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Rehabilitation in health systems: guide for action

WORLD HEALTH ORGANISATION (WHO)
May 2019

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There is great variation across countries regarding the rehabilitation needs of the population, characteristics of the health system and the challenges that face rehabilitation. For this reason, it is important for each country to identify their own priorities and develop a rehabilitation strategic plan. A rehabilitation strategic plan should seek to increase the accessibility, quality and outcomes of rehabilitation.

To assist countries to develop a comprehensive, coherent and beneficial strategic plan, WHO has developed Rehabilitation in health systems: guide for action. This resource leads governments through a four-phase process of (1) situation assessment; (2) strategic planning; (3) development of monitoring, evaluation and review processes; and (4) implementation of the strategic plan. This process utilizes health system strengthening practices with a focus on rehabilitation.

The Rehabilitation in health systems: guide for action provides practical help that directs governments through the four phases and twelve steps. The process can take place at national or subnational level. Typically phases 1 to 3 occur over a 12-month period, while phase 4 occurs over the period of the strategic plan, around 5 years. The four phases and accompanying guidance are outlined below

Visual health screening by schoolteachers in remote communities of Peru : implementation research.

LATORE-ARTEARRGA, Sergio
et al
September 2016

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An assessment was carried out of the adaptation and scaling-up of an intervention to improve the visual health of children by training teachers in screening in the Apurimac region, Peru. In a pilot screening programme in 2009–2010, 26 schoolteachers were trained to detect and refer visual acuity problems in schoolchildren in one district in Apurimac. To scale-up the intervention, lessons learnt from the pilot were used to design strategies for: (i) strengthening multisector partnerships; (ii) promoting the engagement and participation of teachers and (iii) increasing children’s attendance at referral eye clinics. Implementation began in February 2015 in two out of eight provinces of Apurimac, including hard-to-reach communities. An observational study of the processes and outcomes of adapting and scaling-up the intervention was made. Qualitative and quantitative analyses were made of data collected from March 2015 to January 2016 from programme documents, routine reports and structured evaluation questionnaires completed by teachers. Partnerships were expanded after sharing the results of the pilot phase. Training was completed by 355 teachers and directors in both provinces, belonging to 315 schools distributed in 24 districts. Teachers’ appraisal of the training achieved high positive scores. Outreach eye clinics and subsidies for glasses were provided for poorer families. 

 

Bulletin of the World Health Organization, Volume 94, Number 9, September 2016, 633-708

http://dx.doi.org/10.2471/BLT.15.163634

The humanitarian emergency settings perceived needs scale (HESPER) : manual with scale

WORLD HEALTH ORGANIZATION (WHO)
KINGS COLLEGE LONDON
2011

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The HESPER Scale "aims to provide a method for assessing perceived needs in representative samples of populations affected by large-scale humanitarian emergencies in a valid and reliable manner. This manual includes the HESPER Scale (see Appendix 1), as well as a detailed explanation of how to use the HESPER Scale, how to train interviewers, and how to organise, analyze and report on a HESPER survey"

Manual for the health care of children in humanitarian emergencies

WORLD HEALTH ORGANIZATION (WHO)
2008

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These guidelines are to assist in the care of children in emergencies. They are designed to serve as a reference manual for the evaluation and management of children in emergencies, and as the basis for the training of health care workers. The target audience is first level health workers who provide care to children under the age of 5 years. Physicians and health care workers with more advanced training are referred to the WHO Pocket Book of Hospital Care for Children: Guidelines for the Management of Common Illnesses with Limited Resources (2005)

Indicators for assessing infant and young child feeding practices : part 1, definitions|Conclusions of a consensus meeting held 6-8 November 2007 in Washington, DC, USA

WORLD HEALTH ORGANIZATION (WHO)
2008

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This publication defines indicators that could be used to revise those outlined in the document 'Indicators for assessing breastfeeding practices', published in 1991. This document provided a set of indicators that could be used to assess infant feeding within and across countries and evaluate the progress of breastfeeding promotion efforts

Good governance for medicines : assessment instrument

WORLD HEALTH ORGANIZATION (WHO)
2007

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This briefing describes an assessment instrument that can be used when carrying out a national assessment of transparency and vulnerability to corruption as part of the WHO's programme to promote good governance for medicines

eHealth tools and services : needs of the member states. Report of the WHO Global Observatory for eHealth

WORLD HEALTH ORGANIZATION (WHO) GLOBAL OBSERVATORY FOR EHEALTH
2006

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This is a report on some of the findings of a global survey on eHealth carried out by the Global Observatory for eHealth (GOe), concerning the needs for eHealth tools and services. The survey found that WHO Member States would welcome an active involvement of WHO in the development of generic eHealth tools, while particularly non-OECD members would benefit form guidance on eHealth issues. It also found that needs vary even among OECD countries, and that existing eHealth tools and services should be better known. The report recommends that WHO should actively intervene in the provision of generic tools (eg, drug registries, patient record systems, health professional directories), facilitate access to existing tools, promote knowledge exchange, provide eHealth information and promote eLearning programmes

Model IMCI handbook : integrated management of childhood illness

WORLD HEALTH ORGANIZATION (WHO)
UNITED NATIONS CHILDREN'S FUND (UNICEF)
2005

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The IMCI model handbook provides a detailed explanation of the IMCI case management guidelines. It is organized into seven main parts: overview of the IMCI process; assess and classify the sick child age 2 months up to 5 years; assess and classify the sick young infant age 1 week up to 2 months; identify treatment; treat the sick child or the sick young infant; communicate and counsel; and give follow-up care
Teaching institutions are advised to adapt the handbook in two ways: 1.to ensure that all text, charts and illustrations are consistent with nationally-adapted IMCI clinical guidelines, and 2.to ensure that its content and format corresponds to the teaching approach used by the institution

Disability assessment schedule : WHODAS II

WORLD HEALTH ORGANISATION (WHO)
February 2000

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This resource is a questionnaire developed by WHO to assess the health condition and level of function of disabled people. It is available in 16 languages and comes with a training manual

Indicators for assessing vitamin A deficiency and their application in monitoring and evaluating intervention programmes

WORLD HEALTH ORGANIZATION
1996

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Elaborates basic principles for the use of 24 specific biological and ecological indicators in the surveillance of vitamin A deficiency. Addressed to managers of national programmes for the prevention and control of micronutrient malnutrition, the document offers abundant advice on the principles governing the use of biological indicators for surveillance, and explains the scientific rationale for each indicator, including its limitations and cutoff points for interpretation in terms of public health significance. For the first time, a series of ecological indicators that can be used to identify high risk areas is presented together with advice on cutoff points for their interpretation. Also included are indicators for monitoring progress towards achieving the goal of eliminating vitamin A deficiency as a significant public health problem by the year 2000. Annexed to the text are a ranking of countries according to the severity of public health problems caused by vitamin A deficiency, and several sample survey and reporting forms

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