What makes this program innovative?

  • The introduction of the CBR worker in the current health care system. This person, preferably living in and from the local society, will be recruited and employed by the local government.  She provides door-to-door care to persons with a disability
  • A model for affordable care for persons with a disability. This model strengthens the provides basic care facilities. For specialised care the program started a collaboration with different clinics, care centres, NGO’s  and hospitals in the province.
  • Linking care for persons with a disability to a prevention program. The local support for and the impact of the program increased with the introduction of a maternal and childcare program to prevent disabilities.
  • The involvement and commitment of the local community makes them responsible for the success of the program and helps them to adopt persons with disability in the social life in their village (via school, cooperatives, youth clubs, council etc.). Hence, “disability inclusive societies” are formed.
  • A new form of cost-sharing (PPS), The implementation costs of the program in the villages is shared by three parties: Province, Municipality and the Karuna Foundation (each 1/3). The government of Nepal responded positively to this model and aims at replicating it in other programs too.
  • Exit strategy Karuna foundations will fund the introduction of the program in each municipality for 2,5 years. Afterwards municipality with provincial support will continue the program at their own cost and responsibility.
  • The scaling strategy with the government. The provincial government adopted the program under the conditions of replication in all municipalities.  The next elections in 2023 determined the planning of the scaling in order to keep political momentum.  In the coming years we expect to inspire other provinces to adopt the program.
  • The development of an on-line community for health workers and persons with a disability giving them access to relevant information via a portal. It will provide data for the government on how and where to strengthen the program.
  • The introduction of the Medic Mobile program; health workers receive a mobile phone and training in a messaging system for pregnant women to make them aware of their 4 Ante Natal Care (ANC) visits and 2 Post Natal Care visits. They are also trained in data collection to support the local Health-MIS
  • A system for distribution of ID-cards to persons with a disability, allowing them to get access to government services and support.