Baseline Report on Rehabilitation for People with Disabilities in Health Facilities and Home-Based Care in Binh Dinh and Quang Nam Province

The project is funded by USAID and implemented by the Institute of Population, Health and Development (PHAD) in collaboration with Catholic Relief Services (CRS). The overall goal of the program is to develop a sustainable and expandable model to improve the inclusion of 2,000 people with severe disabilities in the two provinces. The project aims to deliver home-based care services for 600 people living with severe disabilities in Binh Dinh and Quang Nam province. At the same time, HMH implements activities to strengthen interdisciplinary rehabilitation service units at provincial and district hospitals in Binh Dinh province. To achieve this goal, a baseline assessment was conducted to describe the situation and capacity of health facilities in providing rehabilitation health care services for people with disabilities. The baseline assessment used a cross-sectional study design, combining quantitative and qualitative methods. The evaluation team collected secondary data from 3 rehabilitation provincial level units, 7 rehabilitation district level units, and 46 health commune stations (HCS) of 3 districts in Binh Dinh province. The team also conducted in-depth interviews with board of directors of district health centers, cadres in charge of community-based Rehabilitation (CBR) program, and focus group discussions with health officials and department officials at all levels. The key findings of the baseline assessment indicate that the network of healthcare and rehabilitation services for people with disabilities has not been synchronized at all levels. At the provincial level, there is a lack of coordination and communication between different departments and units, leading to duplication of efforts and inefficiencies. At the district level, the healthcare and rehabilitation services for people with disabilities are not well-integrated into the overall healthcare system, resulting in limited access to services for people with disabilities. The assessment also found that the healthcare and rehabilitation services for people with disabilities are not well-equipped to meet the needs of people with severe disabilities. The services are often fragmented and lack a comprehensive approach to rehabilitation, resulting in limited outcomes for people with disabilities. Additionally, the assessment found that the healthcare and rehabilitation services for people with disabilities are not well-integrated into the overall healthcare system, resulting in limited access to services for people with disabilities. The baseline assessment also identified several challenges related to the management of disability information systems and the prevention of gender-based violence. The assessment found that the disability information systems are not well-coordinated and lack a comprehensive approach to data collection and analysis. This has resulted in limited information on the needs and outcomes of people with disabilities, making it difficult to develop effective interventions. The assessment also found that the prevention of gender-based violence is a significant challenge in the healthcare and rehabilitation services for people with disabilities. The assessment found that the services are not well-equipped to address the needs of people with disabilities who have experienced gender-based violence, resulting in limited outcomes for these individuals. Overall, the baseline assessment provides a comprehensive understanding of the current situation and capacity of healthcare and rehabilitation services for people with disabilities in Binh Dinh and Quang Nam provinces. The assessment highlights several challenges and limitations in the current system, which need to be addressed in order to improve the inclusion and outcomes of people with disabilities. The project aims to address these challenges and limitations by developing a sustainable and expandable model to improve the inclusion of people with severe disabilities in the two provinces. The project will deliver home-based care services for 600 people living with severe disabilities and strengthen interdisciplinary rehabilitation service units at provincial and district hospitals in Binh Dinh province. The project will also develop a comprehensive approach to rehabilitation that addresses the needs of people with severe disabilities and integrates the healthcare and rehabilitation services into the overall healthcare system. The project will also address the challenges related to the management of disability information systems and the prevention of gender-based violence. The project will develop a comprehensive approach to data collection and analysis that addresses the needs of people with disabilities and provides accurate information on the needs and outcomes of these individuals. The project will also develop effective interventions to prevent gender-based violence and address the needs of people with disabilities who have experienced this type of violence. Overall, the "Hold my hand" project has the potential to make a significant impact on the inclusion and outcomes of people with severe disabilities in Binh Dinh and Quang Nam provinces. The project's comprehensive approach to rehabilitation and its focus on addressing the challenges and limitations in the current system make it an effective intervention for improving the inclusion and outcomes of people with disabilities.