brl9191@korea.kr / brl9191@naver.com Dr Pamela Pui-yu Leung, Deputy Chief Executive Officer, Hong Kong Society for Rehabilitation, 1/F, HKSR Lam Tin Complex, 7 Rehab Path, Lam Tin, Kowloon, Hong Kong. Tel. No.: (852) 2855 9360, Fax No.: (852) 2855 1947. E-mail: pamela.leung@rehabsociety.org.hk Dr Tak Lun Poon, Honorary Clinical Associate Professor, Faculty of Medicine, The University of Hong Kong, Room 602, Central Bldg., Pedder Street, Central Hong Kong SAR, China. Tel No.: (852) 3167 7310, Fax No.: (852) 3167 7321, E-mail: poontl@gmail.com Dr Wesley Pryor, Acting Head, Disability Inclusion for Health and Development, Nossal Institute for Global Health, Level 4, 161 Barry Street, Carlton, Victoria 3056, Australia. Tel. No.: (613) 86449348, E-mail: wesley.pryor@unimelb.edu.au Professor Stephanie Doris Short, Lead, Workforce Activities, WHO Collaborating Centre in Workforce Development in Rehabilitation and Long-term Care, The University of Sydney, C42- Cumberland Campus, Lidcombe, NSW 2141, Australia. Tel. No.: (61) 407580286, Fax No.: (612) 90367367, E-mail: stephanie.short@sydney.edu.au Dr Yoshiko Tobimatsu, President, Rehabilitation Centre for Persons with Disabilities, 359-8555 Namiki 4-1 Tokorozawa City, Japan. Tel. No.: (814) 29953100, Fax No.: (814) 29950355, E-mail: tobimatsu-yoshiko@rehab.go.jp
3. RESOURCE PERSON
Dr Albert Domingo, Consultant, Division of NCD and Health through the Life-Course, WHO Regional Office for the Western Pacific, P.O. Box 2932, 1000 Manila, Philippines. Tel. No.: (632) 528 8001, Fax No.: (632) 521 1036, E-mail: aedomingo@gmail.com
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4. REPRESENTATIVES/OBSERVERS
Ms Jade Cooper, Policy and Program Officer, Disability Section, Development Policy and Education Branch, Department of Foreign Affairs and Trade (DFAT), R G Casey Building, John McEwen Crescent, Barton ACT 0221, Australia. Tel No.: (81 3) 5232 4082, Email: jade.cooper@dfat.gov.au Ms Chiara Retis, Handicap International (HI). E-mail: cretis@handicap-international.org Mr Kwang-hee Kim, Program Specialist, Korea Disabled People’s Development Institute (KODDI), 17-13 Yeoeuido-dong, Yeongdeungpo-gu, Seoul, Republic of Korea. Tel No.: (822) 34330647, E-mail: peace@koddi.or.kr Mr Joohwan Cheon, Director of Asia Team, Korea Foundation for International Health Care (KOFIH), Euljiro 6 Jae neung Gyo yook Building(Talent Education Building) 6th and 7th floor, Jung-gu, Seoul, Republic of Korea. Tel. No.: (822) 69109021, E-mail: jhcheon@kofih.org Ms SooJeong Shin, Assistant Manager, Korea Orthotics and Prosthetics Association, Ye-ahn Building 5th floor, 329 Han River-daero, Yongsan-gu, Seoul, Republic of Korea. Tel No.: (810) 3393 5046, E-mail: onpinsight@naver.com Ms Hyunjeong Kim, Deputy Director, Ministry of Health and Welfare, 13 Do oom 4-ro, Sejong 30113, Republic of Korea. Tel No.: (844) 2023296, E-mail: bear9125@korea.kr Professor Yoon Kim, Professor, College of Medicine, Seoul National University, 103, Daehak-ro, Jongno-gu, Seoul, Republic of Korea. Tel No.: (822) 20722186, E-mail: yoonkim@snu.ac.kr Mr Jong-koo Lee, Director, College of Medicine, JW LEE Center for Global Medicine, International Hall (1st floor) of International Seoul National University College of Medicine, 71 Iwhajang-gil, Jongno-gu, Seoul, Republic of Korea. Tel No. : (822) 7408992, E-mail : docmohw@snu.ac.kr Dr Moon Suk Bang, Professor, College of Medicine, Department of Rehabilitation Medicine, Seoul National University, 8th floor of the main building, 103, Daehak-ro, Jongno-gu, Seoul, Republic of Korea. E-mail : msbang@snu.ac.kr Professor Haejung Lee, Associate Professor, Department of Physical Therapy, Silla University, 140 Baegyang-daero 700(chilbaek)be, Sasang-gu, Busan, Republic of Korea. Tel No.: (010) 38800509, E-mail: hjlee@silla.ac.kr Dr Naira Avetisyan, Programme Specialist, Children with Disabilities, United Nations Children’s Fund (UNICEF), East Asia and Pacific Regional Office, 19 Phra Atit Road, Bangkok 10200, Thailand. Tel No.: (660) 2356 9256, Fax No.: (660) 2280 3563, E-mail: navetisyan@unicef.org Dr Catherine Maree Vaughan, Lecturer, Melbourne School of Population and Global Health, The University of Melbourne, 207 Bouverie Street, Carlton 3010, Australia. Tel. No.: (613) 90356670, Fax No.: (613) 93479824, E-mail: c.vaughan@unimelb.edu.au
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Mr Bernard Franck, Technical Director “TEAM” Project, World Education Laos, P.O.Box 6782 or 10 Fa Ngum Road, Ban Phiavat, Sisatannak, Vientiane, Lao People’s Democratic Republic, Tel. No.: (856) 21214524, Fax No.: (856) 21217553, E-mail: bernard_franck@la.worlded.org
5. SECRETARIAT
Mr Darryl Barrett, Technical Lead/Responsible Officer, Disabilities and Rehabilitation, Division of NCD and Health through the Life-Course, WHO Regional Office for the Western Pacific, P.O. Box 2932, 1000 Manila, Philippines. Tel. No.: (632) 528 9865, Fax No.: (632) 521 1036, E-mail: dbarrett@who.int Dr Hai-Rim Shin, Coordinator, Noncommunicable Diseases and Health Promotion, Division of NCD and Health through the Life-Course, WHO Regional Office for the Western Pacific, P.O. Box 2932, 1000 Manila, Philippines. Tel. No.: (632) 528 9860, Fax No.: (632) 521 1036, E-mail: shinh@who.int Ms Hyung Kyung Song, Intern, Disabilities and Rehabilitation, Division of NCD and Health through the Life-Course, WHO Regional Office for the Western Pacific, P.O. Box 2932, 1000 Manila, Philippines. Tel. No.: (632) 528 9855, Fax No.: (632) 521 1036, E-mail: songhk@who.int Dr Vivath Chou, Technical Officer, Disability and Rehabilitation, WHO Office for Cambodia, No. 177-179 corner Streets Pasteur(51) and 254, Sankat Chak Tomouk, Khan Daun Penh, Phnom Penh, Cambodia. Tel. No.: (855) 23216610, Fax No.: (855) 23216211, E-mail: chuov@wpro.who.int Dr Maria Alarcos Cieza Moreno, Coordinator, Blindness Deafness Prevention, Disability and Rehabilitation, WHO Headquarters, Avenue Appia 20, 1211 Geneva 27, Switzerland. Tel. No.: (41) 22 791 7998, E-mail: ciezaa@who.int
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ANNEX 3. Participant’s Workbook
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