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CENTRE FOR THE REHABILITATION OF THE PARALYZED (CRP) DAY VISIT REPORT PREPARED BY: SANJIDA FERDOUSH MIM

CENTRE FOR THE REHABILITATION OF THE PARALYZED (CRP)

DAY VISIT REPORT

CENTRE FOR THE REHABILITATION OF THE PARALYZED (CRP) DAY VISIT REPORT PREPARED BY: SANJIDA FERDOUSH MIM
PREPARED BY: SANJIDA FERDOUSH MIM GMC-08 BATCH-B ROLL-29
PREPARED BY:
SANJIDA FERDOUSH MIM
GMC-08
BATCH-B
ROLL-29

PRESENTED TO: COMMUNITY MEDICINE DEPARTMENT.

27/12/18

CENTRE FOR THE REHABILITATION OF THE PARALYZED (CRP) Name of the institution Address Year of Establishment

CENTRE FOR THE REHABILITATION OF THE PARALYZED (CRP)

Name of the institution Address Year of Establishment Type of institution Date of visit

: Centre for the Rehabilitation of the Paralyzed : Chapain, Savar, Dhaka. : 1979 : Non-government organization. : 02/12/18

CENTRE FOR THE REHABILITATION OF THE PARALYZED (CRP) Name of the institution Address Year of Establishment

IMAGE: Students with their teacher in front of CRP, Savar.

1

CONTENTS:

ACKNOWLEDGEMENT……………………………………………………………03

ORGANISATIONAL STRUCTURE OF CRP…………………………………… 04 ...

AT A GLANCE (VISION, MISSION, CORE-VALUES) ………………………….05

PURPOSE OF VISIT……………………………………………………………… 06 ...

INTRODUCTION……………………………………………………………………06

SUB CENTRES……………………………………………………… ……… 07-08

...

...

OTHER CENTRES………………………………………………………………… 09 ..

OBJECTIVES OF CRP………………………………………………………………10

SPECIFIC OBJECTIVES……………………………………………………………11

SERVICES OF CRP…………………………………………………………………11

RESOURCES OF CRP………………………………………………………………12

OTHER FACILITIES……………………………………………………………… 12 ..

AVAILABLE MANPOWER…………………………………………………….… 13 ..

ACTIVITIES OF CRP……………………………………………………………13-29

PROJECTS OF CRP…………………………………………………………… 30-32 ...

RANA PLAZA REINTERGRATION PROGRAM…………………………… 32-34 ...

ACHIEVMENTS…………………………………………………………………….34

FUTURE PLAN…………………………………………………………………… 34 ...

TREATMENT ACHIEVEMENT IN 2017-18…………………………………… 35 ....

CHALLENGES………………………………………………………………………36

COMMENTS……………………………………………………………………… 36 ...

ACKNOWLEDGEMENT:

The visit to the centre for the rehabilitation of the paralyzed is of an immense academic

record and value for the students of 3 rd year medical students, as we had the privilege to

see the process of establishment of the physically challenged people into our society

through the best standard of treatment and rehabilitation. No doubt this expedition will

motivate us to think for future improvisation in case of dealing with such specially

challenged people.

Therefore, I would like to express my deep gratitude to the Community medicine

department of Green Life Medical College & Hospital and Prof. Dr. Ashraf Uddin

Ahmed, Dr. Ehsamul Azim (Associate Prof.) for setting up the opportunity of having a

visit in centre for the rehabilitation of the paralyzed.

Also, I would like to thank Dr. Sheela Khan, Dr. Sharmin Zaman Khan for guiding us

during the visit.

ORGANISATIONAL STRUCTURE OF CRP:

BOARD OF TRUSTEES Founder & Coordinator: Valerie Taylor Executive Director: Md. Shafiq-ul Islam Advocacy &Networking 
BOARD OF TRUSTEES
Founder & Coordinator:
Valerie Taylor
Executive Director:
Md. Shafiq-ul Islam
Advocacy
&Networking
Accounts & Finance
Department
Department
Human Resources
Department
Research, Evaluation &
Monitoring Department
Fund raising &
Resource
Mobilization
Department
IGA Department
Integral Control &
System Department
Projects
PR &
Communication
Department
Education Division
Program Division
Support Services Division
VISION MISSION CORE VALUES To ensure Sensitivity the inclusion of Compassion all people with Respect disabilities
VISION
VISION
MISSION
MISSION
CORE VALUES
CORE
VALUES
To ensure Sensitivity the inclusion of Compassion all people with Respect disabilities into Collaboration mainstream society.
To ensure
Sensitivity
the
inclusion of
Compassion
all people
with
Respect
disabilities
into
Collaboration
mainstream
society.
To promote an
environment
where everyone
with disabilities
have equal access
to health,
rehabilitation,
education,
employment,
Commitment to
physical
environment and
information.
excellence
VISION MISSION CORE VALUES To ensure Sensitivity the inclusion of Compassion all people with Respect disabilities

5

PURPOSE OF VISIT:

To obtain information about the administrative managements of the institution

and the managements of findings.

To observe about the treatment and rehabilitation of injured and disabled

persons.

To observe the management of disabled children.

To obtain information about occupational therapy, speech therapy, prosthetics,

orthotics services for disabled person.

PURPOSE OF VISIT:  To obtain information about the administrative managements of the institution and the

INTRODUCTION:

Centre for the Rehabilitation of the Paralyzed (CRP) was founded by Valerie Taylor in

1979 in response to the desperate need for services for spinal cord injured patients on the

grounds of the Shaheed Suhrawardy Hospital, Dhaka with 4 spinal cord injury patient.

The Centre for the Rehabilitation of the Paralyzed (CRP) has now developed into an

internationally respected organization. CRP focuses on a holistic approach to

rehabilitation, recognizing that all aspects of the rehabilitation process are vital for its

success:

Physical rehabilitation: through medical and therapeutic interventions and the provision

of appropriate mobility aids.

Psychological rehabilitation: through counseling and sharing of experiences.

Economic rehabilitation: through vocational re-training and assistance in securing

micro-credit loans.

Planned discharge: for a successful reintegration into the community, ensuring that the

home environment is as safe and accessible as-possible and the local residents are

educated about disability, its causes and consequences.

The holistic nature of CRP's work is reflected in the fact that its work covers several

areas of development including human rights, poverty alleviation, health care provision

and education.

Planned discharge: for a successful reintegration into the community, ensuring that the home environment is as

Image: CRP Head-Office,Savar.

SUB-CENTERS OF CRP:

CRP's

headquarters

is

in

Savar

with

an

additional

three

functioning

sub-centers

throughout Bangladesh:

CRP-Mirpur, Dhaka is a thirteen-stored center in Dhaka which provides medical

therapy and diagnostic services in addition to having several floors available for rent.

Image :CRP – Mirpur. CRP-Ganakbari, Ashulia-Dhaka is a residential vocational re-training center eslablished on 1995 with

Image :CRP Mirpur.

CRP-Ganakbari, Ashulia-Dhaka is a residential vocational re-training center eslablished

on 1995 with a view to assist disabled women and girls and includes a metal and wood

workshop.

Image :CRP – Mirpur. CRP-Ganakbari, Ashulia-Dhaka is a residential vocational re-training center eslablished on 1995 with

Image: CRP-Ganakbari.

CRP-Gobindapur, Moulovibazar is a center for out-patient and community-based

services in Sylhet Division.

CRP-Gobindapur, Moulovibazar is a center for out-patient and community-based services in Sylhet Division. Image : CRP-Gobindapur.

Image : CRP-Gobindapur.

OTHER CENTERS:

CRP-Moulovibazar Afsarul & Aktarul

Haque Center

CRP-Manikganj, Dhaka.

CRP-Nawabganj, Dhaka.

CRP-CARSA Foundation, Barisal

CRP- A.K. Khan, Chottogram

CRP-Afsar Hussain, Rajshahi

CRP-Pabna Diabetic Shamity

CRP-BAU Branch, Mymensing

CRP-Iskandar Shetara, Sylhet

CRP-Rangpur City Corporation (Under

Implementation)

CRP-Akij-Khulna (Under implementation)

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OBJECTIVES OF CRP: Image : Other CRP centers. 1. To provide treatment, rehabilitation and support services
OBJECTIVES OF CRP: Image : Other CRP centers. 1. To provide treatment, rehabilitation and support services

OBJECTIVES OF CRP:

Image : Other CRP centers.

OBJECTIVES OF CRP: Image : Other CRP centers. 1. To provide treatment, rehabilitation and support services
  • 1. To provide treatment, rehabilitation and support services focusing on physical, emotional, social, psychological and economic aspects.

  • 2. To promote the development of skilled personnel in health care and rehabilitation in the country.

  • 3. To develop centers in different parts of the country to expand the services for disabled people in collaboration with other organizations (NGO's, Government, self-help organizations and private sector).

  • 4. To organize and promote programs for the prevention of disability.

  • 5. To develop programs for disabled children, focusing on early identification, therapeutic interventions and education.

  • 6. To promote advocacy and networking on disability issues.

  • 7. To promote empowerment of disabled girls and women.

  • 8. To raise awareness about disability issues nationally, regionally and internationally.

  • 9. To conduct research consistent with the vision, mission and overall objectives of CRP. To promote sports and recreational opportunities for disabled people.

10. To promote collaboration opportunities nationally, regionally and internationally to

share experiences and expertise.

10

SPECIFIC OBJECTIVES:

  • To provide proper and adequate treatment to the paralyzed & disable.

  • To raise awareness regarding management of the paralyzed patients.

  • To improve the quality of life of paralyzed so that they will not be a burden to the society.

  • To develop manpower in this field by running various training courses.

SERVICES OF CRP:

Institution Based Services:

  • Medical Care

  • Physiotherapy

  • Occupational Therapy

  • Speech & Language Therapy

  • Special Seating

  • Prosthetics & Orthotics

  • Mobility Aids & Assistive Devices

  • Vocational Training

  • Sports, Recreation & Counselling

Community Based Services:

  • Social Welfare Unit

  • Community Based Rehabilitation

  • Patient Follow-up

  • Self-help Group

  • Advocacy, Networking & Awareness Raising

  • Mobile Clinic & Tele-Medicine Service

Academic facilities:

  • Bangladesh Health Professions Institute

  • William & Marie Tayler Inclusive School

  • CRP Nursing college

  • School of Prosthetics & Orthotics

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THE RESOURCES OF CRP ARE:

  • Beautiful nursery.

  • Wood workshop which produces furniture and a range of toys.

  • Metal workshop produces field mobility aids and other appliances.

  • Orthotics and prosthetics workshop.

  • Special seating workshop for individually crated seating units for disabled children.

  • Handmade card and calendars and other handicrafts.

  • Medicine store.

  • Wheelchair and other mobility devices, providing services to the patients.

  • Spacious guest house.

OTHER FACILITIES:

  • Operating theatre for spinal and orthopedic surgery.

  • Multi-sensory room with visual, tactile, and auditory materials such as colorful lights, shiny paper, sound making toys and other types of sensory stimulations.

  • Physiotherapy department for in-patients and out-patients.

  • Occupational therapy department for in-patients and out-patients.

  • Half-way hostel where patients prepare for returning to their home and community.

  • Social welfare unit assisting with a variety of issues for CRP's users.

  • Pediatrics unit with residential and out-patient care for disabled children.

  • William and Marie Taylor school which provides inclusive education.

  • Bangladesh Health Professions Institute (BHPI) which trains professionals of the future.

  • CRP has three bungalows in Gobindapur near Moulovibazar which provides accommodation for the guests.

  • CRP-Mirpur designed to enable CRP to expand its service and enhance financial sustainability.

its

CRP-Gonokbari is a residential area for vocational training and independent for disabled women and girls. AVAILABLE

CRP-Gonokbari is a residential area for vocational training and independent for

disabled women and girls.

AVAILABLE MANPOWER:

There are 1053 staffs in CRP, a significant number of who are highly trained and

experienced. Among them 69 are with physical disabilities, (the Prottoy group). The

number of Health professionals is 109, among them 70 are male & 39 are female.

ACTIVITIES OF CRP:

A. TREATMENT

1.Medical Services Wing-

With the slogan "Service to Sufferers is

Service to God" the Medical Services

Wing is the largest department of CRP. It

is committed to provide quality medical

services to patients with spinal cord

injuries. The hospital at CRP-Savar is the

only hospital in Bangladesh that

specializes in the treatment of spinal cord

injuries. The 100-bed hospital receives over

350 admissions as in-patients each year.

Admissions are normally due to traumatic

paraplegia, traumatic tetraplegia and

CRP-Gonokbari is a residential area for vocational training and independent for disabled women and girls. AVAILABLE

Image: Reception of CRP where

both the attendant are physically

challenged.

conditions caused by disease, but exclusively for the treatment of spinal injuries or

illness affecting the spine.

  • In-patient Services:

Patients admitted to CRP-Savar with spinal cord injuries of both traumatic and non-

traumatic origin are treated in the rehabilitation wards through a holistic approach, by

a multidisciplinary team (MDT). This reporting year, they have added two non-

invasive ventilator machines to provide emergency treatment for severe respiratory

distress.

In-patient Services: Patients admitted to CRP-Savar with spinal cord injuries of both traumatic and non-

Image: A RTA patient admitted in CRP

  • Out-patient Services:

The Medical Service wing provides

outpatient services for patients with

spinal, neurological, rheumatologic

and orthopedic problems. This year

a total of 57,268 patients benefitted

from outpatient service. Out-patient

services are available six days a

week, except government holidays,

from 8:00 am to 5:00 pm except

Thursday (8:00 am to 1:30 pm).

Patients can be referred to other

In-patient Services: Patients admitted to CRP-Savar with spinal cord injuries of both traumatic and non-

Image: Infront of Out-patient Dept.

services provided by CRP, such as pathological tests, x-ray, physiotherapy,

occupational therapy, for mobility aids and health education. Some patients with

spinal injuries are admitted to the in-patient department for treatment or surgical

interventions.

services provided by CRP, such as pathological tests, x-ray, physiotherapy, occupational therapy, for mobility aids and

Specialized nursing care:

Specialized nursing care is a vital part of the treatment of paralyzed patients. CRP has

a highly skilled nursing staff complemented by input from foreign volunteers. The

nurses are engaged to look after the patients' physical condition. This includes bladder

neuropathy, bowel and pressure sore management. Pressure sores are the main

complication for paralyzed patients. Special dressing techniques are required to aid

wound healing as well as treatment for infection and blood transfusions if necessary.

Pack beds are used, which are designed to relieve pressure from the wound area.

Improved diet is offered with additional nutritious foods and vitamin supplements.

When necessary, reconstructive surgery is performed to manage the unhealed sore.

Measures are taken in order to prevent pressure sores developing, Two hourly

position changes are necessary.

services provided by CRP, such as pathological tests, x-ray, physiotherapy, occupational therapy, for mobility aids and

Image: Two hourly position changing of a RTA patient (with traction) to prevent bed

sore.

Another common complication is urinary incontinence. Many patients are admitted with

an indwelling catheter or condom device. The best management for these complications

is self-administered, clean intermittent catheterization. The paraplegic patient is taught

how to introduce the clean catheter themselves and careers of the tetraplegic patient are

taught the same technique. The aim is to control incontinence by emptying the bladder at

regular intervals and by using medication which works on the bladder muscle.

Another common complication is urinary incontinence. Many patients are admitted with an indwelling catheter or condom

Operating Theatre Services:

CRP has two well-equipped operating theatres with a well-trained surgical team.

Several different surgical procedures are carried out at CRP including spinal fixation,

surgery on spinal tumors and club foot. This year,203 patients were successfully

operated on. The figures include:

Spinal Fixation Plastic & Reconstructive Operations Implant Removals 19 99 27 ORIF (Open Reduction & Internal
Spinal Fixation
Plastic &
Reconstructive
Operations
Implant Removals
19
99
27
ORIF (Open
Reduction & Internal
Fixation)
38
PLID (Prolapsed
Lumber
Intervertebral Disc)
Other Operations
12
08

16

Image: Pathology Department of CRP. Pathology Unit: With the use of modern equipment, the unit provided

Image: Pathology Department of

CRP.

  • Pathology Unit:

With the use of modern equipment, the

unit provided quality services for

patients, such as hematology analyzer,

biochemistry analyzer, ESR analyzer

and ELISA reader for HIV testing,

Hepatitis B and C and other sexually

transmitted diseases.

  • Radiology Unit:

The radiology unit carries out over x-rays

for in-patients and out-patients, students & CRP staff. It is run by a team of

experienced staff members.

  • Club Foot Management:

With the generous support of Wonder Work (a nonprofit corporation from Oak Park,

Illinois, USA), CRP is providing low cost-free treatment for children with congenital

club foot. They are using the Ponseti technique (most well-known & effective

method) to treat congenital clubfoot deformity.

Image: Pathology Department of CRP. Pathology Unit: With the use of modern equipment, the unit provided

Image: A girl with a club foot in CRP.

2.Physiotherapy Services-

The physiotherapy department is committed to provide scientific and evidence-based

clinical practices in order to promote health & physical well-being. It does this by

maximizing mobility & functional ability for persons with disability, disease or

injury. For having good international connection, standard of Physiotherapy practice

and education offered by CRP is now of world standard. Thousands of Patients have

been benefited through receiving Physiotherapy from CRP. The Physiotherapy

department has also launched a Sports Rehabilitation Unit and a Gymnasium.

Specialist services are provided for the cases of stroke through Stroke Rehabilitation

unit.

2.Physiotherapy Services- The physiotherapy department is committed to provide scientific and evidence-based clinical practices in order

Image: Physiotherapy Unit at a glance.

Image: Higher Function Practice of a

child is going on (part of physiotherapy).

3.Occupational Services-

Occupational Therapy (OT) is one of the integral parts of CRP’s comprehensive

rehabilitation operation. It provides services to people whose ability to function in

daily life has been disrupted due to disease, injury or impairment. Purposeful activity,

therapeutic exercise, special equipment, skills training and environmental

modifications are used to maximize the person's ability to attain independence in

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everyday living. The staff members of the ‘Occupational Therapy Department’ work

by conducting group therapy, weekly art groups & music group therapy to enable the

patients to participate in leisure time. The stuff in both academic & clinical sectors.

everyday living. The staff members of the ‘Occupational Therapy Department’ work by conducting group therapy, weekly

Image: A group of people taking Occupational

Therapy.

Image: Occupational Therapy Dept. at a

glance.

4.Speech and Language Therapy Services-

Speech and language therapists of CRP are working with patients to provide

outstanding & caring services who have communications & swallowing difficulties.

There are Speech and language therapy departments in both Savar and Mirpur.

everyday living. The staff members of the ‘Occupational Therapy Department’ work by conducting group therapy, weekly

Image: A staff briffing us in front of Speech & Language Therapy

Dept.

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5.Paediatric Unit-

The primary goal of this department is to facilitate & ensure quality of life for the

children with disabilities including eating & drinking difficulties. Children with

Cerebral palsy, Speech delay/disorder, Language delay/disorder, Articulation and

Phonological disorder, Cleft lip and Palate, Hearing-impairment,

Stammering/stuttering, Autism Spectrum Disorder (ASD), Attention Deficit

Hyperactive Disorder (ADHD), Down's Syndrome are treated here.

5.Paediatric Unit- The primary goal of this department is to facilitate & ensure quality of life

Image: a child with cerebral palsy in

front of paediatric unit.

Image: A board showing information

about paediatric unit.

6.Neurology Unit-

Neurology unit provides treatment & other therapy to people who are suffering from

Stroke, Head injury, Motor neuron disease, Dementia, Alzheimer's disease,

Parkinson's disease, Swallowing

difficulties/dysphasia.

5.Paediatric Unit- The primary goal of this department is to facilitate & ensure quality of life

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Image: A patient at the Neurology Unit.

7.Prosthetics and Orthotics Services-

The department was set up on 2003 with the technical and financial support of the

International Committee of the Red Cross -Special Fund for the Disabled (ICRC-

SFD) with modern instruments and materials. The ultimate goal of this department is

to enable a person with a disability to change from being immobile to mobile, a

passive receiver to a active contributor, from isolation to inclusion. This department

includes physiotherapy, prosthetics, orthotics & technicians. This allows the

department to design and fabricate a wide range of Orthoses, from the simple arch

support (support fallen arches in the feet) to the more complicated bilateral jointed

KAFO (calipers) to allow person with disabilities to stand and walk independently.

7.Prosthetics and Orthotics Services- The department was set up on 2003 with the technical and financial

Image: A staff helping a patient to adapt

walking with his new prosthetic limb.

Image: Some of the Prostheses & Orthoses

made after taking measurements from

patients.

Here, they manufacture a wide range of prosthetics from partial feet, below knee

artificial limb to the complex above knee amputation replacement prosthesis. The

department provides services to a wide range of disable people especially children

with club feet, CP, congenital disabilities and teenagers that have been affected by

Polio as a child, Spinal cord injury.

Image:Making of the prosthetics at the prosthetics & Orthotics Lab. 8.Special Seating Unit (SSU)- SSU runs

Image:Making of the prosthetics at the prosthetics & Orthotics Lab.

8.Special Seating Unit (SSU)-

SSU runs its operation with the concept of “seating for independence” where they

produce special seating devices for children with Cerebral Palsy. Other rehabilitation

devices such as, lumber rolls, cervical pillows, wheelchair cushions & shoulder slings

are being manufactured locally. SSU runs its service in both Savar & Mirpur branch.

In this reporting year, 230 special seating wheelchairs were made & as a part of their

innovation drive, a “Tail-bone pressure relief cushion” was developed at benefiting

patients with tail-bone pain.

Image:Making of the prosthetics at the prosthetics & Orthotics Lab. 8.Special Seating Unit (SSU)- SSU runs
Image:Making of the prosthetics at the prosthetics & Orthotics Lab. 8.Special Seating Unit (SSU)- SSU runs
 

Image: A Tilting

Wheelchair( on processing).

 

Image: A Physically disabled person

making wheelchair cusions.

Image: A Fixed Wheelchair.

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9.Appropriate Paper-based Technology (APT) Unit-

The APT unit produces numerous types of assistive devices using waste paper in low

resource-setting circumstances. The most popular products are paper seating chairs,

feeding chairs, hand therapeutic toys, balance boards.

9.Appropriate Paper-based Technology (APT) Unit- The APT unit produces numerous types of assistive devices using waste
9.Appropriate Paper-based Technology (APT) Unit- The APT unit produces numerous types of assistive devices using waste

Image: People working at the APT Unit.

 

Image: few products made by APT Unit.

b. rehabilitation WING

1.Vocational Training Institute (VTI)-

Most of those suffering from spinal cord injuries and other physical difficulties such

as Polio, one eyed, deaf and dumb, amputees, etc. are from poorer backgrounds and

work as manual laborers. Many patients at CRP are unable to return to their previous

job after suffering paralysis. If a spinally injured person cannot earn a living to

support his or her family, the physical and emotional rehabilitation at CRP will be of

little value. To address this need CRP runs vocational training projects which aim to

develop skill training among people with disabilities & ensure employment

opportunities in different areas to live financially independent lives.

little value. To address this need CRP runs vocational training projects which aim to develop skill
little value. To address this need CRP runs vocational training projects which aim to develop skill

Image: In front of CRP Madhab Memorial

Vocational Training Institute.

Image: Sewing Machine Operator.

little value. To address this need CRP runs vocational training projects which aim to develop skill

Image: Metal Workshop.

Image: Wood Workshop.

Image: Electronics Repairing

Operator.

Image: Different Vocational Training under VT Institute.

24

2.Social Welfare Department (SWD)-

It provides the financial & social support needs for both inpatients & outpatients through

in depth assessment of their socio-economic status. Support is determined on an

individual basis according to needs in two areas; Institutional needs & Community needs.

3.Counselling Services-

All spinal cord injury sufferers need counselling in order to achieve maximum adaptation

with their new life & to understand themselves & their purpose in life post-accident, in

order to live the life to full. Thus, CRP provides counselling service to each of its patient.

2.Social Welfare Department (SWD)- It provides the financial & social support needs for both inpatients &

Image:Staffs Counselling the patients.

4.Community Based Rehabilitation (CBR)-

The Community Based Rehabilitation service works to ensure the inclusion of people &

children with disabilities in mainstream society different approaches including creating

awareness, taking preventive measures etc.

5.Halfway Hostel-

It is the last stage of treatment before the patients are sent home. After the clinical

treatment, therapy, as a part of rehabilitation the patients are sent to halfway hostel for

minimum 2 weeks. The concept of this hostel is to create an environment just like

patient’s own house in the form of a miniature village; where everything is manually

generated. Here, adequate training is given to patients on how they can do their daily

works with their limitations at their home. Also, they get training about income -

generating work which they can do from their home such as, gardening, vegetable

cultivation. Necessary physiotherapies are also taught to the careers of the patients, so-

that, they don’t face any problems at home. From here, the patients are discharged to go

home. This is the first of its kind in South-east Asia to provide such facilities. People

around the world come to visit this.

5.Halfway Hostel- It is the last stage of treatment before the patients are sent home. After

Image: Halfway Hostel.

Image: Patients cultivating vegetables in

the Halfway Hostel.

6.Sports & Recreation-

CRP has both indoor & outdoor games facilities where people with disabilities can take

part in sports such as wheelchair- basketball, table tennis, volleyball & amputee football,

chess etc.to provide access to a healthy lifestyle, social networks & helps to develop self-

discipline & positive self-esteem.

6.Sports & Recreation- CRP has both indoor & outdoor games facilities where people with disabilities can

Image: A friendly wheelchair basketball match.

c. academic institutions

1.Educational and Training Services-

CRP with BHPI (Bangladesh Health Professionals Institute) provides a number of

nationally recognized training courses. These courses include BSc in Physiotherapy,

Occupational Therapy and Speech-Language Therapy, Physiotherapy and

Occupational Therapy Diplomas, Laboratory Sciences and Radiography Diploma,

Certificate in Education for Special Education, Diploma in Rehabilitation Nursing and

M.Sc in Rehabilitation Science. All the courses run at the BHPI are recognized by

their respective government departments.

2.CRP- Nursing College-

It was established in 2004 to produce skilled & qualified nurses, professionals who

are much in demand in public & private sectors. CRP offers a four-year B.Sc course

under DU & a three-year Diploma in Nursing Science & Midwifery course approved

by Bangladesh Nursing Council.

2.CRP- Nursing College- It was established in 2004 to produce skilled & qualified nurses, professionals who

Image: CRP Nursing College students.

3.William & Marie Inclusive School (WMTS)-

William & Marie Taylor School started its journey with the aim of enabling &

encouraging all children to be active & independent learners. It has a total 278

students including 117 with disabilities. It has 2 educational units:

  • 1. Inclusive Education Unit (IEU)

  • 2. Special Education Needs Unit (SENU)

Image: Inside the WMTS. 4.School of Prosthetics & Orthotics, BHPI- In 2014, with the assistance of

Image: Inside the WMTS.

4.School of Prosthetics & Orthotics, BHPI-

In 2014, with the assistance of Committee of the Red Cross & GIZ, Germany, &

BGMEA, CRP established a school for Prosthetics & Orthotics within BHPI

which is the only school in Bangladesh providing a diploma degree to people

attaining this course.

Image: Inside the WMTS. 4.School of Prosthetics & Orthotics, BHPI- In 2014, with the assistance of

Image: School of P&O.

PROJECTS OF CRP:

PROJECTS OF CRP: CRP-Inter professional Project on Disability, Maternal and Child Health (IPODMCH): The purpose of

CRP-Inter

professional

Project

on Disability, Maternal and Child Health

(IPODMCH):

The purpose of IPODMCH is to strengthen the health system by developing human

resources for health, capable of using an inter-professional (IP) approach to respond

to maternal and child health and disability (MCI-ID) needs, at the community level.

This contributes to a reduction in both the maternal and infant mortality and disability

rates. The three yearlong project has provided training, education, policy advice and

coordination for maternal and child health and disability and rehabilitation services.

Since commencing in December 2011, the IPODMCH project, through CRP, has

reached to over 40,000 maternal and child health, disability and rehabilitation

workers, community health workers, policy makers, partner organizations and

students in health studies from Dhaka, Chittagong, Moulovibazar, Rajshahi and

Barisal districts.

  • Access to Health and Education for all Children and Youth with Disabilities

(AHEAD):

The AHEAD project spans five years (2012-2017) and is working in 13 locations

within Bangladesh including Dhaka, Manikganj, Narayonganj, Gazipur, Barisal,

Sylhet, Moulvibazar, Comilla, Chittagong, Khulna, Mymensing, Tangail and

Rajshahi. AHEAD is an inter-professional project addressing barriers for children and

youth (0-24 years) with disabilities in Bangladesh, implemented by International

Centre for the advancement of Community Based Rehabilitation (ICACBR), Queen's

University, Canada in partnership with CRP.

  • Access to Livelihood for People with Disabilities (ALPD):

Access to Livelihood for People with Disabilities (ALPD) is a CRP project supported

by the “Manusher Jonno” Foundation (MJF), since 2003. The goal of the project is

"Creating and enabling environment for persons with disabilities to have equal rights,

self-reliance and dignified life from the poverty line".

  • Integrated Disability and Livelihood Project (IDLP):

The Integrated Disability and Livelihood Project (IDLP) aims to rehabilitate persons

with disabilities, to help alleviate poverty in three divisions in Bangladesh. CRP

started to implement the project through the financial support from CBM in October

2012. The project continued up to 31 December 2015. The basic activities of the

project provide treatment and therapy services, rehabilitation training for persons with

disabilities and the raising of awareness on disability and related issues, among the

community.

  • Access to Information (a2i):

Access to Information (a2i) is an implementation of The Centre for the Rehabilitation

of the Paralyzed (CRP) which is funded by the Prime Minister's service innovation

fund of Bangladesh. The aim of this project is to provide the specialized services to

community marginalized groups especially Persons with Disability, CRP Ex. Spinal

Cord Injury (SCI) patients, CRP outdoor patients and other people in the community

who need rehabilitation and therapeutic services. For this purpose, they have selected

8 Upazilla Disable People Development Council (UDPDC) to establish Community

Digital Information and Service Booths (CDISB) where they deliver the information

and services promptly and also at low cost.

  • Access and Empowerment:

CRP's Research, Monitoring and Evaluation Department facilitated the receipt of a

grant (Access and Empowerment) funded as a joint imitative by the UK charities,

Comic Relief and International Inspiration. The grant operated for the period of June

2014-May 2016. The main objective of this project was to broaden CRP's on-going

programs by increasing the participation of children and young people with

disabilities in both education and sport (ages 7-16 with disabilities: denied access to

school and sport activities).

Spinal Cord Injuries 'Development Association Bangladesh (SCIDAB): A group of people living with spinal cord injury

Spinal Cord Injuries 'Development Association Bangladesh (SCIDAB):

A group of people living with spinal cord injury (SCI) established the Spinal Cord

Injuries Development Association Bangladesh (SCIDAB) on 17 December 2011, with

the active cooperation of the Center for Rehabilitation of the Paralyzed (CRP). It is a

voluntary, non-profit, non-government organization. SCIDAB is working to ensure

that people with spinal injuries achieve equal rights and equal opportunities, allowing

them to participate fully in their communities. Although the United Nations

Convention on the Rights of Persons with Disabilities has been signed and ratified by

Bangladesh, many people with spinal injuries continue to live in poverty and face

daily barriers in accessing healthcare, rehabilitation, education, employment,

information, an accessible environment, etc.

RANA PLAZA REINTERGRATION PROGRAM:

CRP is located less than 1 km from "Rana Plaza". This means that in the aftermath of

the disaster CRP were able to take prompt and decisive action when others could not.

Immediately after the collapse

of the eight-story building CRP

provided medical teams on the

spot, blood bags, ambulances

and other vital medical

assistance. At present CRP is

concentrating on long term

support and rehabilitation for

victims with spinal cord injuries,

amputation of limbs and any

Spinal Cord Injuries 'Development Association Bangladesh (SCIDAB): A group of people living with spinal cord injury

Image: Collapse of Rana Plaza in 2013 at Savar.

other disabilities. CRP is dedicated to helping those affected by the disaster. And they

are able to do this by providing treatment, therapy, assistive & mobility devices,

artificial limb/legs and livelihood training free of charge. CRP therapy teams also

went to different hospitals/clinics and treatment centers to gather information about

the "Rana Plaza" victims and to disseminate information about the services CRP

could provide.

artificial limb/legs and livelihood training free of charge. CRP therapy teams also went to different hospitals/clinics

Reintegration

of

Rana

Plaza

Survivors

through Rehabilitation Services

(REVIVE):

The Rana Plaza tragedy was one

of the largest examples of a

manmade disaster in Bangladesh.

It was not just a building collapse

but questioned us about our moral

sense as a nation, as well as our

social and service security. The

brutal incident left the whole

world speechless and dramatically

affected the garment industry in

Bangladesh. CRP has a major role

artificial limb/legs and livelihood training free of charge. CRP therapy teams also went to different hospitals/clinics

Image: After math of Rana Plaza Tragedy in CRP.

in the medical and rehabilitation sector. A total of 514 survivors of the tragedy have

registered with CRP for treatment, vocational training and reintegration into their

communities. It was a huge challenge for CRP to rehabilitate the survivors, as most

were not able to return to their previous jobs, due to a fear of buildings. Many

international NGO’s extended their hands to CRP to help the survivors, through a

project named Reintegration of Rana Plaza Victims through Rehabilitation Services

(REVIVE).

  • Medical Assessment of Rana Plaza Survivors:

After the Rana Plaza tragedy, a coordination committee for a humanitarian trust fund

was created on 29 November 2013. The members of the coordination committee are:

UN, ILO, Bangladesh Ministry of Labor and Employment, Bangladesh Garment

Manufacturers Association (BGMEA), Bangladesh Employers Federation (BEF),

Image: Prosthetics provided to the survivors by CRP. Industry All Bangladesh Council (IBC), National Coordination Committee

Image: Prosthetics provided to the survivors by CRP.

Industry All Bangladesh Council (IBC), National Coordination Committee for

Workers' Education (NCCWE), Bangladesh Institute of Labor Studies (BILS),

Industrial all Global Union, The Clean Clothes Campaign (CCC) and the brands:

Bonmarche, El Corte Ingles, Loblaw and Primark.

ACHIEVEMENTS:

  • Because of CRP's relentless lobbing to place inclusion on the educational agenda in July, 2004 the government circulated a policy to all district education offices ordering that all primary schools should include disabled children living in their catchments area.

  • CRP is now acting as ASCONS (Asian Spinal Cord Network) chairperson and CRP is hosting the 6th ASCON conference, 2006 from 4-6 December in Dhaka, Bangladesh.

  • In the 2016-17, CRP provided in-patients medical services to 340 (290 male, 50 female) patients.

  • In the reporting year, the inpatient program served 759 patients & the outpatient program served 24,739 patients.

  • A total number of 1099 Ponseti patients have also been treated by Paediatric unit.

FUTURE PLAN:

  • Expansion of the services in the existing Divisional Services Centers with Vocational Training Facilities.

  • Increase of Patient Accommodation Facilities.

  • To introduce Master’s Program in Occupational Therapy & Speech & Language Therapy.

  • Strengthening community-based rehabilitation services & awareness programs.

Treatment Achievement in

2017-18

Total Number of Patients-69,691

25000 23084 21878 20000 15000 10000 5044 5000 2800 3567 307 663 758 1276 1582 1001
25000
23084
21878
20000
15000
10000
5044
5000
2800 3567
307
663 758
1276 1582 1001 811 1037 3034 2849
0

35

CHALLENGES:

  • Meeting vast need of patients through divisional center.

  • Ensuring quality of services through Professional ethics & control.

  • Long term sustainability by increasing self -finance sources & sizeable reserve.

COMMENTS:

In Bangladesh, the health of the handicapped & disabled is one of the most underrated

sector. Here, physical limitations are often not the most difficult obstacles a disabled

person needs to overcome but the attitude & perception toward disable are often even

more challenging. CRP is committed to make the world a better place for the persons

who are suffering from wide ranges of disabilities and paralysis. Visiting this

organization helped us to understand its activities which are admirable. We were

astonished to see how sophisticated their network of activities were. They are relentlessly

working hard not only to prevent disabilities of the paralyzed persons but also to

rehabilitate them in their society. The role CRP plays in rehabilitation 7 treatment of such

cases is truly admirable & inspiring. CRP deserves an applause for being so selfless. We

are proud to have a visit in such an organization for the in-depth experiences which were

unique of their own.

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Signature of the teacher

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Signature of the student