PROJECT PARTNERSHIP AGREEMENIBETWEEN

"DRKAIIADI,, GENERAL HoSPITAL _ SEMAiANGAND

HANDICAP INTERNATIONAL

For the implementation of the project <Capacltt building ofEeakh Polrachnic of Surckatta - Plosthetic and Olthotic School,Rulnah Saklt Ottopedi "PrcJDt Soehalso"- Surakarta, GerreratHospital "Dr Kanadi" Senarang, aml Center of Social Rehabilitatioflfor People with PhJtsical Disabilities "PtofDr Soehatsa"- Surakafia>

Health ?obleclnic of Sural<arta - Prosrhetic and Orthotic Schoot (h{einatdrefened to as H??OS), Rman Sakii Ortopedi "ProfDr R. Soehaso,r Sunkaria(hdeinafter refded to as RSOS), 'Dr Kariadi" Cenenl Hospital - Semrans(herehaftq rcf@d ro as SHK), Balai Besar R€habilitasi Sosial Bina Daksa ,.?rof DtSoehano" - Sunkaria (hereinafrd clered to as BBRSBD) and EandicapIntolarional (hdeinafter refmd to 6 rID, joindy .efened to as the Parties;

l� An esiimated 20 mnlion people with disabnides (PWD' in Indonesia, by rheintemationaly cnddse<t (WHO) ratio of l0% of the toral lopulatio!;

2. A signincat potenrial dmand for Prosrhcdc and Oithotic (P&O) technicians ifihc internationally endoaed ratio had ro be applied ( 6 P&O tecbnicians ar IevelL 1,500/3,000 P&O technicians at level IIi 4,500/12,000 P&O technicians arIdel III)j

3, An estimated toial slpply of I,200 appliances (Fosrheses and orthoses) per yearcountrtMde agai$t a potenlial denand of L I nillioni

4. Tne only Prcsrheda and Onhotics School in rhe counr.y is HPPOS, whose p&Otninin8 couse lesumed in 2003, wirh a sdenrecn.year lapse ion the lasr

5, The dght connectioN betwen HPPOS, RSOS, SIIK and PRSBD, tracing bacLro rhe establishhdt of the Rehabiliiarion Cenrum by rhe late Prof Dr R.

6, The ongoing intmship of H??OS ?&O students wirhin RSOS, SHK andPRSBD to eBure bands on raining and plofesional exposlr, plior io

8.

7, The dealttr ol P&O lrofesionars idenrfied by HI in Aceh, for the bumaniraiianGponse mpo$.runamr *6iThevemorandun of Undenlandins setded berween rII and rbe Ministry of

HI extensive experience in rhe ddelopncnt ofp&O senic6 rehabititationenr""dndp,o les iondl Lrnnc."nres. $r0erphasnondppropnar"

Psua io rhe ?revailins laws and Esulation otlndonesia as wet as rhe ploceduresand policEs of th€ govtuent of Republic of lodon6ia conceming intemationalooleration, thc Parties have leached the folowing agreenent:

Ennance trosthetic and onhotic capaciry wirtrin Heahh ?oly1{hni. of SunkanaProstneiic and Orthotic Scboot GIPPOS), and in the p&O lnits ofRuaah SakitOftopedi "ProfDr R. Soehaso , - Surakana (RSOS), "Dr Kdiadi,' ceneral Hospital- Sebarang (SHK), and Balai Besar Rehabilitasi Sosiat Bila Daka .profDr -

Soeharso'L Suralerta (BBRSBD), wbft studenrs fron HppOS hale thet intmship.

Attid. 2 - Scop€ ofth€ Age€ndt bdwe6 I{I dd StI(Activities overed by the Ploject Parr.enhip Aereebent are:1. Dselo! skills of P&O re.hoicians in SEK rainins HppOS students during then

2. Develop ard inieglaie trainins modul$ intended 6r tea.hins/so?enhing siatr(le.turesi instructos and teclhician, non dy of the ?anies. The trainingmodules (at least 4) wi prcvide the irainees with appropiiate teachinginstrumenir and technical skills to sulport HtpOS srud€ns.

3. Enhance technolosies for rhe produdion oapiostheses and onnoses, intrcdu.inBlolwropylene and fibre gla$ stockjnet in rnen manufacEre.

4. Supply nece$ary equipndr in aaordane wih pedagogic Fqunene.s .nd thene approtriate t€chnologies innodued through the prcFcr (Atuexe t).

5. Deterhine national lolicies oneming the pr€sence ofrehabililarion sericeswithin public hostirals of q?e A and B.

6. Contribule to the review ol oritula tur HppOS studcnts {irh a vid roidentifrjng the best balancc beNeen lecturcs, taborarotr and inlemship, the lafteroeant to indu.te hands on training in fte workhop a, wel as bed side teaching.

7. Record expdiences of research @d developnenr (R & D) of appropriatetechnologies in idms ol tunctio@l daign, cost, avaitabiliry of@mlonents,

ad aesrheri. qualiry - for the producrion ofprcsrheses md orthoses in lhe

lpg is rer na t io tu ldndeCrord ,upp lc rso tDronhere .drdonhosc5, rsseua\prc. rdq\ o equrpment drd r w mdr"-dt for lhetr produdion

Idorili odhouc.orsundble. drd posiheric rcm?onm6 ro be todnufacured inl@al planE in Ean and CenEdlJava.

9.

8,

Anid€ 3 - tmpl.(dtatior Mechdiml fe?anE\shJraLablishb. odobe! 2oo( d p.ofd Md ndcemen( con minee(PMC). The cohmrnee w compns€ ot. The Dneaor of Eeatn Polyte.hnic of Suiakarta, or hd relresenrative' TheDimldolRunEhSaLitOnopedi.Prcf DrR. Soeha$o,, -suiakana,orhis

! The Diector ofceneral Eospit,l ,DrKdiadi', Sehardns, or n6Epresentalve. Thc Dnedor of the Cenrre of Sociat Rehabitiution for peopte wirh physidl

Dnabilities "Prcf Dr Soehdso" - Surakana, or bd repBentalve. The Prcjed Mamger of qandicap Inlemarional. The Disability Prograome Co-ordinaror of Handi@p InrehationalA repr4eriative from ihe Seqetary Cenqal of the Minisry ofH€atth RI, in@ordinaton {nh Badan Pengenbangan P€nberdayaan Sumberdaya ManusiaKesehatan DEPKES RI (BPPSDM) and Direcrorare Cd€nl ofMedicai Seflice(Dnektorat Bim Pelayanan Medik - DEPKES RI), wil be pemanmtty invited.PMC shal deve]op projecr policies and ,halt superise rheir inplenentation.?MC wi[ draw an Amual llan of Operations by De.embei. A mi.i.yetr eview ofthe inpleneiiarion prosEs wil iake place in June and wil be ccordinated by thePMC.

ttr Prcject Manag* win subnit to ?MC an Annlat ?ros!e$

PMC w supetuise the implemenration prcgre$n accordance with the Annlal

PMC ail revicw a fedibiliry study on lpgading the P&O prcslan in HppOSconceming the awarding of a level II ISPO.Equipmenr and .onmodiries pro.lred undd this aeremeff wiU be handed overthioush spdinc arangemenrs, by lhe dd of rhe prcject.The hand-ovd olequipne.i w occur thrcud hand over contracB berween HI andthe recipie.t/s, Io be superyised by rhe Ministry of Heatth.

An. 4 - Contdblrion by SII(SHK shal:

Glani a@ess nr rhe P&O facitities within ine hospitat io rhe prcjed sratrAppoinrd rocal pojnr dmone ns jutT !o touoq Lhe projed rc,rv.liA dnd oHtdewrh he plojed manaaer.

' Inaorni.P&O slafl abourtheprcject,nsobjediveand&tiyiri€s.. Shouldd cosr and arangenent for nanslorraion and acconnodation of SllK

Ediners anendnsbr nine modutpr,n RSOS developed bv lhe p,oipd forrearu8/su!,enurn3 san

' Arange @Guftabler md raw n:tdial (.ost and !rccurment) br lhe rainine.ouses of lech@s, i6nutoB and technicians, when those .onsunables do ;orrelare io new rechnologiB intro.tuced by the prcjecl, Cost of consuhables antlhw material wil be shaied by rtre Panies accordins ro the number of trainee,ftom each partner insrihrtion.

' Supnise the ptrfomance oftne P&O teclDicians i! supponing HPIOSintmewith a view ro agphisirS the intact oftbe sa;jng und*gone by ns

' Insra[ any equipmenr withir i6 P&O vo.khop and tuue aplropriate

' Idenrily resoures to ake chage, by lhe end ofthe prcject, of any sutpty ofconsrnables provided temporarily by Hl.

. Take pan in the analysi and review of H?POS oni@ta, wjth speciflc foos onthe role of intetuship.

. suppm rhe p' oied md naCer ro ! e@.d exprienej of d pproprure 'eJbotogh5 forthe produoon ol prosthese5and ofthoses in Indonesia.

An. 5 - ConEi6utim by tIIRemii and assign ro the prqed a Prcstheti6 and Onhoiics traind, as prcjecr

Remn and as8n to the project a P&0 Research & Developn4t Expen.Re@it .nd a$ign io the lroject a P&O Advisor.

' Slpply equipnent required to upgrade rhe P&O wdkshop withi! SHK Ge€

. Prcvide - on a tenpdary basis - onsunabtes required by rhe nN rdhnotosiesdeveloped in sHK throush rhe projed Gee Annexe 2).

. Firance dd co ordinate a leasibitiry study on the awa.ding of a levet II IS?O(Intemational Sociery fof Prostherio and Olrhorict for the trosrhetic andOnhodc School of rhe Health Pol',technic in Solo.

. Co ordinate iniriatives toorthdes or sohe of theii

esiablish a Iocal production line/s for prostheses tud

Articlc 6 - Prcj€ct SrsrainrbitityThe ?arties shde a comoon omnnmenr io susrainable devetopnent, The projecrshau not genelate dependence from financiat or narnd aid. In;tead, Lte prcje;tshan prcgressiyely ca upon natioml resolrces to aoster skils and re.hnot;gi s toneet plostheric and orthotic denands.Sp<iEcally, the capacity building conponent in the prcject, in<tependent initiarivesby rhe Parties nd rhe drcl\pmpnro,lhe Mini5kyot Hcatrn a,e medrr rodevetoplval dnd nariondl rcsourer ro addp$ . polentidl) gosrns prot herr and onl;uc

The !rcject shall provide prosthed. and orrhotic eqlipment that:l) k relevanr ro the Parties2) Dnecdy Elates to hands on prostheric and ontrotic inrmhip by HppOS

3) DiEdy relates to new rechnologie, introduced thrcug! the prcjed4) Requnes spare pans and comunables lhar are tocaly or resronalty availabteo. shan be@ne so by the dd of rhe projecr

HI?OS, RSOS IBRSBD and SHK shaU ensurc Ltar dn) eqripmenl ,rpp[ed by Hl6 prooe v nrdeo q.ihr rheuprer6e" dd proppr'y majuned ror rhe rra.ddlile.pdo (a: indi.dLed m rts wdranryand E.hnot rpe!lJtmriotu).ItI shal provide equipnent wirh adequate waranty, ctear specfi@tions dd

HI shal facilitate contacs berween Ecipients ot equipment supptied by tbe ?rojectand iechlicd a$nhnce unns - both in lndonesia and ouLside - of lhe nanufactlrins

Upon requesr by any of the Panies, HI shal have rhe fomcr uuunenaronEdslated in a Ianguage innediaiely @n!'rehensibte to maintenance teams.Any provision of @nsumables sbal bc monirored by PMC anrl exanined with theMinistry ol t{ealth, wirh a vid to replacing any project.tunded flow of conslnableswilh slanddd fnancing and procuenent prccedures in HPpOS, RSOS, BBRSBDand SHK,

The parties comnit rot to exped runber of intdneer, students or patients wnnouitrior identincation of llndcirs and procument prmedurd intended ro cplace iheproject-tunded supply olonsuhables.

Artide 7- Setd@.nr ofDisplres

Any dispute rhat nay arise berween the parties on the interpretation orjmplementation of$is AsEenenr wil be seided aniaur ,TheParue shdl d lwat . pu,e dccorA dd.otuuonsby nean: o. inlomdtunsharing, consulurion and neAotiahon

Aficl. 8 - AmddmdisAny amddment ro rhis fureement wilt requte wrinen agreendt by borh the

Aniclc 9 E .y into Forc., Detion md I@inationr. This Ag@metu shal enter inro force on lhe date ofits srsnng.2, This Agreenenr shal renain in force for pdiod of two yed, or tbr the enrire

dration ofthe project. Should the prcjecr be ertended, an extersion ofdisAgreenent is to be expect€d.

3. Tminarion can be requiEd by any of lhe Parties with at least three monthswrinen notice to the oth6,

4. A.tivities included in an Annual tlan ofopeiarions apprcved by the pMC shalbe(cfied ourand tuUy implpmpl'pd recdrdl.\ 'o rhe posibtp erpnadon o,rheAgreement prior to rheir complerion.

An. l0 - Foi.e mjemUnloce@ erents, which none anong the Parties .ould o.trct, nay lead roinnediate t€lnjiarion of lhe prese.i Agcenent as wel as to rhe ifieruprion ofactivfties included in the Ann@l Plan of Opqations.ln wirne$ th€Eoi d1e duly authorised represenrarives otthe ,.Dr Kdiadi,' GendalHGtital Semdang and Eandica? Intemrio.al - whof names ale shown b@belov - have signed this Menoranduo ofundesranding.Done in duplicate in semanns on OCToBER t91l',indEye&of.wothouand and fiye in the English lanerlase, bofi texB ale equatly authentic,

For Handjop I nErutiona!

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"\ .t-.-as iXeg .ar/ &^-ia MD

( xlAECloA ' Ia r Mis5 Gl6vA c. - ( | ̂ J t

PROJECT PARTNERSHIP AGREEMENTBETWEEN

BALAI BESAR RIHABTLTTASI SoSLAL BINA DAKSA "PRoF DRSoEHARSo,, (BBRSBD),

ANDHANDICAP INTERNATIoNAL

For the implementation of rhe Woject <Capacit, btilding ofHealthPolrtechnic afsurckina - Prosthetic and Othotic School, Runah SakitOftopedi "Prcfb Soeharo"- 'a/akata, General Eosptal "D/Kaiadi". SenarcnC, and Centu of Social Rehabilitation fol Peopb withPhf sica! Dtsabibties'Prof Dr Soeharso "- Stlaka,ta>

Eealh ?oltrcchnic oiSuralina Prcsthetic and orlhotic School (hereimft€r relefted roas HPPOS), Ru@h Sakii Orropedi "PrclDr R Soehaso r Slrakarra (hdeimfttrrerfted to as RSOS), 'Dr Kariadi" Celml Hospital - Seruialg (heEinafter retbred roas sHK), Balai Besar RehaUlitdi Sosial Bina Daka ProrD.Soeha6o". Surakaiaodeinafter ftfefted to as BBRSBD) and I.Iatrdicap Inrer.ational (hereinafier reftred toas H1), jointly ielded ro as rhe Prniesi

l. An Gtimated 20 million peopk wnh disabihies (PWD' in l.doaesia, by theiniematio.ally e.do$ed (wHO) iatio of l0% olthe toral poldarioni

2. A signincant pore ial dmand aor Prc$hetic and Onhotic (P&o) re.hnicians iftneintemationally endoEed nlio had to b€ applied ( 6 P&O tehnicians at level IlI,500/3,000 P&O lecnniciac ar lclcl lI: 4,500/12,000 P&O techni.iaN ar ldel III)|

3. An estinated total slpply of 1,200 appliances (prostbesd and onhoset per year@unrJyryide asain$ a potdtial denand of L I milion;

4. The only ?ronhedcs and Onhode School in the country is HP?OS, whose P&Otaining @use esuned in 2003, with a seventeen.year lapse rrcm the last conpleted

5. The tight connections between HPPOS, RSOS, SH and BBRSBD, t acina ba.k rothe esrablishdent of the Rehabilitalion Centrum by the late Prof Dr R. Soeharso;

6, fte oqoins i mship oiHPPOS P&O srudenrs within RSOS, SII and BBRSBD toemuF hands.on t ai ns and profesioml exposle, pdor to sraduationl

7. Tne dcafth of P&O prcfe$ionals idenriued by HI in Aceh, lor the humannarianBPonse h post tsunam! aFasl

8. The Memorddum ol Undenlandil8 settled betw€en HI and the Ministry of Heafthin Jlly 20051

9. l]I eneNive er?enmce in li€ devetopmert otp&O senices - iehabilitarjon entresmd prof6sioml training centres - with enphasis on apprcpriate reclnotosjes.

Pmuant to lte picvailing laws and regutation of tndonesia as wel as the piocedures ddpolicies or the sovemenr of Repubtic or Indonesia concenins idemtjo;atmoperation, lie Panis have reached ihe following agreenmc

!nhance posher'. dnd onnoir. cdpacq wirbrn Hedtrh potrlet rn,cotsufdkdnaPro rheu. r ' rdOrho c \choot iHPPOST,and ndre t&Ounr .o"Rum.hsdkrOnopedi "lrofDr R. Soehano - surakarta (RSOS), .,Dr Kariadi, Oenerat Hopitatsenaian8 (SEK), and Balai Besar Rehabilitasi Sosiat Bina Daksa ,,pror Dr Soen;so,,surakaia (!BRS!D), wb@ srudents fron HppOS have iheir internship.

Aftidc 2 - Scope ofrbe Agraoefi h.rwe.r EI ard BBRSBDAct'vities @vered by the lnjed Parrneship Asreenent areL De\ roD k lk o r BBRSBD ld f i rd .nmE dd:uben r inar t r rmeeLomHppo) ,w i th

emphd ron d broade' !anAeolrecrnoJoeje.dnd mul' d'(iptndadpprodch, n"rrto prcmoie ihe role of P&O lecnnicirns within rbe fthabililation reao, ctinicalreasonna skilk and patienr.entred problen solvins.

2, Dcvelop and integnte traini4 nodule intended tor teachins/supetuning staff0ectuffis, i.st(cto6 and kch.icians) fton any or the panies. The fiain;g modures(at least 4) will provide the trainees with appropiate teachins iNtrnmenrj andtechmcal skills to support HPIOS $udents.

3. Fosttr pedagogic stills for BBRSBD statrsupesning and training HppOS studenrs,dernshipj wnh a view to pronoring studens participarion.

4. Returhh B!RSaD pcnnes and snppty nc$ary equipment in accordance withpeda8qic Equnmen$ and the new appropriare technoto8ies infioduced rhrou8hthe Foject (Arexc D.

5. Corhibute to rhe rdiew of oricula tor HPPOS studenb yith a view ro identitl/insdrc best balance between le.tures, handlon rraining in rhe workshop and intenship.

6. Detemirc mtio.al policies.oncemiry thc pesence ofrchabiliralion se .es wnhinpublic hospitals ol q?e A dd !.

7. RNrd expenences ol sucssful incluion ol P&O technicians wirhin rehabilitationteatu in ditreEnt mdexrs, erplorins, too, po$ible conne€rions berween pmstbelicand onhotic wor* and omu.ny bded Fhabititation.

Aniclc3 Inplcb.ntationM.chdisn

Th! Panies shall establish by October 2005 a Projecr Manaement Comiftee (pMC}Tne comniftee will conpnse ot

. The Dirctor ot Eealth ?olrlshnic of Surakana, or hr representatiye

. The Dirctot of Rumah Salit Onopedi 'Prof Dr R, Soehano" , Surakana, or his

. The Director or ceneral Hospnd "Dr Kuiadi ' - Seoaians, or his represenrative

. The DiEctor olthe Cenire ofsocial Rebabiliration for ?eople wirh ph'$i.alDnabilities ProiDr Soeha$o" - sftakana, or her Epresertarive

. The Poje.t Manager ofHandicap I.tmadonal

. The Disability ?rograme Co-ordinator ofEandicap lntenarronat

A ieprdentative Fom the Sedetary Gereial oarne Minisrry of Eealrn ru. in@odination with Ba.lan PenBenbaqa. Penberdayaan Sunbddaya ManusiaKesehaian DEPKES RI CB?PSDi{) and Diftdorare ceneral ofMedical sedie(Dnekorar lina Pelayanan Medik DIPKES RD. will be permdently invned.PMc shau develop project policies and shall supedse thcir inpleaentation.

PMC viu draw an Atuld Pla. of OpeFtions by Decmber. A nid yed review of rheimplem€ ation progres sill tale plae in June and will be co.ordinared by tne PMC.HI Projcct Ma.ager wlll subnit ro IMC an Annual ProCFs Repon by Seprenber each

PMC w supenne the inpl€nenhtion pogre$ in accordane with lne Annlal Plar of

PMC will rcli€w a leasibility stldy on lpsradins the P&O pbsnm in mPOS.o.aming the awardlng or a level 1I ISPO (lntemational Sdicty for Prosrheric and

Equipnei and comodnies proord under this agEement wil be handed oleitnrcush sp€ifi. ada.3emens, by the end or the project.

The hand-ovei of eqdpnent sill occur lhlough hand,over contrac6 beMeen HI and rhe€cipien/s, io be supeflised by the Minntrr of Eealth.

An. 4 - Contribltior by BBRSBD

BBRSID shall:' Crant acces to the centre for prcject stan. Alpoint a focal point anong its sta,ho follow the projecl activnies and inrerface

with the polecr hanager.. Infomnsstaff aboultheprojecl, itsobjectiveandactivitie.. Snoulder cost and arnnsenenl for iransportarion and acconmodalion of BBRSBD

t ainees attending tninins nodules in ISOS dcveloped by the prcjet lorteachins/supennins stafi.

. Ararye comumables and nw nalerial (cost and prooremem) lor ihe fainingcouses of lectureF, instrocton and techniciam, when those mtrunables do notrlate to ns €chnologies inlroduced by tbe prcject. Con olcosunables and raN

marerial will be shaEd by rhe Parties aaddi.s to the nunber ot ftainees fron eacb

i supervne rhe perfotuana of BBRSBD stafr involved in the hrer.ship of HppOSstudens, wirh a vis lo appnhi.g rhe impacr ot the tainina und.rgone by its stafi.on thcir pedagogic a.d technical skius.

. Install any equipdenhupplied throqh rhe projecl wnhin $ preappropnare mfrcna.e.

. Identiry resores ro talre chaIse, 6y the od otlh€ project, ordy suppty otonsumabl€s provided teopoarily by Hl.

. Rryi€w poli.ies.on eming the presence or P&O prclesiomh vithitr rehabjlitadonsetuices and clad6' posible bottlerecks.

' Takepartintheanalyshandrdiewof HPPOScutricuta, tocrsingontheroreofjntemship and explorin3 po$ible linkases berween P&O expertise and omuhity

. Ase$ a poteniial de@nd for P&O prolb$ionals wirhin conruniry basedrhabilitation plqrammes nationwide.

. Identiry sucs stories ofP&O pofe$ionak' i egration within iehabihalion teansand comunity based rehabihation initiaries.

Aft, 5 - Cofribntion by III. Reroit a.d 6si8d ro the pbject a Prosrhdis a.d Onhodcs trainei, as prcject

. Rmit and a$ie! to the projecr a ?&0 Rdearch & Developnent Er"en.

. Redit an.l a$ign to rhe pqect a l&O Advisor.

. A$isl BBRSBD in the overhaul of its llmises in a<odance wirh pedasosicrqunemfrB dirctly Glated to tie intmship of HPPOS nudents.

. supply equipnent Fquircd ro cdance leaminC opportunites tor HppOS iniemees

. Provide - on a tempoEry basis . consunables requncd by new technolosies addp€dasosic approaches introduc€d ttuough rhe project Gec Ainere 2).

i Fharce and .o-or.tinate a feasibility $udy on rh€ avardins ol a levet II tSpO(Intemaiional sociery ror ?rosrhetic and Onhodc9 in Soto

' DhliarepontosharewithlhepanneGonappbpriarel(hnotosiesforprcsrheticsand orthotics h Indo,esia and neiClrbourins countiies.

Anicl.6 Prej.crslsrair.biliry

The Parties sharc a comor comihe.t to sus$inable &velopment. The project shannot genqate dependence aron financial or natedal aid. IBieadi the projecl snal

pro8rsively call lpon national resolees to tostft stjlls dd tcctnorogies lo meerprosthelic and onhodc demands.SpeJF,d lv .dre(apacuybuidDCcomponenr i r , \epro ied. r rdependenrr b( . r$blhe.Pdru* and lhe involremefl oi de Mrnrrd o.Hed.rh dr m"ar.ro dc\ptop tocai dnd.ational resour.es to ad&es a porenriatly sowins prosthetic a.d onhotic .ldrand.The Plojed snan lrovide prcsrhetic a.d onhodc equipnent that:l) h reldant io rhe lanies2) Dnedly relates ro hands.on prosheric and onhoiic intenship by HppOS

3) DiEcrly rcrate ro new technoroSies introduced rhrcugh the prcjecrd) Requi r ' :pd 'epa6 rodonsum,b!6 rhat .F tsdt vor res iondt ya\a i tdbtporshalb{onesoby 'he end ofth€ poie.r

H?POS, RSOS, BBRSBD and St{K shall e.sur that ary equipnenr supprjed by HI nFoperly instaled wirhin lheir lremns and rrcperty mai.tained for ine standard tifespan (as indiqred in i$ wamnty and technical specidcaronr.[Il shall prcvids equipnent wiin adequate waranry, clear rpecificaiions and

HI shall tacnnate contacts berween eipienLt of equipnenr slpptied by the prclect adtechnical a$nlane unjrs born h Indo.esia and outside - orthe manutadtrd;e

Upon requcs by any of the Parties, HI shall bave the fomer documenration translaredin a lan$age imeediately omprehensible lo maintemnce leam.Any provision or @nslnables sharl be nonitored by PMC and examined wirh theMinistry of Health, with a vj* to Eplacins a.y prcjecl,tun&d lloN oicoffunabrewith ,tandard nmtrcilg and prftlrehent prcadures in SPPOS, RSOS, BBRSaD andSHK.The parties conmit noi io er?and number ol i.reme6, studenrs or patiftrs wirlDutpnor identificalion of fr.ancing and proornenr procedures intended ro reptae rheFoject.tunded supply of conslnables

Afticl. 7 - Senlen nr ofDisplr.sAny dnpute that nay arise berwen lhe ?arti6 on lhe i erprctation or inplementarionofthis Agreenert win be seided anicably.The Panies shall always pu6e aaolds and soluiions by neatu of hfornarion sharins,onsultation dd nesotianon

Any anendnenr lo ihis Asreene.r will Equne writien agreenent by both d1e ?atties.

Atlicl. 9 - ErEy imo F.re, Ddatior md Tmin.riotr. This Ag@nent shall enter into lorc o, ihe date oaits sicniDs.2. Ilis Agltde snal nnai. in fore aor pdiod ofrwo year, or for the olne

dlration of the projei Should the projecr be extended, tu exr.sion of tnisAgeene.t is to be exp4ted.

3, Tenination ar be requiled by any oftne ?anies Nirh ar leasr thie monihs wriner

4. Aciivities incllded in an Annul PIa. ol Opsations appmved by rhe PMC shau beeried out and tullt implemented E8arde$ to the posible expiradon oftheAsmert prior ro rhet .onpletion.

Unrordeen adK, stich mre amon8 rhe ?ani6 ould contrcl, nay lead to immediatetmination ofihe p6e Agreemert as w€ll as to the intemprion ofacrjvides inctudedin the Annual PIan of Opentions.In widie$ thereot the duly aurhorised rprese atives ol the Balai Besar R€habititasiSosial Bira Daka "ProfD. Soenaso - surakana dd Eandica! rnicnarional wnosenames are shown hftlelow nave strcd thft M@oandum ofundesrandine.Done in dupli@te in solo on OCTOBEB t9€h, in lhe yed oriwo thousand dd6ve h the En3lnh bnguage, both texts are €qually auihe.tic.

For Handi.ap Inlmational

-u>

lvzt?a7aE - rohMA s- G,oJg69

PRoJECT PARTNERSHP AGRIEMENTBETWEEN

HEALTH PoLyTEct{NIc oF SURAKARTA- PRoSTHETIC AND ORTHoTIC ScHooL

ANDHANDICAP INTERNATIONAL

For the implementarion of the Wotect <Capaat! buitding ofEealth Polttechnic of Suftkafia - plosthetic anal Ofthotic Schoo!,Rumah Sakit Ortopedi "PrcfDt Soeharso"- Sufakafta, GenenlEosptal 'Dr Kaiadi"- Semarung, akd Center ofsocial Rehabilitationfot People.,rith Phtsical Disabilities "PlofDr Soeha$o"- Surakatta>

gealrh Polytechnic ofSu.akarta Prosrhetic and Ortholic Sch@t (hereinafterFJ;1edrod HPPOS) . lu ich Sd i i r Oroppdr "p rc D,R Sochd{ SLnr&rhe?inafter rel.-"d ro d. RsOS,. DrKdIdd. GerndtHospiLJ -Semddne(hereinafter refercd to as SUK), Balai B6ar Rehabilitasi Sosiat Bina Daka ,-?@fDrSoeha6o" . S@karta (bdei@fter refened to a, BBRSBD) and Handi.apIntetuatiod Oe@in ftr refered to as til), jonrily reftred to as the paiiisj

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t . An sriMt€d 20 million leople with disab nics @WDt in Indon$ia, by rheintemationally endoaed (LEO) rario of 100/0 of ihe iorat popdationlA siBniicani pormrial denand for Prcsthetic and Orthoric (t&O) teclnicians ifthe i emaiionaly endoi€d ntio had ro be apptied ( 6 p&O technicians at tevelIj 1,500/3,000 P&O rechnicians at lelet II; 4,500/ t2,000 ?&O t<hnicims atlevel III)l

An slinated rotal supply of I ,200 applian@s (lrortheses ad onhoset pd yearcounfirrvde againsr a potentia] demand of L I nitioniThe only !rcslhetid and Onholics School in lne country is HppOS, whose p&Ofiainira co!6e resumed in 2003, with a sevenreen.year lapse non rhe lasr

Th! tight comections berw€m IIPPOS, RSOS, SEK and PRSBD, naci,e backro the esrablishnenr ofthe Rehabililarion Centrum by the lare prof Dr R.

The ongojng i dship oamPOS P&O slldenB wnhin RSOS, SHK andPRSBD to ensure hands,on training and profe$ionat exposure, prior to

8,

1, The dearth ofP&O pro&$ionals idenlfied by HI in Aceh, for the humanitarianresponse n posr rsunami areasiI he Memordndum ot UnderundinB <edrd beseen F,t and rhe MDisdy ofHeal l 'n lub 2005i

9, Hi extensive experie.c€ in lhe developnent ofp&O sen(e. rehab rtarioncenees atul prcfosional training centres - with emphasij on aplroprrale

P6uanr b rfppre\ailing ldwr ano rpgutdtion ot rrdonesid d.keu d\ lhepro@dure.dd pol(Fs ol Lhe Cor elmor ot Rcpubt.c ot Indonela coremnB inrma ondlcoopemtion, the larries have reached rhe tolowins ascenmr

Ennance prosthetic and orthoric capacity within Health potytechnic of SuakanaProstheiic and Ofhotic School (HtrOS), and in $e p&O uoill ofRumah SaktOdotrd' ProlDr R. Soeharo Sutuke rRSOS,, -Dr <aradi cenentHo.piBt- semdrangrSHKr. md B,ldr Be.arRehablrrd\iSo,.dl Birr' Drl6a -protDrSoehano'r SuralGna (BBRSBD), wtrde sudetu non HppOS bave lhcir iniemhip.

Artid€ 2 - S.ope of the Agenmt beree.o IIl dd mpOSAdivnies coyeEd by the Project Parme^hip Agreetoent eril. Enlanc P&O driculxm wjthin HPPOS with emphasis on a broadq range of

techiolosid and a oultidiscipljnary apprcach, heanr to promore lhe lote ;fl&O rechi.nns within the rehabiliration tean, clinical ;asoning skilts andpatient-cenned problen 3olving.

2. Idenury rheba' bahtuebcNeen tectue,. trbor.bwdnd rnrm.h pin HppOSruni\ulJm lor P&O 5lrdenN. q.|n a vie* ro expedirg srudflt{ parll.iparion.

3. lostd ledagogic skift and prcmole acquainta.ce with a broadq range oltechnolosies among ?&O lectuB and insrructon ir tIPpOS.

4. Dcvdop and inkBrate nainins nodutes inrended for rea.hinglsupeflising siafi( led?b. , tudu. to^drd rechnrc idr \ r . fhrdd i - ,nCmodue\rar l .d{4r ; lprcvde !arnpe5 !rth.ppropn4re kd.hilc in.mmenL5 4nd rechn.qt:kn scon.blentwirh he neq r"Lhnotogie\ rd.du(ed wirh rhe projcc,

5, htroduce_?obpropylene and fibre el6s stockrer anons ihe p&O tcchnologig

6. Upeiade lhe P&O worldlop wirhin H??OS, rcffubish the pienises and supplyne.s.ary equipmmt in accoidan e wnn pedagogic requnenenis and the i;;'appropmie t(hnologies introduced thiousn the prcject (Atuexe i).

8.q.

7, Derertune nd onal potn e, cone.n ig lhe p.e.en-e or renabilimuon:ewi.e,wrLrn publrc ho,piBls of ryTe A and BA$e$ the denand for P&O tecbnicians in the Inrlonesian labour narket.Rln a feasib ny study on the upg$de ro ISPO lael II ofHppOS.

10, Re( o-d expe Fnrc5 ot I erd r.f and devetopdenr ( R & D, ot cpprcp,uere(hnolosre\ inre,n5-ol:r0r. ionat daien, or. dvddab,N;i.;mponma,dndde rhen qulitv. ro' rheproducnon o. prorhesesdndonhoser u fe

11. Regisrr national and rcsionat suppjiea of conponents and consunabtes tbrpro{te.erand rdwnat.rial fo onho\es d\ scU ds prcvide,5ofequiprent tor

12. Identi& oihotic conponent/s to be hanufacrurd in to.at plants in East and

Anide 3 - IEpl€hdratim Mc.hmisn

lle !d"" ,hall e ubhh by ocrob- 2005 d P,orecr Mdndsehenr Comhintr{PMC). Theommiee wix omprise of. The Director of Healrh Poltrechnic of Suhkalra, or he..epresentativet TheDnedorof RunahSakirOftopedi,,Prof DrR. Soehdso,, Slhkana, orhis

. TheDirecto.of ceneralllospital,,DrKuiadi, Semarang, orhisrepresotative

. The Direcror of rhe Cenre of Social Rehabilitation for people wnh phrsialDisabnities "Prcf Dr Soehdso,' , Surakana, or hd rpEsentadve

' ThePrcjecl Managd of Handiap Intemational. The Disabiliry Prosnmne Co,ordi@br ofHandicap InremauondA repEsentative fton the Se@tary cendal ofthe Ministrr of He.llh RI, in@ordinadonvidr Badan Pogembanga. Penberdayaan Sunberdaya MmusiaKesehatan DEPKIS P'I (BPPSDI\O and Dnectoate General of Medicat Seryic(Dnektont Bina lelayanan M€dik - DEp$S RI), wil be permanenrly invited.PMC shal dd€lop piojecr lolicies and sha[ supeflise tbeir inplehentation.PMC will draw an Annual Plan of Opsatiotu by Decenbd. A mid-year review ofthe,implenenrarion progre$ vil iat e dace in June and will be co,ordinared by rhe?MC.

HI Prcjdr Manag{ wi[ subnit to PMC an Amual progress Repoft by Seprenbq

PMC wdl.Jpflne Lhe rmpiempr.rr.on p-o8 e$ rn d..o-ddn(e wirh rne Amudl

PMCwi l (qewa fe^ ib i r / . tud\ onupsr"d i lg .nep&Oprogram - HppOS@.cmnalhddw, d jaoJ j eve l I l IsPo ' tnremdhon4tso. ieryror p-oeher icsdrd

Fqu:pment dnd codmodj a prc!u.dude, thir dgremenr will be hdnded o\ertuouen specfrc ddgehenE, by rhe end ofrhe proicct.Thetdld ovd ofequ pmtrr wi! ocurrhrorgh ncnd.ovtr.onda.b oe\een Hl ddtherecipmr r. bb@supn.,ed b|he M mi .L-y or Hedtlh.

Art. 4 - Contribrrion by HPPOSHPPOS sha[:' Crdt acce$ to the polytechnic forprojectstafii.. Appoinrd rocal poinr "noognsrau ro fo oq rh. projed ac.tr ,,e. dnd inr(tae

vtrh rhe prole.r hanaser.r Infom its siatrabout the project, its objctjve and acriv\res.r Shouldo mst and dangemenr for transponadon and ac.omnodation of

HPPOS trainees arr@dins naining nodules in RSOS dsetoped by the projeci forteaching/supenisirg sian

. Amnge cosunabler and raw mareriat (cort and procurtueno foi rhe Eainingcoaes orlectue*, iGtructo$ and technicians, wha those .onsunables do n;rrelate to new technolqiG introdled by the projed. Cost ofco.sumabld andraw naterial will be shaEd !y lhe panies a@rdins to the nunba oftraineBIion each partner inslitution-

. t 15ure lhdr rfe rd 'n'ns modut"s ror reachi 0C aupflbin8 :ktT mFoduced$roueh lhe pro e.rdr rene( ted wihrn rhe. ur,culum ot H ppOS rtudms.

' Revifl i(J P&O driculum to e6ure acquaintance wirh new technolosiesintroduced tbrolgh the prcjeo, nultidisciprinary approach to disabnir;s andstldents' adive ?anicilation.

t Monitor ihe impact ofthe new nalnins modules for ieaching/supeflling statronHPPOS rhrderts' Ieaming pro.6s throustr reguld evalutions.

. Innall any equipneni supplie.l ilnough the tnoject within i1l premises and drueapproprate mamtenane,

' Idenu& tr"oucs ro rat e chdrge. by lhe .rd or,ne pr oj.d. of d) suplty ofconsunabres pmvrded refr pomrily by HL

. Review policies @ncemins the presftce of iehabihation seflices wirhin A dd Bhoslitals an.t clariry possible bottlenecks in the entorcenent ofthose poticies.

. Match up each year batch of studenrs io avaitable resourcs (@muhabtes,equipnent, stafD ro ensure apprcpnate kai.ins, and ro the acruat denand in

. Reord.exper.ei.e\ otapDbpndk kltrotosi"\ tor lhe production ot!,rosrleej.ddinduon wnh HJ perednF & Dcvetopmtr,

Aft,s-conrrib ion by lll. Retuit and a$ign io the pbject a prosrherics and Onhotics trainer, as project

. Re@n and a$icn ro the prcje.t a p&0 Research & Devetopme.t Exlert.

. Rdun and a$ign to the project a p&o Advisoi.

. Retudish P&O lremises within HPIOS.

. Supply eqlipnenuequired to lpsrade rhe p&O workshop within HppOS Gee

! Prc\ ide .ondk-mpoturybai \ -consrmdberrequi rpdbyrhp.ewrech,otogresmtroduced ir HP?OS fiJoueh rheprce( rjee Alnere2)

' Co ordimte and fnane Enetish rransladon ofHppOS cuncurum @ e&corelation and identi& equivalence to inrehational staddards.

. Proride rholaships to 3 riPpOS reache$ for ttem ro graduate as p&Otechdcians ar level I of th€ Inrmario.at Sociery for trosth€tics an<t Oriholi.sosPo).

. Finarce ad organic a mission by the Inrermtionat Society for plqtherics andOlhotr.s nSPO, or or}tr hRmarrondt \enlre ot figh tu"ding ro HppOS, tod so< qrtx re \chool d rid.em sndregy lo upgrdde ra couae..

. Finance antl m-dltinale a feasibitiry study on the awardtng ofa tevel II ISpO in

. Draft a relort io share wirh the lartrrc on appropriare recbnotogies forpro$herics and onholi.s in Indonesia and neighbourine cou.tries.

. Draft and share with the pannes a tist otsupplies of ?&O eqoilment andconsumables Eom Indonesia and neictrbouing cou,ties, hciusive ofa tentativerankingby price and quality.

. Coordmde mrbr^esbardbl6ha.o.dtp lodu. r 'o l t rne, torp lorh"{eandomo\es or some ot $eD.omponenE.

Article 6 - Proj..i gultahabnity

TIE Parties shaE a @nnon conmirnent to rustaimbte developnenr. TIE prcjecrshall not senenre dependence ftom ftucial or nateliat aid. r;ead, the p,iteashal proscssively cat u!,on nationar resou@s ro rostcr skilts and technol;e;s roneet piosrheri. and onhotic .lemands.

Spdi.dlly, rhe cdu.iry buJdins @nponenr D be proi.a. jndeppnden. inrLiaLve,by'ne Parfis Md rhe rvolvenenr offp Vin.\r ot Heatd arc nednr ro de.etopt@l an! natio.al iesources to addrs a ?otenrialy growing prcsthetic and oft dc

The prcjecr shal provide !'rosthed. and onhodc equipmenr that:I) Is relevdt to tle Panie.2) _ Dnedy relates to landsjn prosthetjc and onhotic inidnship by HptOS

3) Direcdy relates io new rechnotosies introdu.ed rhrcush rhe ,rcjed4) Requirs spare pans and cotuumabtes that arc tocaUy or reeionaly avaiLbleor shan becon€ so by the d<l ofthe projectHPPOS. RSOS, BBF 53 D and SHK \hatle".r," r'al anv rqu.phenr supplcd bv Hlr prop4y msaued wrh'n oe.r premse\and prcpertymairhiled tor rheranddliji span (as indi.ated jr i6 waranty and lechniat specificarioD),Hl shal provide equipmenr qirh adequare waranty, clear specfioions and

H- rhdu I& n dp ! drqds beNpen K,prenn o equ.pmerr rupplieo by Lhe proltr,borh in rndone.ia and ou6id. orrhe manufdcrurmB

Upon request by any ofde Panies, til snafl have rhe fom{ ooomenranonbAldrpd ind langxd8e irnedra'et) .omprehen.rbtp ro marnkrdnce eam\Any provnion ol consunables shau be nDnitored by pMC and eMmined yiih ineMinisny of Healih, wirh a view to replacins any Foject-tunded ftow of consumblBwith siandard fdancing and ptuorement procedues in HPIOS, RSOS, BBRSBDmd SEK.

The partis conmit not to dpaod tuhbd ofinremees, studentt o. patiena withoutpdor identfimtion ol fnancing aod pro.uenenr !rccedures inrenad to rc?tae ttEtroject-tundcd supply of co.sumables.

Anicb 7 - setdmdr of DislutesAny dispute ihar may aise berween the Panies on the interpreration orin9lenentation of rhis Agreemenr wilt be seftled anicabty.The PartrF\\hal dlway\ purse d.rcrds and,otr"on\ or m.atu otmformdrionsharing,.onsulbrior and neeotiarion.

Aficl. 8 - AdddharsAny amendment to lnis Ageement wiu requne wriren asrecm@t by both rhe

Anid. 9 - Entry into For.e, Dution dd Temimrionl. This Ag€ement shal €nid inro fdce on rhe dare of irs :€Dns,2. Tf is fureeneor shan remin in fo@ for pdiod of rwo ye4, or for lhe endre

duratjon of rhe prcjed. Should the prcject be exrended, d €xtension ofthisAgr4nenr is to be expec&d.

3, Temination can be required by dy ofthe parties with at Ieast rbre monrhsminen nonce to the othe6.

4. Ac'niies includ.d_.n an Anrual ptdn otOperdtions ,pp,oved by lhe pVC.hd!@ .a r ed our dd ! ry rfrpiener.ed Esard ess ro the po, !.bte exp hrion of LheAgrenenr prcr ro Lhencompletion

An.10-For.en4jro

Uniorem {enls, which none atoone Lhe padj.. could conro'. na, trr'd romneodk rem'ndllon o|lle pE.enr Agremenrr's wellas ro rhe inrempLjon ofactivities included in the Annuat Plan of Operations,In viErss thceo4 rhe duly uthorired represmiatives of the U€a1rh polrrech,ic ofSulakana - Ptusthetic and Orthotic Sch@l and Hddicap Inrmarional'- whosenames de shom !6e below have 3igned rhis Menoiandum ofundesran.ting.

mduplicare m Soloon OCToBEfT t9th , in dte year ofrwo rhousand anttthe Ery1ish language, both rexts de equatly authentic.

For Handi.ap ldretuational

ADR| tlt ,JF zt/.pf -rahMo, a "'ff:if|8ff#'

43c r+7-Een-rier-

PRoJECT PARTNERSHIP AGREEMENTBETWEEN

RUMAH SAKrr ORToPEDT "PRoF DR R. SoEHARso,,SURAKARTA

ANDHANDICAP INIERNATIONAL

For the implementation of the project <Capacity bailding ofHealth Porytechnic ofsutakana - Prcsthetic and Otthotic School,Rwnah Sakit Olto?edi "ProfDr Soehano"- Sunkarta, GmelalHaspital "Dr Koiadi". Semafang, and Centet of Social Rehabilitatianfol People with Physical Disabilities "PlofDr Soehaso"- Surukalta>

He.lth ?olrlechnic olSlrakarta troihedc and Odod. School (hereinafterrelded to as HIPOS), Runah Sakit Ortopedi ,,Prof Dr R. Soeharso,r SurakanaOereinafte! iefeded !o as RSOS), 'Dr Kdiadi,' Gendal Hospital Sendans(hecinafter dered to as SHK), lalai B$ar Rehabititasi Sosial Bina Datsa ,iprofDrSoeha^o slrakarta (hereinaft( relefied to as BBRSBD) and Handi.apInenational (hdeinafter lefmd to as HD, joinrly refered ro as th€ ?aniesj

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l . An esiimted 20 miltion peopte with diabilities (pWDt in Indonesia, by rheintetuationally endo$ed (WHO) rtio of t 070 of the ioral loputation;A si8lificnt potential denand for ?rosthetic and Orrloric (p&O) rechnicians ifthe i emationally endosed ntio nad ro be applied ( 6 p&O rechnicia$ ar laetIt 1,500/3,000 P&O rechnicians ar lael IIi 4,500/12,000 P&O technicians arlevellll)i

An estinated toal supply of 1 ,200 appli an es (prosrhcses and orthoset per yearcountryivide against a potential dena.d of 1.I niltionjThe ody Prosthedcs and Orthoti6 School in the counrry is HppOS, whose p&Otraining couhe .esuned in 2003, with a scvenreen yed tapse no6 rhe last

The tight on.ectioB berween H?IOS, RSOS, SH and PRSBD, tracirg bact tothe estadnhnent of6e Rehabilitation Cenftlm by the late trof Dr R. SoehaaolThe ongoing inlemship ofEPPOS P&O students wilhin RSOS, SH and PRSBDto ensure hands on tr.ining and profe$ional exposurc, prior ro graduarion;The deaith ol P&O profesionals idendned by EI in Aceh, lbr the humaniiarianrespo.sc n pd.bunamr deai

8. The Menorandun of Unde$hnding setrled between HI and rhe MinisFy ofHealth in July 2005 i

9. III extensive e4erie.ce in the development ofP&O senicg-rehab nationcerlres and profasional training ccntres withenphasis on appropriate

Pusuant to the prevailing Iaws and rsulation of lndonesia as well as thc proceduresa.d policies of the govemmeni olReplblic oflndolesia concemine intemationalo@eration, the ?arti€s have .eached tbe lollowing agreement:

Ennance prosthedc and onhotic capaciry wabin Health Pol,,iechnic ol SurakafiaPiortbetlc dd Orthotic School (I{IPOS), and in $e P&O units ofRunah SakitOfopedi "Prof DrR. Soehano"-Slhkarta(RSOS),'DrKariadi', GendatHospilal

Semdang (SHK), and aahi Berar Rehabilitasi Sosial Bi@ Daksa,,ProfDrSoehdo'r Suraka.ta (BBRSBD), where rtudenE from HttOS have rhen inrmhip.

Aficle 2 - Scop€ ofth€ Agie€nent bctwecr III m{t R$OSActivities covered by ibe Project Paitnership Aareemeni arE.r, Develop rkills ofP&O technicians in RSOS eaining HPPOS students during

2. Dqelop and inregrate Eaining modules intended for reaching/supryising stalt0ectur6, instructon and techniciant fiom any ofihe Parties, The fiaininsmodul€s (at least 4) wnl provide rhe uainees with appropriaie reachinginsttunedts and iechnical skilh ro suppon mPOS srud€nts.

3. Enhance technologies for rhe production oaprostheses and onhoses, intrcducingpolypropylene and nbre gla$ stoclinet in then nanulacture.

4, Uperade the P&O wo.tshop within RSOS, returbish the premises and supplynecesary equipment in accordan@ wit! a lis! agieed by HI and RSOS (Annexer).

5. Deie@ine narional policies conceniq the prcscnc€ ofGhabilirarion se ceswithin public hospitals oft ?e A and B.

6. Condibure to lhe review of turiola lor HPPOS studenir wilh a viw !ridentii/i.g the best balance belween lectlres, laboratory and intdship, the Iattermeant to include handi.on training in the workshop as wel as bd{ide tcaching.

?. Record expeiien@s ofreseeh and developnent R & D) of appropriareiechnolo8id in terns of: tuoctional d6ign, cost, availability of conponenrs,and a€sthetic quality - fo! the production ofprostheses and orrhoses in lhe

8, Resnte! mtioMl and reeional supplien of prcstheses and onhos6, 6 we! aslroviders of equi?ment and raw mateiial lor rhen production.

9. Ident6' ofhotic @nponelt/s Io be matufaclurd in local plan s in East and

AJticlc 3 ltupl.nentltion MecLdimThe lddes sharl esrablish by Oclobd 2005 a Prcjeci Manageftent Conninee(?MC). The onniftee will comprise ol. The Dtector of E€alth Polttechni. ol Surarana, o. hd represeniarive. The Dnedor of Rnnah Salit Otopedi "PloaDr R. Soeha^o,' , Suakarta, or his

. The Dnecior of Ceneral Hospital 'Dr Kariadi ' , Senanns, or his represdt tive

. The Dnedor ofthe CenEe of Social Rehabil irarion foi Peode wnh physicalDnabilities "Prcf Dr Soehaso" - Suataria, or hn reprsdtative

. The Project Manager of ltandicap Iniemarional' The Disability Prcgramme Co ordinator ofEandicap lnt€matlonatA .epresentative fton the Se.ieiary Geneial of the Minisi,f/ of Health Rl, incoordinalionwithBadanPengebbanganPenberdayaanSunbddayaManusiaKe$hatan DEPKIS RI CBPPSDM) and Dire.tora& cneral ofMedical Snie(Dicktorat 9ina Pelayanan Medik DEXES RI), will be lemanently invited.PMC shall develop ?rojed policies and shall supeNise then implenenution.PMC will diaw an Annual Plan ot Opqatio.s by Dccenber. A mid,year revicw ofthe inplenenialion prosre$ wil iake place in June and will be co-ddinared by thePMC.EI Project Manager {il submit to PMC an Amul Prcgres Repon by Settebber

PMC wil supflise rhe implenentation proeiess in accordance with the Amud

PMC wil rvis a feasibility study on upsiading the P&O proghm in I{PPOS@nceming the awarding ofa ldel lI ISPO.

Equipnen! and connodiri6 proored under this agleement will be handed ovnthrcugh specitr. arangeoents, by the end of the prcjecr.

abe ha.d over of equipFenr will occur !tuouen hand'over conrracb berween HI andthe recipient/s, to be supflised by rbe MiniJtry ofHealth.

AIt,4 - Contdbution by RSOS

RSOSShaU:

. Ordt acces ro rhe !&O lacililies wnhin the hospnal ro the prcj{t slan! Alpoint a fsal poinr anone its $aifto fotow the ploject acrivities and inreriace

with lhe prcject nanagd.. InformitsP&Ostaff abolttheprcject, ii.objectiveandaclivities.. Host haining 6uses br lecluE^, iGtrucros and tucnricians fton the panies

according nJ moduies dqeloped by rhe prcject.r A{ange ontunables and raw natedal (cost and protreneno for lhe ftaining

counes orlecture$, ituElcton and rechnicians, when rhose consumable do norrelate io nq techrologies introduced by the prcjeci. Cosr of coBumbtes andraw matcrial w be shared by the Panies aeordins to the nunbd ottraineesrron each parher institurion.

t Supeflne lhe lerfolmance oatbe P&O tahnicians in supportins HppOSinternees with a view !o apFaisins the iBpacl of the raining undersone by irr

. Inrtdl any equipment wirhin ill P&O worknop and enswe apprcpriate

' Identiry resow.es to take charge, by the end of the projecr, of any suppty ofco.sumables provide<t tenporadly by HI.

. Review policies con eming the presence ol rhabilitation seNi@s witbin A and Bhospnah and clarily po$ible bortleneck in ine enforcenent of rhose policies.

. Tak€ part in tle amlysis and review ol IiPPOS curiola, vith specific foos onihe role of intehship.

' Disseoinate and scale up narionwide aplropriate rcw rechnotosi$ intrcducedwith the prcjed, by neans ofreliesher @unes for l&O piolessionals olsanisedbyRSOS.

. Support the projecr manag( to G.ord experiences oa appropriate rechnorogis torthe produ.tion ofprcnneses and onhorer in Indonesia

An.5 CdEibltior by IIIr Retun and asisn to tne projecr . Prosrheti6 and Onhodcs traind, as ?rcjftt

. Re@it and asign to the Fojeci a t&0 Re*arcn & Developnent Expen.

. Remit and a$ign to ihe projed a P&O Advisor.' Relurbish P&O lrenises withir RSOS.. Supply equipnert reqlned ro upsrade the P&O workshop within RSOS.. Provide - on a tenporary basis . co.sumables Gquicd by the nry techrotogies

developed in Rsos thrcusn the prcject Gee Amde 2).

. Firance dd co ordinate a learibilily study on ihe awarding of a level II ISPO in

. Co-ordinate initiaiives lo establish a lmal Fodudion line/s for prostheses andoftboses or sone of their componens.

Anide 6 - Pioject S6taimbilityThe Parties share a rcmnon onnitnent to sustainable developnent. The ?rcjectshal not serc.ate depddene ion financial or naterial aid. Itutead, th€ projectshal proetessively cal upon n rional resources to lbsrer 3kitls and lechnologis tomeet prosrheri. and onhodc denandr.

Specifically, rhe capaciry bunding component in lhe projecq independenl initiativesby tle larties and the involvement of the Minntry ofHealth are neant to dcveloplmal and national resolres to addJe$ a porenliarly Crowing piosthetic and onlotic

The prcjed shall prcvide prosthetic a.d ofthotic equipnent lhat:

l) h relevant to the ?arties

a Dncdy relates to hands{n prostheric and onhodc inrmship by HPPOS

O Dne.dy relat€s to new tednolosis infioduced throueli the prcject

4) Requires spare pans and @tuunables that are locaUy oi regionaUy availableor snal becone so by the end of the projecr

HPPOS, RSOS, BBRSBD .nd SHK shall ensurc that any equipment supplied by HIis properly insralled wirbin their prenises and proledy maintained for the standardlife span (as indicated in its wdarty a.d lednical sp€citrcatFns).

HI shaU trcvide equipnent wnh adcquate wa(anty, clear spe.ifications dd

EI shall facniae coniacts between acipients ofeqlipndt slptlied by the projectand technical a$istance uniK - bolh in Indonesia and outide of the manuladrirg

Upon rqlest by any of ihe Palties, El shal have the tomei docune aionEanrlared in a lar€iraee innediately comprehe.sible to maintenan@ teams.

Any provision of consunables shall be nonitored by PMC ad eumired with theMinistry ofHealth, with a view to replacing any project.tunded now of.onsunabl6with starddd financing and procu€n€nt procedures in HPPOS, RSOS, IBRSBDand SFIK.

The panies .ommir noi io qpand numb€r of intemeer, suden$ or parierE withoutprior idenilnation of fnancing and ?rocurenenr pro@dues intaded to Epla@ theprcjecrtunded supply of conrunables,

Ani.le ? - s€itl€ndr of Dbplt6

Any dnpute that nay anse betwem the Paities on the int€lpretation orimplenentatiotr ofthis Aeftemenr wil be serded anicably.The ?anies shall al{ays puae a@r.ls and solutions by nean, of informarionsharins, mnsultation andneSotiation.

Artid. 8 - Amddmdis

Any anendnent to rhis Ageement will requne wiitien agreeoent by botn lhe

Article 9 - Bdtry into Forc€, Durtion uil Tcnimtim

l. This Aereenent sha! ente! into ftre on the date of its signing,2. This ASieenent shali remain in force for pqiod ol rwo yed, or for the mtire

duration oathe prcject. Shodd the prcj4t b€ extended, an extension of thisfurenent is to be €xpected.

3. Temination can be required by any ofthe Parties with at least lhre nonthsMitten notic€ to the otne^.

4, Activities included in an Annual Plan ofop€rations approved by lhe PMC thalbe caded out and tuly imp]enente.l r€sardless to the po$ible expiiation ol rheAereenenr pior ro iheir conpietion.

An. l0 Fore iaj.@

Unforeseen events, vhi.h none among lhe lanies could ontlol, nay lead ioinnediare teminaiion offieprese Agreement as wel as to the intertuption ofacdvnies inchded in the Annual Plan olOperations,

In wimss lhereof, tbe duly authorised rcpresentatives ol rhe Runah Sakit Onopedi"Prof Dr R. Soehaso" - Su.atarta and t{andicap Intematioml - whose nao6 areshoM here below - have si8ned this Menorandun of Undentandi'l8-

Done in duplicare in solo on , in the yed oltwo thousand andIia nt.he LncJ sh ldgudce, both rex6 ar equauy aurhenn

R.lor Handicap In remrioral

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