COUNTRY / PROJECTRehabilitation of quality in a development context

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Rehabilitation in Congo dates back to the 50s. In the beginning there was functional reeducation , the only hospital that assured more medical care and professional training Was “l’Hôpital de la Rive” for lepers. People with leprosy were the primary beneficiaries of rehabilitation care in Kinshasa.Generally it were the religious organizations that organized the first rehabilitation facilities in Congo. Private organizations followed thereafter.These structures are unevenly distributed throughout the country, there is more concentration in the cities. Financial participation of patients remains a crucial factor to meet the costs of operating and investment of these structures.Only one school in Kinshasa trains physical therapists, there is no school for occupational or speech therapists.

Introduction : Rehabilitation in DRC

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Structures not covered by grants or substantial support of the Government saw a decline in quality and service management because of the motivation of its staff.After a lethargy in the management of the Department Physician Physical and Rehabilitation, a clear trend is noticed in the service with support from the partnership with Handicap International.Development of quality management, reinforcing the capacity of the care-givers should be in order. Procedure manuals should be developed with users involvementTo achieve this, a capacity builder is planned and support will be provided.

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Auteurs : BRIGITTE BWENSA, PHILIPPINE MABENZA1 nom de l’organisation HANDICAP INTERNATIONAL2 nom de l’organisation CLIN IQUES UNIVERSITAIRES DE KINSHASA/DPT MEPYREA - UNIKINRéférences : 1 référence bibliographique: Cartographie des structures de réadaptation à Kinshasa, Brigitte Bwensa 2010, HICrédits photos : © Sébastien Kasongo

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-General findings : lack of guidelines on the organization of rehabilitation services. Each structure is organized in its own way tomeet customer expectations following his own specialties.

For the Department of Physical Medicine and Rehabilitation University Clinic of Kinshasa, in partnership with HI:- gradual establishment of an organization and construction of a guideline.-existence of management tools: chart for the personnel, books and records for patient management,-establishment of a communication system between services.Foundation project on community foundations: community involvement in raising awareness, identification and orientation ofchildren to hospital- Synergy between the community (RCRC), hospital (CUK), and academic and scientific (Unikin, ISTM ...) 

-General findings : lack of guidelines on the organization of rehabilitation services. Each structure is organized in its own way tomeet customer expectations following his own specialties.

For the Department of Physical Medicine and Rehabilitation University Clinic of Kinshasa, in partnership with HI:- gradual establishment of an organization and construction of a guideline.-existence of management tools: chart for the personnel, books and records for patient management,-establishment of a communication system between services.Foundation project on community foundations: community involvement in raising awareness, identification and orientation ofchildren to hospital- Synergy between the community (RCRC), hospital (CUK), and academic and scientific (Unikin, ISTM ...) 

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Results obtained by the implementation of methods and tools described above:

1: The services have technical staff with clear job profile detailing their role in the operation;Procedures to ensure the management are underway: the patient's definition of circuits; capacity providers; enlightened management of patient records; 2: Improved referencing system: existence of a reference manual, holding multidisciplinary team meetings; signs; information for parents 3: Improved monitoring of patients: Continuum of Care (In the Hospital and the Community). 4: Accumulation of statistical data and other information

Analysis of results

Considering the results mentioned above, it appears that insuring the quality of the management is being enhanced to provide efficient care of patients in the Department of Physical Medicine and Rehabilitation. After a long sleep, it is important to give further assistance, building capacity in management and ensure the permanence of the subject.

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