In 2017, we will continue to work with the government, primarily the Ministry of Health (MoH), to strengthen the national physical rehabilitation sector. Notably, our support will take the form of funding and technical advice for gathering data on existing services, and implementing the above-mentioned national plans. We will also urge the government to establish a national salary scale for physical rehabilitation professionals and to include physical rehabilitation services in their plans for national health insurance.

The management training for senior representatives from the MoH, the Centre d’Appareillage de Madagascar (CAM) and the Centre de Rééducation Motrice de Madagascar (CRMM) began in 2015, and will be ended by 2017. This training, organized by the USAID-funded LMG project with MoveAbility and other partners, is aiding these managers in bolstering the sustainability of their respective institutions, and in supporting the implementation of the above-mentioned national plans. We will also continue to lobby for these representatives’ greater involvement in the technical committee responsible for social inclusion.

In 2016, we introduced ICRC-developed polypropylene technology at the CAM and CRMM, and provided their staff with technical guidance and training in the use of this technology and in other matters, such as inventory management. They will continue to receive support for honing their skills, including financial assistance for courses at our training partner in Tanzania (TATCOT) and in ISTM (Valence), and for participating in international congresses.

To ensure that persons with disabilities have access to services at CAM and CRMM, we will continue to provide raw materials for producing assistive devices, and financial assistance for the treatment expenses of economically vulnerable persons. Support for a third centre, Foyer Akanin’ny Marary, was put on hold in 2016 because of personnel-related developments. We will thus divert our efforts to another centre in Mahajanga, which will receive machinery and supplies for producing devices; this support will be channeled through the MoH. All three centres will also be aided in improving the quality of their services. To this end, we will advise them on establishing quality-control mechanisms, and work with a local organization of persons with disabilities or the Madagascar Red Cross Society to conduct patient-satisfaction surveys and technical assessments.

The National Paralympic Committee will receive assistance for organizing a sporting event, and devices for the country’s basketball or volleyball team. In coordination with the ICRC’s regional delegation in Antananarivo, we will seek to work with the Madagascar Red Cross – for instance, on identifying and referring people in need of physical rehabilitation services.

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