Prosthetics & Orthotics in Haiti – Observations

Al Ingersoll, BA, CP, P&O Programs Director

Mesi, Merci, Thank you!!! International P&O MUST be proud of response!

1,000+ Prosthesis fit in less than 6 months 100’s custom & pre-fabricated Orthotics

CHAOTIC?

Current situation HiPOE Amputees Organizations Technology Injured Cost

#’s of people with amputations.

Reports too high! Pre-quake or Post? Pre-quake capacity output very low WHO #’s / Documentation Media Database effort Outcomes

Recent earthquake amputation % 2008 Sichuan, China

One UK study of 3324 pt. - 5.5% (183) amp. 2005 Bam, Iran –

Iran study of 274 pt. = 2.9% amp 2005 Pakistan – UK study

6797 pt., 4057 admissions 150 amp (2.2%) 2004 Indian Ocean – no studies found

1

1

10+

1

1

P&O Providers as of September 2010

Pre-Quake1 FT, 2 PT

HHH/HI Technolo

gy

Dynacast

ICRC

OWW

Otto Bock

Proteor

Seattle

Mainly custom, little pre-fab

Consumer, education & funding to sort out…

Challenges

Apathy

Corruption

High costs

Infrastructure absent

Language

Misperceptions

Shipping/Customs

Short term volunteer

Weather

What Haiti P&O needs from International community.

Long term ISPO Cat I & II Funding available to hire!!!

ISPO P&O Education Low cost durable gel liner KAFO joints $100 MP knee – more mountains Switzerland CUSTOM made and fit ORTHOTICS

Hispaniola P&O Education

HiPOE - Dominican Republic & Haiti History Rationale – No ISPO Cat. I or II in Haiti

Blended learning approach Provider

University of Don Bosco, San Salvador, El Salvador

New reality Haiti Ministry of Health & SEIPH approve? Start date?

HiPOE

Univ. Degree Partial option

Length 1 - 5modules/6mo

Costs $1500 each

Exam – ISPO cat II Jobs?

Most current HHH/HI stats

650 Persons w/Disability registered 300 LE Pros 300 LE Orth, 275 custom 72 UE Pros evaluated – not started

Staff – ISPO Cat I = 3 International Cat II = 10 - International Cat III = 7 - Haitian

Healing Hands for Haiti Partnered w/Handicap International for P&O

Am Red Cross / ICRC-SFD building – NEW! Outpatient therapy clinic opening soon Assist w/PM&R staffing, SCI, WHO Working

Group meetings 380 Motivation wheelchairs Maintained employment of entire staff!!!

And many more!!!! MESI ANPIL