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Prosthetics & Orthotics in Haiti – Observations
Al Ingersoll, BA, CP, P&O Programs Director
Mesi, Merci, Thank you!!! International P&O MUST be proud of response!
1,000+ Prosthesis fit in less than 6 months 100’s custom & pre-fabricated Orthotics
CHAOTIC?
Current situation HiPOE Amputees Organizations Technology Injured Cost
#’s of people with amputations.
Reports too high! Pre-quake or Post? Pre-quake capacity output very low WHO #’s / Documentation Media Database effort Outcomes
Recent earthquake amputation % 2008 Sichuan, China
One UK study of 3324 pt. - 5.5% (183) amp. 2005 Bam, Iran –
Iran study of 274 pt. = 2.9% amp 2005 Pakistan – UK study
6797 pt., 4057 admissions 150 amp (2.2%) 2004 Indian Ocean – no studies found
1
1
10+
1
1
P&O Providers as of September 2010
Pre-Quake1 FT, 2 PT
HHH/HI Technolo
gy
Dynacast
ICRC
OWW
Otto Bock
Proteor
Seattle
Mainly custom, little pre-fab
Consumer, education & funding to sort out…
Challenges
Apathy
Corruption
High costs
Infrastructure absent
Language
Misperceptions
Shipping/Customs
Short term volunteer
Weather
What Haiti P&O needs from International community.
Long term ISPO Cat I & II Funding available to hire!!!
ISPO P&O Education Low cost durable gel liner KAFO joints $100 MP knee – more mountains Switzerland CUSTOM made and fit ORTHOTICS
Hispaniola P&O Education
HiPOE - Dominican Republic & Haiti History Rationale – No ISPO Cat. I or II in Haiti
Blended learning approach Provider
University of Don Bosco, San Salvador, El Salvador
New reality Haiti Ministry of Health & SEIPH approve? Start date?
HiPOE
Univ. Degree Partial option
Length 1 - 5modules/6mo
Costs $1500 each
Exam – ISPO cat II Jobs?
Most current HHH/HI stats
650 Persons w/Disability registered 300 LE Pros 300 LE Orth, 275 custom 72 UE Pros evaluated – not started
Staff – ISPO Cat I = 3 International Cat II = 10 - International Cat III = 7 - Haitian
Healing Hands for Haiti Partnered w/Handicap International for P&O
Am Red Cross / ICRC-SFD building – NEW! Outpatient therapy clinic opening soon Assist w/PM&R staffing, SCI, WHO Working
Group meetings 380 Motivation wheelchairs Maintained employment of entire staff!!!
And many more!!!! MESI ANPIL