Iraq: Physiotherapy Trainer - Kurdistan Region, Iraq
Country: Iraq
Closing date: 20 Sep 2013
Handicap International is looking for : Physiotherapy Trainer
COUNTRY : Kurdistan Region, Iraq
CITIES : Erbil, Sulaymaniah, and DuhokStarting date : October 24th, 2013 Length of the assignment: 2 working days outside of Iraq, 36 working days in Iraq from October 24thto December 6th, 2013 (38 working days in total).Closing date for application : September 20th, 2013 Advertisement reference : PT training
Terms of Reference for Physiotherapy Trainer:Handicap International is an independent and impartial international aid organization working in situations of poverty and exclusion, conflict and disaster. Working alongside persons with disabilities and other vulnerable groups, our action and testimony are focused on responding to their essential needs, improving their living conditions and promoting respect for their dignity and their fundamental rights.Handicap International is a not-for-profit organization with no religious or political affiliation. It operates as a federation made up of a network of associations that provide it with human and financial resources, manage its projects and implement its actions and social mission.For more details on the association: http://www.handicap-international.fr/en/s/index.html
JOB CONTEXT: Project overviewThe Victim Assistance Project is a year-long initiative aiming at providing mine/ERW survivors and other persons with disabilities (PwDs) in Iraqi Kurdistan with rehabilitation services that respond more effectively to their needs. This project comes as reinforcement to the 4 year-long Multi-Stakeholder Initiativestarted in January 2010 with the aim of improving access to quality rehabilitation services in the region. Rehabilitation services in Iraqi Kurdistan are particularly affected by a lack of technical expertise.The Victim Assistance project intends toto tackle this issue by providing technical trainings to the rehabilitation centers’ staff, thus developing their skills for the benefit of PwDs.Brief overview of the Iraqi contextAfter the official end of war in 2003, the population of Iraq is still hit by a complex and potentially violent situation. Despite a general improvement of the environment since 2007, the political agenda for the coming period is relatively volatile. Tensions between communities, issues such as access to oil reserves are not yet solved and can create further violence. As civilians are the primary victims of security incidents, Iraqi people continue to live in a climate of fear and insecurity. In addition, decades of wars and economic sanctions have also left Iraq in chaos. The country’s infrastructure has been severely damaged; access to basic goods and services remains restricted in many parts of the country. In Kurdistan Regional Governorate, where HI mission is based, overall situation and living conditions are far better than in the rest of the country. Nevertheless, the environment still remains unpredictable.
Overview of the 3 centers to be targeted by the assignmentKurdistan Organization for the Rehabilitation of the Disabled (KORD), Sulaymaniyah: the team is composed of 1 Physiotherapist (PT) and 3 Orthopedic Technicians (OT). The main users of service are adult amputees.Teaching Children Rehabilitation Centre (TCRC), Sulaymaniyah: this center focuses on physiotherapy for children with cerebral palsy, clubfoot and congenital hip dislocations.The team consists of1orthopedic surgeon, pediatricians, 16 PTs, 1psychotherapistand 5 OTs. Centre for Early Detection of Childhood Disability (CEDCD), Duhok:this centerfocuses on physiotherapy for children, mostly with cerebral palsy. The team consists of doctors, 7 PTs and 7 OTs.
JOB DESCRIPTION:
Goal, Objective and outcomes of the assignment:Goal: To improve the professional skills of Physiotherapistsin the chosen topics (see below) while promoting Person-Centered Approach (PCA) in RehabilitationSpecific objectives? To elaborate and carry out theoretical and practical training onthe chosen topics in each of 3centers? To contribute to promote Person-Centered Approach (PCA) and a multi-disciplinary approach in the centers? To teach Physiotherapists (PTs) how to use tools on support to families for in-home rehabilitation activities? To identify other topics and areas of improvement for PT staff.Expected Outcomes? PTs demonstrate improved theoretical knowledge in the pre-identified areas of improvement? PTs demonstrate improved understanding of the indications and contraindications of physiotherapy techniques ? PTsshow improved technical skills in rehabilitation activities? PTs have a set of tools to increase the involvement of families in in-home rehabilitation activities? On job training sessions are conducted to ensure adequate and targeted application of knowledge gained ? Areas of further learning are identified and included in the final report of the trainingsExpected Training Methodology ? Participatory learning based approach? Theoretical Training? Case studiesTraining modules to be developed for the assignment
? Cerebral Palsy Training ModuleTraining materials shall be designed and developed so as to update the knowledge of PTs about Cerebral Palsy (CP) and provide them with the newest insights regarding management of this impairment. Planning practice sessions is absolutely critical to ensure the retention of new acquired knowledge/skills and facilitate theirfurther implementation. The trainer shall ensure that at the end of the training, the participants will be able to:1. List the five main causes of cerebral palsy, as well as four excess and four deficit symptoms of cerebral palsy. 3. Describe accessory impairments common to children with cerebral palsy. 4. Categorize children with cerebral palsy into one of the three main types (according to the new classification of cerebral palsy) in order to define treatment, goals and approaches. 5. Describe through the ICF model the most important assessment tools for children with cerebral palsy. 6. Use the rehabilitation problem solving (RPS) form to get an overview of all the aspects of treatment of children with cerebral palsy, link the problems identified with the needs expressed by the families and identify the most appropriate treatment goals. 7. Describe the most important aspects of treatment/management of children with CPwith the newest evidence-based insights8. Describe the advantages of a multidisciplinary approach in the management of children with cerebral Palsy.
? Gait Analysis in children with Cerebral Palsy Training materials shall be developed so as to update the PTs onprinciples of the Gait Analysis used in childrenwith CP andcommon intervention modalities. The trainer shall ensure that at the end of the training, the participants will be able to:1. Describe the five priorities in normal gait according to Gage. 2. Describe the most common foot deformities in Cerebral Palsy and its effect on child gait. 3. Classify the gait of a child with cerebral palsy into one of the five main types of deviations and describe what kind of orthotics would be appropriate to improve the gait. 4. Use the 10 meter walking test, the 6 minutes walking test and the FAC to quantify the gait. 5. Use the Berg Balance Scale (BBS) to describe the balance of a child with CP and how to use it to analyze gait problems6. To build up intervention plan according to assessments findings with client/family involvement.7. To prescribe appropriate assistive devices according to the client capabilities and functional needs.8. Evaluate the evidence base for gait analysis in cerebral palsy.
? Assistive Devices (seating and positioning) training moduleThis training module willfocus on the seating and positioning techniques for children with CP and other neurological deformities. The trainer shall ensure that at the end of the training, the participants will be able to:1. Identify, prescribe and modify assistive devices (mobility aids and aids for activities daily living (ADL) for PwDs.2. Prescribe the appropriate assistive device (mobility aid and/or ADL aid) taking into account the demands of the user.3. Apply appropriate seating and positioning techniques for a person with disability taking into consideration:a. The specific consequences of neurologic impairments (abnormal movement and posture pattern / positions as a consequence of brain damage, spinal cord injury, spina bifida, muscular diseases, etc.) and / or orthopedic impairments (severe scoliosis, contractures, etc.)b. Find a balance between the functional and medical requirements.c. Make basic adaptations to the wheelchair to improve seating and positioning; straps, wedge, cushions, etc.4. To provide training on use of the specific assistive device to the user and/or his/her family.
? Documentation training moduleIn order to efficiently address the core concepts and skills inherent to the different documentation methods applicable to rehabilitation the training materials should be developed including concrete examples and case studies, so as to clarify the application of every relevant concept, skill and tool. At the end of the training, the participants should be able to:
- Describe the typical challenges of documentation practices and documentation methods.
- Describe best practices for documentation in rehabilitation, including evidence-based practice andPCA.
- Access tools and resources needed to document effectively.
- Understand the differences between the most common types of rehabilitation reports:a. Evaluation: Evaluation or Screening Reportand Reevaluation Reportb. Intervention: Intervention plan and progress report.c. Outcomes: Discharge/discontinuation report, and follow up.
- Use rehabilitation reports to improve the implementation of PCA so as to:a. Reflect on clinical reasoning and professional judgment.b. Communicate information about the client amongst the team within a multidisciplinary approachc. Create a chronological record of client status, rehabilitation services provided to the client, and client’s outcomes.The trainer shall also follow the following specific objective: providing physiotherapists with clinical training on different documentation methods applicable to the field of rehabilitation so as to facilitate the current systems’ transformation. At the end of the training the trainer shall ensure that: all needed upgrade of current documentation forms is in place; participants are supported to develop new documentation forms if needed; all documentation forms are in accordance with PCA.Time and DurationIt is expected that the trainer will have 2 working days outside of Iraq and be in Iraqi Kurdistan from 24/10/2013 to 06/12/2013 as follows:? 1 working day in Erbil to be briefed by the Project Manager prior to the trainings;? 15 working days in CEDCD to carry out trainings in the above pre-identified areas;? 20 working days in TCRC to carry out trainings for TCRC and KORD in the above pre-identified areas.
Candidate Duties and Responsibilities ? Develop lesson plan for each training module? Design training package according to the identified topics ? Provide training manual, quick reference guide or training handouts? Evaluate the training sessions ( pre-test and post-test)? Draw lessons learned and recommendations to support future trainings ? Prepare final report in English.
CANDIDATE PROFILE:
Mandatory? Higher education in PT field or closely related Rehabilitation field (Pediatric Physiotherapy) (MSc or Phd).? Knowledge and experience on training professionals on Pediatric Physiotherapy (Cerebral Palsy, Gait analysis, and good knowledge on the NDT approach). ? 5 years of relevant work experience, preferably in the field of research and education in Pediatrics Physiotherapy? Good social and communication skills, ability to respect confidentiality.Complementary? Experience in working in international/inter-cultural settings
Required language skills? English mandatory? Kurdish and/or Arabic an asset
BUDGET:Consultant fees: 11,000 USD maximum
How to apply:
Please provide us with :? CV including references? cover letter? technical offer and corresponding financial offer.
Please send your application no later than September 20th 2013to:
Handicap International Iraq: hi.iraq.recruitment@gmail.com
Applications submitted by email should indicate as subject: PT-VA
