mnch & disbility seminar vientiane mayo 2011 referral and counter referral input dr. brenda...
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MNCH & DISBILITY SEMINARVientiane Mayo 2011
REFERRAL AND COUNTER REFERRAL INPUT
Dr. Brenda TapiaNicaragua
MNCH & Disability Referral and counter
referral The first steps for development the
refererral is to know the local situacion: Number of service for children care Where is located the services (health ministry, social
ministry, NGO, privates services) Kind of services ( early stimulation, habilitation, CBR,
other: inicial education, nutricional program, vaccination )
Human resources (doctor, nurses, promotor, others) introduce the refererence of developmet delay,
impairment children Rehabilitation services. Compentences for to work with
children
MNCH & DisbilityReferral and counter
referral
Project team and partner refflection: How introducing the issue of the disability
in the MCH sistem
what do you want to work?
What do you can to work?
What the sistem is prepared for to work?
MNCH and DisabilityReferral and counter
referral
Motivation , Motivation, and Motivation.
Sensitization of the personal involucred.
Comunication about your project or program. Is important the apropiation at diferents levels.
MNCH and DisabilityReferral and counter
referral
Design a refferral flowchart easy touse and realistic.
The best is to incluide the identification and referral of child a risk and childs with impairment in the sistem of health care childhood.
Approved by the sistem
MNCH & DisbilityReferral and counter
referral
Nicaragua experience. Point strenghts
Good appropriation of primary level health worker in the importance of early detection of development delay.
Great interest for to work with children.
Regional and municipal health director involucred in the project.
MNCH & DisabilityReferral and counter
referralNicaragua experience. Point weak
The flow chart was complex
The counter refferral is a institutional weakness .
The personal health and services of the more complex level needs to receive specialized training.
The health sistem is not prepared for give habilitation to all impairmet. Ej. hearing and vision.
MNCH & DisabilityReferral and counter
referral
REALISTIC
SIMPLE
COMPREHENSIVE
COMPATIBLE WITH THE HEALTH SISTEM
COORDINATE
first level comunitary level