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

referralProject 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

referralMotivation , 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

referralNicaragua 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