Recommended actions

Preparedness Response Recovery
1. Assessment, analysis and planning
Map trauma centres and rehabilitation services in affected areas. Include assistive devices, prostheses and orthotics, and mental health and psychosocial support (MHPSS) services. X
Map local OPDs and other related services and programmes in affected areas. Assess their availability and accessibility. X X
Map suppliers of assistive devices, and the availability of specific items and materials that persons with disabilities require. X
Examine available data on new injuries and the likely need for long-term specific health care services. X
Understand patterns of injury among persons with disabilities, their trajectory, response and recovery, and access to services. X X
Identify barriers and risks persons with disabilities face when they access services and programmes that provide injury care. X X
2. Resource mobilization
Mobilize rehabilitation professionals who understand inclusion and are trained to work with persons with disabilities. X
Raise funds to improve rehabilitation services in the short and long term. X X
Ensure that rehabilitation programme budgets include the cost of removing barriers that impede access by persons with disabilities. X
3. Implementation
Train rehabilitation professionals who work in areas vulnerable to hazards. Include acute trauma care, MHPSS and disaster management. X
Integrate rehabilitation services in all mass casualty and disaster management plans, including in treatment protocols and care pathways for common life-changing injuries (loss of vision, hearing or speech, spinal cord injuries, amputation). X
Conduct accessibility audits of trauma centres and rehabilitation services. Consider physical accessibility, and the accessibility of communications and information, and service. Design and implement action plans to address barriers; follow up. X X
Train trauma and rehabilitation staff in needs assessment. Include the wider protection of people with injuries, and their referral to other services and sectors (such as shelter, protection and WASH). X
Regularly monitor and evaluate the action plan to ensure that trauma centres and rehabilitation services remain accessible. X
Provide affordable, locally appropriate, sustainable or free assistive devices, prostheses and orthotics that comply with international standards (for example, WHO wheelchair standards). X
Provide medical and surgical treatment and rehabilitation, including MHPSS services, for people who sustain injuries during the disaster or crisis. X
Ensure that persons with disabilities who are not injured can access services they require. Restore pre-emergency services. X
To reach more isolated individuals with disabilities, develop community-based services, and provide outreach and follow-up. Include persons with disabilities living in refugee or internally displaced persons camps, besieged areas and rural areas. X X
Establish one-stop shops in primary health care clinics so that persons with disabilities do not have to go to multiple locations to receive services they require. X
4. Coordination
Coordinate with other sectors to develop and implement a referral pathway to other services and to protection. X X
5. Monitoring and evaluation
Ensure rehabilitation and trauma centres disaggregate data by sex, age and disability. X X X
Report on the number of persons with disabilities injured during the crisis. X X