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News Letter JANUARY TO JUNE 2012

REHABILITATION FOR DISABLED CHILDREN

Date : 15 July 2012 Dear Donors/Partners, Warm and heartfelt greetings from Rishilpi Bangladesh! We are very happy to have you as our well-wisher and cohorts in our rehabilitation programme. Your kind assistance make us happy and our team members expressed their gratitude for your kind support and compassionate touch to hundreds of disabled children of our project. Thank you very much for your kind cooperation and partnering to our project . The transformation of the life of disabled children is the key approach in our disabled rehabilitation programme. Key commitment of our disabled rehabilitation project is to : •Disability prevention by promoting awareness in the community on early marriage prevention, ensuing safe delivery by trained birth attendant and maternal & child care. •Rehabilitation of person with disability both physically and socially taking appropriate means of medical care and community inclusion. Our efforts to encourage people for medical treatment and therapy sensitize the community for equalization of opportunity for disabled children. •Social integration of stigmatized people caused by the physical impairment by birth such as Cerebral palsy, Erb,s palsy, Cleft lips, Cleft palate, Club feet, Hearing impairment. Community Based Rehabilitation (CBR) approaches to be used in social rehabilitation to the Person with Disability (PwD) •Enhancement of the human potentiality, maximising the physical and Intellectual ability, creating the equal opportunity in education and employment •Holistic change of disabled children including physical, mental, intellectual, moral, social and spiritual development. In this respect, we would like to have a strong positive influence on rehabilitation of the children with disabilities in the family and the society Respectively, we have a strong positive influence on rehabilitation of the children with disabilities in the family and the society. Your wonderful counsel and contribution make us strength for journey toward the mission. The project ‘Rehabilitation for Disabled children’ supported by Terre Des hommes-Netherland have been planned with many life changing measures and is being implemented at Satkhira Bangladesh. The main service component of the project is to provide Physiotherapy, Occupational therapy, Special education, Vocational training to disabled persons, Community awareness on disability prevention and promotion of rights of children with disability, social rehabilitation of person with disabilities through Income Generation Activities (IGA). Community Based Rehabilitation is our endeavor to make the rehabilitation sustainable and approaches is to consider the patients physical, emotional, social and economic needs during and following the treatment and rehabilitation process. In every year hundreds of disabled people receive treatment from our rehabilitation Centre. Achievement of our project for the period of January to June 2012, we would like to share with you through this News letter . We are encouraged for your touch and compassionate love for taking ahead the rehabilitation services of most neglected, vulnerable and distressed children who are experiencing disability . Your kind love and prayer will also may touch the life of many disabled children for their healing. Similarly we shall always be in touch to pray for you. With best regards Rishilpi Development Project Satkhira, Bangladesh.

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Editorial

Project Achievement January to June 2012

Equal dignity of CwD Children with disability (CwD) are neglected in every aspect of family and the society. Family members treated them as extra burden and they are deprived from minimum opportunity of the family comparative with other children. Children of poor family are more victimized than the other. Family have very little attention to invest for their treatment, food, education and minimum nurture. Many children have ability to attend school, but family is not interested. It has been counted from patients register that almost 4500 disabled children living at Satkhira district. Due to our intervention a small number of children are under our direct services and many of them are out of our services. A comprehensive large scale program is needed to bring all the children under the rehabilitation umbrella and it may ensure the social integration of the children with disability. The children will get the way of life with full of dignity in the family and the society.

Project Overview The project ‘Rehabilitation for Disabled children’ one of the project of Rishilpi Development Project supported by Tdh-NL and Rishilpi Onlus-Itay. This is the second year implementation of fifth phase of the project. During the intervention many disabled children have come under the rehabilitation support and the project able to bring hope for hundreds of disabled children. Children are now physically rehabilitated, an enabling environment has been created for social integration, inclusive education is a another step of disabled children and many of them are enjoying school due the advocacy campaign by the project. Children having deformity have got the support of assistive devices and they are enjoying their movement independently using the devices. Poor family have the opportunity to enhance their income with IGA support and the project has significant achievement in this area. Disability prevention is one of the key activities of the project and a long intervention has contributed much to reduce the disability rate than the previous. Community people are now aware about Article 10 : Every human being has the inherent right to life and shall take all necesthe bad effect of early marriage, maternal sary measures to ensure its effective enjoyment by persons with disabilities on an equal basis with others. UN-CRPD care and rights of disabled children. The project bring hope for most vulnerable 2 disabled children.


Staff status : The project activities are implementing with the combined efforts of 79 staff, among them Male 23 and Female 56. Out of total 47 (59%) staffs are working at Rehabilitation center of Rishilpi campus and 32 (41%) staff are in the Community Based Rehabilitation (CBR) center in different Upazilla level.

Project Achievement as of Log frame (Quantitative Data) Achievement Particulars

Half Yearly Target

Jan-June’ 12

Percentage

Overall Objective : Standard of living of disabled children in the project area improved

540

594

110

Project Purpose : Disabled children live at par with others in the community

540

594

110

Nr. disabled children enrolled in primary education ( Inclusive education )

12

16

133

Nr. disabled children received special education

135

208

154

5

5

100

Result-1: Disabled children have access to education

Nr. disabled children enrolled in VT Result-2: Motor skills and mobility of disabled children improved Nr. CBR established

6

6

100

Nr. disabled children (new) received Physiotherapy

175

202

115

Nr. disabled children (former) received Physiotherapy

365

392

107

Nr. disabled children with improved health

432

475

110

Nr. disabled children received assistive device

55

67

122

175

202

115

Nr. of disabled children (New) received Occupational Therapy.

30

46

153

Nr. of disabled children(Former) received Occupational Therapy

60

59

98

Nr. of disabled children with improved upper motor function

90

105

117

Nr. families of disabled children involved in IG activities

18

23

128

Nr. families of disabled children with increased income

18

23

128

Nr. disabled children participated in community activities

324

20

6

05

3

60

Nr. persons reached with information on rights of disabled children

5500

6657

121

Nr. persons aware of the rights of disabled children

3300

4660

141

2

0

0

100

Result-3: Mothers received training of basic physiotherapy and postural technique for their children Nr. of mothers of disabled children acquired skills on physiotherapy. Result-4 : Activities of daily living (ADL) of disabled children improved

Result-5 : Socio-economic environment of disabled children improved

Result-6: Knowledge of people about disability increased Nr. information & awareness raising activities organized

Nr. CBR workers trained on rights of disabled children Result-7 : Access to maternal and child care in the project area improved Nr. of new TBAs received fresher’s training

30

30

Nr. of trained TBAs received refresher’s training

490

485

99

Nr. pregnant women received care at home level

1250

2013

161

Nr. pregnant women immunized

1250

2013

161

Nr. deliveries by trained TBAs

1050

950

90

Nr. postnatal women received care at home level

1250

1270

102

Nr. infants immunized

1244

1245

100

Nr. of children received treatment Nr. of mothers received treatment

3825 867

4257 413

111 48

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Physical Rehabilitation of Person with Disability Rehabilitation of disabled person is a continuous process of holistic change brought by the physiotherapist, occupational therapist and other medical professional include family and the community that lead journey toward fullness of life with dignity, harmony, integrity and equal opportunity. Our approach to the life changing initiative is value based, child focused, sustainable, and integrated. Our model of Services for rehabilitation seeks the continuing wellbeing and the empowerment of the child, equip and empower the families and community people participate the development and rehabilitation process, enhance access health and special education, empowering children becoming change agent of the family and community. The project has target to provide support to 1080 children with disability this year, we have reached 594 at the 1st half of the project year 2012. Physical Rehabilitation in the picture

Physical and Intellectual

Development

Pediatric Therapy : Physical rehabilitation of disabled children specially suffering from cerebral palsy is given the priority for treatment, but other children experiencing disability including Club feet, Down syndrome, Erb’s Palsy, Muscular dystrophy and post polio patients are treated here. Services are provided both in out door & In-patients. Inpatients ward is available for the children from remote villages and distance district. Poor patients have the opportunity to use car services for transportation. During the period of January to June 2012, total of 594 children with disability received treatment from this unit.

Occupational Therapy :The primary goal of occupational therapy is to enable people to participate successfully in the activities of everyday life. They achieve this outcome by enabling people to do things that will enhance their ability to live meaningful lives or by modifying the environment to better support participation. Rishilpi occupational therapists and others become more effectively able to provide services to children with disabilities and motivate parents for enabling environment for them. Special Education: Special education is the most important component for the education of disabled children for inclusion with the general community school to reach the goal “Education for All”. It will ensure the intellectual development of disabled children and prepare the children for inclusive education. Provide vocational training to disabled children for future livelihood. During the period 208 disabled children enrolled the special education and 16 children with disability entered inclusive education at primary level. Physiotherapy for orthopedic and neurological patients: Rishilpi provides physical rehabilitation services for the person experiencing disabilities caused by Orthopedic and Neurological complication includes Paralysis, Stroke, Facial Palsy, Spinal cord injury, GBS (Gulen Bari Syndrome) and any other neurological disorder, Arthritis and any others joint and muscles pain, Frozen shoulders, Neck, Back and Low back pain, Traumatic pain and Sports injury. During the period 373 Persons with Disabilities (PwD) received services from the project.

Article 11 : All necessary measures to ensure the protection and safety of persons with disabilities in situations of risk and humanitarian emergencies. UN-CPRD

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Success story of Physiotherapy Tears of happiness in the eyes of mother Shibani Mandol is mother of a disabled child Sandip Mondol worried about his son as she found that her child did not able to sit and head cannot hold up in straight position. Mother was thinking many more like may be her child will be mad. She consulted with specialist physician but she was advised to contact with Rishilpi Health Program for further management. Then, she got admission her child as out door patients in Rishilpi rehabilitation center . Physiotherapist diagnosed him as a cerebral palsy child and also the child had no head and trunk control with speech problem. According to the treatment plan Sandip Mondol was taking physiotherapy as a result her mother realize that his sons physical problem is improving. Sandip mother is a poor and destitute women. She had no ability to continue treatment for her child. Day laboring is only the income source of her and she came from Jessore district. She had no way to attend the schedule at out door then according to her prayer her child Sandip was admitted to the Inpatient ward with full free treatment services. Sandip Mondol is receiving therapy and he is able to control head, able to sit, stand and poorly walk without any support. His mother is now happy for her child improvement. She expressed her feelings with joy, “ I am very grateful to Rishilpi for arranging treatment for my child” she continue, “ I used to cry for my child but Rishilpi wipe away my tears with its great services, I never forget their kind support.”

Arifa Yesmin win over her physical inability Arifa Yesmin, age of 05 years, she live with her family in Chondoni Mohol, Digholia, Khulna. Father Akram Mondal is a businessman, mother Rikta begum housewife. She was having hemiplegic type of cerebral Palsy by born, because of this problem she could not develop as a normal developmental chart of child, when they came to our Rishilpi Khulna City Center then Physiotherapist assess her in front of career & diagnosed hemiplegic type of CP (Cerebral Palsy) & got some difficulty especially TA (Tendo Acchilies) tightness & loss of hand functioning after that set physiotherapeutic management for four months in this way every four month Re-Assessment (Four times) took for her. Now she can move independently. She can perform cultural events confidently. Her parents are now happy to find her child improved. They are grateful and thankful to Rishilpi. We wish success her success and bright future. Article 12 : Equal recognition before the law . UN-CPRD 5


Activities of occupational therapy Counseling Counseling is the one of the in most important activities of occupational therapy for effective stimulation. Parents of the c h i l d r e n attended counseling session and during the period 69 parents and caregivers were reached through 6 counseling session.

Playing therapy Playing therapy is for slow learner disabled children. The goal of the playing therapy is to increase the self esteem. They learn that they can do something on their own without support of their parents. They explore the world around them through play; the children are developing through play. During the Period 15 children received the playing therapy.

Mother skill Development Training

Case study : .

Fatema Munni now able to play by herself Fatema Munni is girl of 7 years of old. She is the only one child of her parents. After her birth with disability her father left her mother and got second marry with another woman. Fatema and her mother stay with her grandparents. After birth of Fatema she had affected by pneumonia, jaundice and seizure. She cried after four hours of her birth. Her grandparents took her a child specialist and he suggested for her some medicine as well as physiotherapy. Then they came in Rishilpi to take physiotherapy. After proper assessment physiotherapy referred her to Occupational therapy unit to minimize her hand functional problems. She admitted in Occupational therapy at 07-01-09 when she was 3 years of old. After her assessment from Occupational therapy unit listed several physical problems which are given below: She was floppy baby, Spasticity of her both hand, drooling, She had speech problem, She had no chewing ability, problem on bi-lateral hand activity, could not able to perform on ADL ( Activities of daily living) by herself., Problem in sitting and crawling, Standing problem, behavioral problem, attention spam, vestibular problem and poor throwing ability According to her problem Occupational therapist scheduled her treatment plan and occupational therapy attendant providing therapy regularly to Fatema Munni. After getting 2 years therapy Fatema Munni now has some changes which make her parents happy. Changes of Fatema Munni are given below: Reduce drooling, Improved bi-lateral hand activity, Improved chewing ability, Improved from lying to sitting Able to set on toilet, Improved blowing ability, Improved speech ability, Improved balance, Improved attention on her task To see the improvement of Fatema Munni her grandparents as well as her mother are satisfied about the treatment process of Rishilpi Health project as well as her grandparents also very happy to see her educational process through special education. We are really very hopeful about the progress of Fatema Munni for her a prosperous life in future. Article 9: Ensure to persons with disabilities access, on an equal basis with others, to the physical environment, to transportation, to information and communications . UN-CPRD

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Special Education Education for Special Children The project has designed and developed the enable educational environment for the children with disabilities. The purpose of special education is to allow the student to successfully develop his or her individual educational potential and children with disabilities for inclusive education and rehabilitate them in the society to promote their equal rights. During the period 208 students were present the class regularly among them 126 were boys and 82 were girls. Out of total students 32 attended class using car services, 10 students live in patient ward and 166 attended the class with own management (their own transport arrangement). At the beginning of the year 16 students admitted in inclusive education at primary level.

Sharmin is now skilled in embroidery work Sharmin came to the Rishilpi Rehabilitation center in 18 June 2009 for her treatment when she was only 5 years, She is girl having club foot. she was admitted to special education and promoted to inclusive education at primary education in 2005. She completed education in Grade 7 but she was slow learner. Rishilpi arrange for her vocational training and she has completed the course successfully. She is still working with many other producers of Rishilpi handicrafts for her more experience. She is now skilled in embroidery work and hopefully she will make a self trade and she will get her confidence with good income with the support of the project. Sharmin had many frustration but she is now happy and enjoy the embroidery work. Sharmin told, “ I am grateful to Rishilpi for its kind services for me, I feel joy to learn the embroidery work.�

Cultural class with Disabled children Special education aiming to ensure holistic development of disabled children include physical, mental, emotional, spiritual, linguistic and social development. Cultural session helps to develop mental, emotional, social and linguistic development as well. They have opportunity to learn with recreation. This helps to remove monotonous situation of disabled children and inspire the children to the education. The project organize cultural session everyday and total number of 208 children attended the session according to the schedule.

MDG 2: Achieve Universal primary education

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Community Awareness and Social Rehabilitation Community Based Rehabilitation approaches may expand the rehabilitation services to the grass root level and create opportunity for building relationship with the every level of the community people. Rishilpi entrusted to apply the Community-based Rehabilitation (CBR) approaches which promotes collaboration among community leaders, people with disabilities, their families, and other concerned citizens to provide equal opportunities for all people with disabilities in the community. Many children with disabilities still do not receive basic rehabilitation services and are not enabled to participate equally in education, training, work, recreation or other activities in their community or in wider society. Many children do not receive medical services and treatment and efforts of Rishilpi is to ensure that all persons with disabilities irrespective of age, sex, type of disabilities and socio-economic status; exercise the same rights and opportunities as other citizens in society. Social welfare department initiated to activities for creating awareness of the community people regarding disability, its cause and prevention as well as rehabilitation process. Many people with disabilities need to be referred to specialized rehabilitation services outside their own communities and the project facilitated to make a linkage between people with disabilities and specialized services provider, such as physical, occupational and speech therapies; prosthetics and orthotics; and corrective surgeries.

Community Based Awareness (CBA) CBA have been conducted with the community leaders, elite person and others community people. The main objective Sensitize the community people toward the person experiencing disabilities and create an enable environment for inclusive community development and to prevent the cause of disabilities through community education and reduce the rate of disabilities. Awareness message and information dissemination to the community through the specific topics containing the definition of disability, type of disability, cause and prevention of disability, role and responsibility toward the person with disabilities and rehabilitation process and treatment. During the period total number of 72 CBA was conducted and reached 3,337 people through this CBA

Institutional Based Awareness (IBA) IBA were conducted bearing a theme/Slogan: “Stop early marriage-prevent the disability� in different institute i.e. school, Madrasa and college. The objective of the IBA is to make aware the adolescent regarding the dreadful impact of early marriage and how early marriage enhance the risk of safe motherhood and persuade the disability of mothers and children. Moreover, it will create enable environment for the disabled children to access the service of the institution such as education institute, social organization, play ground and enable environment to participate the development activities. IBA specially promote the collaboration for inclusive education and social equalization for the person with disabilities. During this period 30 IBA sessions were conducted and total number of 2,374 students & teachers attended the programme

Article 15: No one shall be subjected to torture or to cruel, inhuman or degrading treatment or punishment. UN-CPRD

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Social Rehabilitation Income Generating Activities impose inclusive development The project ‘Rehabilitation for Disabled children’ aiming to social integration of disabled children with full of dignity. Majority of children of the community are from poor family. Due to financial incapability family does not take care the children, they are deprived from Activities No. child Total BDT proper food and accommodation support, they live family in the family in a negligence situation. Income 21 208,300 Generating Activities (IGA) is one of the important Cow rearing activity to create enabling environment for the Grocery shop 01 10,000 children with disability in the family and the 01 9,968 community. This activity enhances the income of Sewing machine the family and make the family solvent and self Total 23 228,268 reliant. It bring dignity for the children with disability as the support issued in the name of the child and the child is the owner of the capital or assets using as IGA. So, negligence situation reduce and dignity of child increase in the family. Rishilpi provided IGA support to 225 families till to date and evaluation or assessment found a significant of success that is above 80% family is financially improved as well as children are living with dignity. During the period the project provided BDT. 228,268 to 23 families. Children with disability are now inclusive in development activities in the family and the community.

Grocery shop materials are given to a disabled persons

A cow is handed over to a mother of disabled children

Community Medical Camp Medical camp is one of the awareness raising events for identifying the disabled persons in the community and brings them under the proper treatment and rehabilitation support. The main objective of the medical camp is to aware community people about the cause and prevention of disability and perceive disabled children to bring them under the treatment and engage them in the general community development for the rehabilitation, equalization of opportunities and social inclusion and make aware the community regarding paralysis, stork, orthopedic disorder and other impairment to prevent the physical damage and get back the ability through proper treatment and physiotherapy. Community awareness expanded through Medical camp and during the Period 946 patients receive treatment and awareness message through three medical camps. Moreover, regular plan wise family visit and follow up awareness session organize as follow their work plan with the family and neighbors of children with disabilities. Article 25 : Persons with disabilities have the right to the enjoyment of the highest attainable standard of health without discrimination on the basis of disability. UN-CRPD 9


Safe Motherhood Safe motherhood is not only vital to avoid untimely and painful maternal and child deaths, but to nurture a healthy and prosperous nation too. Henceforth, reducing infant mortality and improving maternal health have been identified as two of the eight millennium development goals (MDG-2)

Maternal and Child Health Care It is said that about 25 lakh deliveries take place in the country every year and about 3.5 lakh mothers suffer from delivery-related complications. And still 85 percent births in our country benefit from medical facilities. Our maternal deaths fell from 322 per 100,000 in 2001 to 194 in 2010, a 40 percent decline in nine years. But still attaining MDG-5 requires a lot of effort to achieve a further reduction of 25 percent. Moreover, in the recent years an understanding is growing that reducing maternal mortality and morbidity is not solely an issue of development, but a matter of human rights. The Human Rights Council specifies a range of human rights directly implicated by maternal mortality and morbidity in its resolution 11/8, paragraph 2. Now no scope remains for ignoring the fact that safe motherhood is a woman's right. T hus mo ther ho o d , which ful fillin g experience for all women, brings unbearable sufferings to most of the women, which sometimes even leads to death. Rishilpi efforts to contribute to Government vision to reduce maternal mortality rate to zero and working as well in the community. The pie chart shows the project achievement during January to June 2012 , One mother died due to post delivery complication which is 0.07% of total delivery.

Sufia Begum : a committed Traditional Birth Attendant Sufia Begum (45) working as a Traditional Birth Attendant (TBA) came from the village of Rajnagor under Kalaroa upazilla in Satkhira district. Rishilpi operates maternal and child health care program with the voluntarily services of 490 TBAs and Sufia is one of them. She started her midwifery services from her very young age as a assistant of her relative and from then she has been continuing. She had no training skill earlier but she attended a training program on safe delivery in 2011. She is now skilled and experienced in effective management of safe delivery. She regularly attends the Quarterly Refreshers training and share her experience with other TBA and leran more technical issues from the Midwife nurses. She is well known about the impact of immunization of infant and pregnant mother, risk factor of pregnant mother, pre-natal, natal and postnatal management. She not only work as TBA but she play a important role to the community for family planning, she distributes birth control pill/condoms to the women. She has been working in the community as a member of Ansar/VDP ( Village Defense Police) and contribute much for community voluntarily. During National and Local Sufia Begum is facilitating a counseling session government election she works in electoral booth as a defense force. She contribute her family with her little income what she gets from Government during election duty or special assignment as Anser/VDP. She bought a mattress with her first income and her husband was so happy to see it, from then her husband encourages her to serve the community with her skill and knowledge. Sufia is a potential community volunteer and contribute the community in multiple ways with her dedication and she has commitment for the community to serve accordingly for the rest of her life. Sufia shared her feelings, “ I feel proud to serve our poor community and never think for my benefit from them.” She added, “ People of my village respect me, honor me and I am happy to have this gift from them.” She continued, “ I feel joy when I hear a cry of new born and see a smile face of a mother, my commitment to bring hope for every pregnant women in my village with my efforts.” MDG 4: Reduce child mortality & MDG-5: Improve maternal health

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Mass awareness campaign Safe Mother hood day Express harmony pledges to the key them: “Safe delivery is the rights of Pregnant mothers” Rishilpi Health Program observed Safe Motherhood Day in collaboration with the DC Office and Civil Surgeon Marking the day a colorful rally was brought out in Sathkhira town in the morning from Shaheed Abdur Razzak Park to Upazilla auditorium. Hon’able Secretary of Information ministry Md. Hetayetullah Al-Mamun inaugurated the rally while join Secretary of Information ministry S.M Harunor Rashid, Acting Deputy Commissioner Mr. Mukesh Chandro Biswas was leading part of the rally. Rishilpi also joined the rally with banner. At the end of the rally a grand discussion meeting was organized at Upazilla auditorium in the chair Hon’able Acting Deputy Commissioner Mr. Mukesh Chandro Biswas was the chief guest of the meeting. Representative from different NGOs were spoke on the meeting. A team of Rishilpi consisting 10 members has participated the rally and discussion meeting headed by Dr. Barkat Ali.

World Autism Awareness Day Rishilpi Development Project has celebrated the “World Autism Awareness Day” on April 02, 2012. This fifth celebration of the day for creating awareness about the autism that has been declared by the United Nation. Marking the day with banner and festoon a colorful rally was marched to different road of Satkhira Municipality from Razzak Park to Upazilla Auditorium. Rishilpi has participated the rally and discussion meeting with special needs children along with some Autistic children and their parents. The rally was inaugurated by the hon'able Upazilla Nirbahi Officer Asaduzzaman while Deputy Director Social Welfare Mr. Mustafizur Rahman and Representative from different NGOs attended the rally . At the end of the rally a discussion meeting and cultural program has been held on Upazilla auditorium by the chaired of Deputy Director, District Social Services Department Mr. Mustafizur Rahman.

World Health Day Express solidarity with the key theme “Take care elderly: Come forward to ensure good health” of the day Rishilpi Health Program attend the rally organized by Civil surgeon office. Marking the day a colorful rally was brought out in Sathkhira early in the morning from DC office to Civil surgeon office. hon’able Deputy commissioner Dr. Muhammad Anowar Hossain Hawlader and Civil surgeon office Md.A .Z Atik. Satkhira inaugurated the rally. At the end of the rally a grand discussion meeting was organized at NTC auditorium where representative from GO and different NGOs were spoke on the meeting. Article 17 : Every person with disabilities has a right to respect for his or her physical and mental integrity on an equal basis with others . UN-CPRD 11


Special events .Excursion Tour: Learning through enjoyment Khulna City CBR has organized excursion tour with disabled children at Mujgunni Wonderland on February 23, 2012 Project Manager-ROT Mr. Munshi Khairul Islam was present the program as key Facilitator. Participating the various events he encouraged the disabled children and expressed his solidarity to promote the participants rights of disabled children. Excursion tour program was one of the effective measures to promote the equal rights to visit the different places of the park, enjoy the various rides, and participate the cultural which inspired the disabled children. They were provided special snacks and nutritious food. The details events description is given below: The most enjoyable & learning moment were in participation of various events which have been arranged in five categories according to the level of students. All the events have been conducted by Nadira Kiron Nasir, Nadira Alam, Moyna Biswas with the help of all other staff. Disabled children participated

Vocational training The project intend to inclusive disabled children in development with their capacity and capability and exploring the potentiality through vocational training. The project conducts vocational training for the disabled children those who interested and capable to the vocational education and make them trained and skilled person for availing job with others or make selftrade with dignity. The project has arranged vocational training with the help of handicrafts section where one student and four students are enrolled in computer training session regularly.

Inpatients Ward : A shelter for poor children during treatment The project provides services to the poor disabled children who have no way for accommodation during treatment. Considering the patients physical condition and distance way to home admission was generated in the in patients ward. Food, accommodation and treatment of physiotherapy, occupational therapy and special education have been arrange for the children. Many children stay with their mother and they are trained in postural technique and counseling them for providing further family care appropriately. Rishilpi Medical officer arrange round visit in the inpatients ward and provided treatment and suggestion to the patients and their attendants. Mother of clubfeet baby also admits here for treatment their new born baby. Total numbers of 40 disabled persons received therapy through IPW. Beside these, 6 orphan disabled children living the ward and attended school regularly. Article 5 : Equality and non-discrimination. UN-CRPD 12


Skill Development Training Skill development training for TBA on safe delivery Rishilpi Health Programme has organized a basic training for Traditional Birth Attendant to enhance their knowledge, skills and capacity in maternal & child health care. The course title was ‘ Basic / Fresher Training on Safe delivery ’ where 30 TBAs attended and completed the 10 days course from February 12,2012 to February 23,2012. Training programme was launched on February 12, 2012 , hence after continue with the active facilitation of Midwife Nurse Popy Das, Taru Rita Mandol and Madhobilata Das. According to the schedule Dr. Barkat Ali, Physiotherapist Mr. Liton Paul, Nurse Ratna Halder and Nurse Depali Mandol has took part the facilitation of the training. Topics discussed in the training are : Mode of Conception, Sign & Symptom of Pregnancy, Food and diet during pregnancy & Lactation, Special Needs of pregnant women, Growing of the uterus during the stages of pregnancy, Expected date of delivery, Personal hygiene and cleanliness during pregnancy, Risk factor for pregnancy, Process to conduct Normal Delivery, Management of fever, Mal Nutrition, Vaccination of pregnant mother & child, Anti natal check-up., Pneumonia, Method of clumping of umbilical cord, Danger during delivery (Practical), Prolonged labour, disability Causes & Prevention. Gap between successive pregnancy, maternal death during pregnancy, Early marriage, Danger sign during Pregnancy, Different kinds of delivery. Practical session was conducted according to the schedule and participants had the opportunity to obtained the practical knowledge through this training. At the end of the training a closing session was conducted where Programme Manager Health Mr. Savaronjon Sikder was present. IRDP Brach Manager- Mr. Insar Ali shared his personal feelings & opinion with the participants. Participants of the training also shared their experience in the training and how they work in the village

Skill Development Training on physiotherapy A Skill development training on “Visual functional system, respiratory of physiotherapy and corrective pants” was conducted by Ms. Cristina Olivero. The topic presented with multimedia slide focusing the subject of “Facilitation for the visual functional system”. Facilitator explained about the visual functional system then she described the techniques of neck control through visual functional system. She also described the all of things and then she shows some equipment for improving visual system as well as neck control. After a short break 2nd session was started on the topics of “Techniques of respiratory physiotherapy for children with chronic bronchial obstruction”. In this session Facilitator Cristiana explained two techniques: Bottle mask and postural drainage. Then, she explained detailed about techniques of bottle mask and postural drainage with images, circle of treatment and also she shows practical with one model. The topic was presented in the session is "corrective pants”. Based on the topics Facilitator Cristina Olivero described about splint for hip dislocation. Here, she illustrated about the splint, physiological divergence and precaution for cerebral palsy. A practical session was conducted where participants had the opportunity to ask the question about the techniques, steps and splint. Facilitator Ms.Cristina gave the answer demonstrating the doll where physiotherapist play a vital role to make the understand the topics clearly. Through out the sessions participants acquired knowledge about the techniques of postural drainage and visual system, using this knowledge and skills participants will be able to provide the service for the patients. A total of 23 staff of physiotherapy and occupational therapy attended the training

Article 19 : Equal right of all persons with disabilities to live in the community, with choices equal to others UN-CPRD

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Home visit: way to Strengthen relationship for change The project works for social integration of physically challenged children in the community providing treatment support, Assistive device, Inclusive educational support, Income Generating Activities support, Unit wise home visit status Promote the rights of disabled children, Protection the Unit/Section Days/Time Head disabled children from exploitation & abuse and 36 119 motivation works for creating awareness to prevent Special Education the disability. Home visit is the one of the important Physiotherapy 41 129 activities of the project . Purpose of the home visit is 6 17 to ensure that disabled children are living in the family Occupational Therapy and community with full of dignity having equal 4252 721 Social Welfare opportunity and participation in health, education and social activities. Total 4335 986 Activities accomplished during the visit: Staff of the project individually visited the families according to their visit plan and achieved total of 4335 and during the visit they have addressed following area which is mentioned in the visit registered. •

Follow up Income Generation Activities (IGA) and assess the progress of IGA, Instruction was given to the family to proper take care the IGA equipments and livestock i.e. cow, proper maintenance of Van, sewing machine and other small business. • Assistive Device follow up and facilitated to make new local assistive device using local materials • Many children need to take regular medicine and were visited to follow up the treatment. Advised the family members to take care the children properly. • Follow up the to inclusive students and other special students; instruction was given to them for proper utilization of education materials. • Awareness message, motivation and advised was given to the families to take care the disabled children properly, so that they never be neglected by the family and the society. • Many disabled children suffering from malnutrition, so motivation was given to the families for ensuring the nutritious food for the children with disabilities. • Promote the rights of disabled children in the family and the society; talk with the neighbor of disabled children, so that they give the value to the disabled children. • Motivation was given to the family to stop physical and mental exploitation, abusing and torture to the children with disabilities Outcome of Follow up home visit : It has many challenges and limitation for rehabilitation of disabled in the community and regular follow up may bring a change for the life children. Outcome of the visit are as follows: • A good relationship and network build up with family and community that enable to implement the project activities fruitfully. • Parents are aware about the regular therapy of disabled children. • School attendance rate increased on Special education and Inclusive education. • Children with Disability have access in social activities and participation to social & cultural events are increasing gradually. • Rights of disabled children promoted in the family and the community. • Mal-nutrition condition of child is improved by the proper care and feeding the child. • Every child is used assistive devices properly and their physical ability increased. • Family of disabled children income increased by proper management of IGA support. • Capacity of parents increased to use local materials for assistive devices. • Education materials provided by ESP are used properly. • No disabled children of project area will be neglected or exploited both in physically and mentally.

Article 24 : Every persons with disabilities have right to education. With a view to realizing this right without 14 discrimination and on the basis of equal opportunity. UN-CRPD


Assistive Device support to the Children with Disability Rishilpi Health Program organized an assistive device distribution program for the children with disabilities on May 31, 2012 at Rishilpi Training Hall and Khulna City CBR Center. Hon’able Deputy Director of Social Services Department, Government Of Bangladesh Khan Mustafizur Rahman was present as Chief guest of the distribution program while Social Services Officer Mizanur Rahman was attended the program as special guest. Rishilpi Director Mr. Vincenzo Falcone chaired the distribution ceremony. Assistant Director-FA Golam Rabbani, Assistant Director-IGSS Syed Hasan Mahmood took part the distribution ceremony and deliver their valuable speeches. Chief guest, special guest and Rishilpi Director handed over the assistive devices to the disabled children. In the evening Program Manager-Health also distributed assistive devices among the children with disabilities. In this session 35 disabled children received assistive devices. Moreover, project distributed assistive devices during the implementation to 98 children with disability. A total number of 140 children with disability have received the assistive device during the period of January to July 2012. • Sitting chair for 19 children among them 06 are girl and 13 are boy. This sitting chair is a development assistive devices which is helps to maintain good posture, to improve hand function sitting control and also child will use communication board as well as it will prevent deformity. • Standing frame for 20 children among them 05 is girl and 15 are boy. This standing frame helps to reduces or maintain muscle spasticity/tone as well as this device will help to improve standing with good posture. • Wheel chair for 16 children and all are boys and this wheel chair will helps to go school, college any family program. • Back slab for 12 children among them 03 is girl and 09 are boys. this device helps to maintain normal length of muscle and extend the knee joint. • Corner chair 01 and he is a boy. • Walking frame for 08children and all are boys, this device enhance the walking ability. • Orthosis (AFO & KFO) for 11 children among them 08 is girl and 03 is boy, this device keep correct position of foot and also prevents the deformity. Apart these, project provided special shoes to 33 children, Splint to 05 children, Elbow Crutch to 01 Child, Hand Manipulation to 06 children, Parallel bar to 08 children, At the time of receiving the assistive devices every mothers/father expressed their deep gratitude to the Rishilpi for its kind support for their children. Receiving a wheel chair Father of Shib Prashad expressed her feelings, “I am poor and no ability to buy wheel chair for my child but Rishilpi arrange it , we are grateful to Rishilpi.” Mother of Juel said, “ I could not nurture my child if Rishilpi do not give me support, I am very grateful to Rishilpi.” They were happy to get this support and grateful to Rishilpi for proving rehabilitation support. They are committed to pray (Dowa) for Enzo & Laura for their kind love and bless for their children.

Article 16: Ensure person with disability have freedom from exploitation, violence and abuse . UN-CPRD

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Programme Photos

Children under pediatric therapy

Check up session of pregnant woman

Community Based Awareness Session

IGA support for Cow rearing

Education materials distribution

Mothers skill development training

MDG 3 : Promote gender equity and empower women

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Editorial Pannel M.A Bari Savaronjon Sikder Shankor Kumar Dhali Esharat Ara Chowdhury MDG 3 : Environmental Sustainability

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News Letter