Early Intervention Protocols Development
To institutionalise UAFA's field work on early intervention for children with disabilities and developmental delay into a set of evidence-based guidelines for primary health care providers and medical specialists, and bring this issue to the attention of society through public awareness actions.
January 2011 - December 2011
United Aid for Azerbaijan (UAFA)
Treatment for disability and developmental delay focuses more on medical treatment, treating children as sick who can be 'cured'. This is as a result of the prevailing post-Soviet medical model of care. Consequently, many children lose these valuable early years due to lack of understanding about their needs for physical, cognitive and social development. This can compromise their inclusion to education services as they get older, to employment and independence in later life.
Early Intervention services begin at the point of entry to the medical system, beween 0-3 years particularly, and take a holistic approach to the child's need for physical, mental and social development. This project will develop a set of guidelines for primary health care providers and other specialists so that they have clear procedures on recommending non-medical services and, most importantly, begin intervention as young as possible so that a child can maximise his/her potential.
To develop clinical protocols in Early Intervention for children with disabilities and delays
Activities» Create working group of 7 specialists from Ministry of Health, academic institutions and practitioners.
» Develop evidence-based protocols for use in policlinics, hospitals and other medical facilities.
» Protocols to be evaluated by external specialists in Azerbaijan and by WHO/UK-based specialist before approval by Ministry of Health.
Success will be evident by protocols in Azerbaijan language approved by the Ministry of Health.
To raise awareness amongst PHC practitioners about EI protocols.
Activities» Protocols will be printed and disseminated to 3000 practitioners, country-wide.
» Series of trainings about EI protocols will be provided for key staff in PHC facilities.
Success will be measured by number of PHC practitioners who receive printed protocols and subsequently participate in workshops.
To raise general awareness in society about Early Intervention.
Activities» TV shows will be held to disseminate information, talk shows and current affairs documentaries.
» Poster campaigns will be planned, to display posters in metros, buses and other public places which have high volume of traffic.
Success will be measured by feedback to TV stations and increased number of children aged 0-3 years requesting EI services at PHC facilities.
To develop and sustain this process through developing training facility at Medical University.
Activities» We will hold lectures and seminars for medical students to introduce them to the concept of EI as part of PHC provision.
» We will set up a library at the University so that students have access to materials in English, Azerbaijan and Russian.
Success will be measured by # of students attending lectures and seminars, and utilising library facility.
In the long-term, we expect to see an increase in numbers of children being referred by PHC providers to alternative services and the quantity of these alternative services increasing correspondingly as a result of more awareness, training and service development by State and NGOs. This, should, in turn lead to an increase in children with disabilities being included to mainstream education. Success will be recorded and demonstrated by State statistics for these services.
The medical profession is resistant to change, with attitudes to disability entrenched, and this will affect progress from purely medical approaches to a mixed model of medical/social care. Parents of disabled children continue to put their faith in medicine and demand for non-medical treatment remains low. A combination of approved protocols, public awareness raising and training of students is a sustained approach to minimise these risks and lead to change.
UAFA documents all activities using quantitative and qualitative methods. Donors can request direct reports or can keep updated with activities via UAFA's website. An end-of-project report will be submitted to all donors.
Budget - Project Cost: £14,486Loading graph....
Amount Heading Description £1,921 Consultants' expenses 4 consultants to work part-time for 6 months on protocol development £1,281 Administrative expenses Materials, printing, refreshments - during 6 months for protocol development £3,602 Design & printing To design and print 3000 copies of protocols for distribution £7,682 Project Coordination Monthly salary for 12 months, to coordinate development, printing, distribution, awareness activity
Current Funding / Pledges
Source Amount Confidential £7,682 Guaranteed
The protocols will be developed in partnership with the Public Health Reforms Department of the Ministry of Health, based in Baku, Azerbaijan. This is the capital city of a country with a population of 8.8million. Azerbaijan is a post-Soviet Republic.
The direct beneficiaries will be Primary Health Care providers and indirect beneficiaries will be children with disabilities and their families. This project puts in place reforms that will have long-term consequences and impact upon children's lives indefinitely.
UAFA has 13 years' experience in Azerbaijan with a trained and experienced team of local child development specialists who have received training from international specialists, both in Azerbaijan and abroad. We have been implementing Early Intervention services through community-based centres, polyclinics and children's hospital for more than 5 years and have gathered much evidence upon which the protocols will be based.
Read more about the Charity running this project.
This is a UAFA staff member who will be the project coordinator. Her background is as paediatric neurologist, with 6 years experience in UAFA.