| 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 |