Tàn TậT QuốC Tế ViệT Nam | DiễN đàN NgườI KhuyếT TậT · 2020. 11. 11. · Vinh Long and Lam Dong province Health Services; Vinareha 9 HIB 1996 1996 ... tra curriculum

Country Director -

Handicap In tern ati onal

Best r egards

2011 was a chal lenging year for our team in Vietnam, and we are happy to report that we succeed in overcoming many obstacles. Beginning this year, Handicap Internat ional now has only one support of f ice in Hanoi. The French and Bel-gium sect ions of Handicap Internat ional combined to form the Handicap Internat ional Federat ion. Forty-four staff mem-bers are now working together for the well being of persons with disabi li t ies, through seven projects from north Vietnam to the southern provinces.

The integrat ion of both teams into one, al lows Handicap In-ternat ional in Vietnam to address the needs of persons with disabi li t ies through a wide range of intervent ions, includ-ing inclusive educat ion, physical rehabil it at ion with a focus on spinal cord injury, mother and child health, HIV/ AIDS, road safety, and social and economic inclusion. With seven project of f ices spread throughout the country to develop projects in cooperat ion with government services and one off ice in Hanoi to support them, developing the 44 team members to reach high quality standards is a prior ity for Handicap Internat ional in Vietnam. The new training pol icy implemented in 2009 has already brought about greater professional ism, strengthened knowledge and sk i lls, and bui lt posit ive att i tudes, integri ty, and ethics, as shown in the culture of our organizat ion.

The global si tuat ion in Vietnam is cont inual ly improving in both the economic and social sectors. The success in pover-ty rate reduct ion from 58.1 percent in 1993 to 9.45 percent in 2010 and the improvement in the Human Development Index (HDI) from 0.435 in 1990 to 0.593 in 2005, giving the country a rank of 128 out of 187 countries, shows progress in educat ion, health care and l iving standards. The key rea-sons for these achievements include rapid economic growth and a strong commitment by the government to reach health, educat ion and other development goals. However, despite this impressive improvement, Vietnam st i ll faces is-sues including the slower development of the mountainous areas, and the increase in the prevalence of HIV/ AIDS preva-lence, cancers and cardiovascular disease dur ing the last 15 years. Addit ional ly, t raf f ic accidents and injur ies have be-come a major publ ic health concern, and rapid urbanizat ion plays a role in safety and chronic diseases.

Today, 80% of the 12 mil lion Vietnamese ident if ied as hav-ing some kind of disabi li ty l ive in rural areas. The role of Handicap International in Vietnam is to support the govern-ment in implementing programs to assist them. With the generous support f rom our donors and the inspiring dedica-t ion of our staff, par tners and volunteers, we look forward to another successful year.

On behalf of Handicap Internat ional in Vietnam team, I ex -press my deep thanks to our donors and partners for shar-ing with us their wi l l to build a wor ld accessible for persons with disabil it ies.

In2011:324projectsin59countries

In2011:324projectsin59countries

Content

© LAYLA AERTS FOR HANDICAP INTERNATIONAL

Map of p rojects in Vi etNam

Hi stor y of p roj ect developm ent of Hand icap Internat ional in Viet nam

N°HIB/ HIF

Pe-riod

Pr oject Benef iciar ies Area Part ner(s)

1 HIF May

to July

1989

Technical Aids & Assistive devices

for rural PWDs (pilote project)

National CBR net-

work

Hai Duong,

My Tho

MoH;

Radda Barnen

2 HIB 1991

1992

Appropriate Technical Aids &

Assistive devices for rural PWDs

Children with

motor disabilit ies

Hanoi (Children

hospital); Tien

Giang province

MoH;

Vinareha

3 HIB 1992

1992

Setting-up a Psychomotricity

department for CP children

Children with

Cerebral Palsy

Ho Chi Minh City

‘Mam Non 6’

orphanage

Social Services

4 HIB 1992

1995

Setting-up a Rehabilit ation

department for Disabilit ies

due to Leprosy

Disabled due to

Leprosy

Ho Chi Minh City;

Dermatological

Reference

hospital

Health

Services

5 HIB 1992

2000

Prevention & Rehabilitation of dis-

abilit ies due to Leprosy

Disabled due

to Leprosy in

southern region

18 southern

provinces

Health

Services

6 HIB 1992

1993

Setting-up 2 orthopedic workshops

as technical reference for the

Vinareha

Children and

adults with motor

disabilit ies

Hanoi (Pediatric

hospital & Bach

Mai hospital)

MoH;

Vinareha

7 HIB 1993

2000

Setting-up a Rehab department

(devices + PT)

Children and

adults with motor

disabilit ies

Quang Tri

provinces

Health

Services;

Vinareha

8 HIB 1993

2000

Setting-up a provincial rehabilita-

tion center and CBR

Children with

motor disabilit ies

Vinh Long and

Lam Dong

province

Health

Services;

Vinareha

9 HIB 1996

1996

Organization of t he first inter-

national Handisport event in the

country

50 disabled

athletes

Ha Noi Handisport

Federation

10 HIB 1996

2001

Development of the Orthopedic

department of the Rehabilit ation

Center for Children

Children with

motor disabilit ies

Ho Chi Minh City Molisa

11 HIB 1997

2000

Setting-up a provincial

rehabilitation center and CBR

Children with

motor disabilit ies

Khanh Hoa

province

Health

Services;

Vinareha

12 HIB 1997

1999

Setting-up a Rehabilit ation depart -

ment for Disabilit ies due to Leprosy

Disabled due to

Leprosy

Quy Nhon

Dermatological

Reference

hospital

MoH

13 HIB 1999

2005

Early detection, Prevention &

Rehabilitation of disabilit ies due to

Leprosy

Persons disabled

due to Leprosy in

central region

Quy Nhon

10 central

provinces

MoH

14 HIB 2000

2002

Development of a specific CBR

Training of Trainers

CBR supervisors Ho Chi Minh City

Physiotherapy

school

Health

Services

15 HIF 2001

2004

Vocational training for ethnic

minorities farmers in t he North

Vietnam

Young ethnic

minorities farmers

Bac Kan, Lao Cai,

Lai Chau

provinces

DoET

16 HIB 2003

2007

Setting-up a polyvalent Orthopedic

workshop

Children and

adults with motor

disabilit ies

Ho Chi Minh City Health

Services

N°HIB/ HIF

Pe-riod


17 HIB 2003

2007

Phase 1 of the Spinal Cord Injury

project: Setting-up the first Spinal

Unit of the country

Persons with Spinal

Cord Injury

Ho Chi Minh City Health

Services

18 HIB 2004

2007

Road Safety: Create a model of

comprehensive traffic safety

management in a urban context

Persons at risk of

being injured or

killed

Ho Chi Minh City People’ s Com-

mittee

19 HIF 2004

2008

Support to the Centre of disadvan-

taged children in Bac Kan

30 Children with

disabilit ies

Bac Kan city DoET

20 HIF 2005

2008

Facilitating the Establishment and

Expansion of Deaf Clubs

130 Hearing

impaired and

mentally disabled

children

Da Nang city Future School

21 HIF 2006 Make Hanoi friendlier to PwD PwD and CwD Hanoi city (3

schools in Hai

Bai Trung dist rict

and University of

Technology

MHD Schools

University

22 HIB 2006

2007

Development of 3 provincial Spinal

Units satellit es

Persons with Spinal

Cord Injury

Khanh Hoa, Phu

Yen and Da Nang

Health

Services

23 HIB 2006

2010

Equity Fund Persons with Spinal

Cord Injury

Ho Chi Minh City,

Khanh Hoa, Phu

Yen and Da Nang

Health

Services

24 HIB 2006

2012

Welcome to Life: improve health

and living condit ions of pregnant

women and children with disabili-

ties and enable the disabled to live

in a fully integrated society

Pregnant women

and children with

disabilit ies

Khanh Hoa

province

Health

Services

25 HIF 2007 Advocacy for Disability Inclusion in

Traffic Safety

PwD Hanoi city MHD

26 HIF 2007

2008

Facilitating Interaction by Linking

through Media: a video testimony

from families with children with

disabilit ies

CwD and families Bac Kan, Quang

Tri, Quang Nam

and Hanoi’s

neighbouring

provinces

NCCD;

Provincial

associations of

disabled

27 HIB 2007

2009


project: Setting up a National Refer-

ence Center for Spinal Cord Injured

persons

Persons with Spinal

Cord Injury

Hanoi Ministry of

Health

28 HIF 2008

2009

Enhancement of parent-school

cooperation in functional and

community-based rehabilitation

act ivities for children with hearing

impairment in Da Nang city

50 Children with

hearing impairment

Da Nang City

and suburbs

(Quang Nam)

Future School;

DoET

29 HIB 2008

2009

Cure Hydrocephaly: implement the

ETV technique for hydrocephaly

treatment in Vietnam

Children with hy-

drocephaly

Hue and Khanh

Hoa provinces

Health

services

30 HIB 2008

2011

Safe Roads for Better Life: create a

model for the Road Safety manage-

ment in a rural area

Persons at risk of

being injured or

killed

Dong Nai

province

Road Safety

Committee


N°HIB/ HIF

Pe-riod


31 HIF 2008

2012

Towards mainstreaming the dis-

criminated populat ions in the HIV/

AIDS struggle in Quang Tri, Vietnam

and Sepone, Laos

250 PLVIH,

6,500 ethnic

minorities

Quang Tri

province in

Vietnam - Sepone

province in Lao

ACEP;

DoH / PHPC;

DoET;

DoFA

32 HIB 2008

2013

Congenital Differences: improve

health and living conditions for

children with disabilit ies to enable

them to leave in a fully integrated

society

Pregnant women

and children with

disabilit ies

Hue Province Hue College of

Medicine and

Pharmacy

33 HIF 2009

2012

Rights-Based Inclusive Education

Access for Children with Disability

in Bac Kan province

400 CwD;

50 education

professionals

Bac Kan province DoET;

MoET

34 HIB 2010-

2012


project: Implement a network of

spinal unit s in Northern Vietnam

to provide rehabilitation care and

social- economic orientation

Persons with spinal

cord injury

Thanh Hoa, Bac

Giang, Ha Tinh,

Son La provinces

Provincial

Rehabilitation

hospitals

35 HIB 2011-

2013

Decent work and social protection

for persons with disability

Social Protection

Office workers

and persons with

disabilty

Dong Nai Social

Protect ion

Office

36 HIB 2012-

2014

Safe road 4 youth Persons at risk of

injured and killed

Binh Thuan, Bac

Giang provinces

Road Safety

Committee

© JEAN-YVES LE GARZIC FOR HANDICAP INTERNATIONAL

1 HIF




Towards a Rights-Based

Access to Educat ion for

Disabled and Disadvan-

taged Children, in rural

Bac Kan Province

02/ 2009 – 02/ 2012

Agence France de Développement

(AFD)

European Union (EU)

Consort ium Partner :

Save the Children in Vietnam

Inst itut ional Partner:

Department of Education and Training

in Bac Kan Province (DoET)

Short Term Partnerships:

Vietnam Institute of Education Science

(VNIES)

Bac Kan Youth Union

Bac Kan Department of Health (DoH)

Bac Kan Department of Labour

Invalids and Social Affairs (DoLISA)

For disabled and disadvantaged children

of pre-primary and primary school age

(3 to 14 years) to have access to an

inclusive educat ion tailored to their

specific needs, with respect to their

rights, in the pilot schools in the districts

of Bac Kan town and Cho Moi, and in

the Disadvantaged Children Education

Centre of Bac Kan.

© DON WRIGHT FOR HANDICAP INTERNATIONAL

As a result of this project, 33 pilot schools are now

accepting disabled and disadvantaged children

(02 preschools and 1 primary school out of proj-

ect area joined in) and 301 children with disabili ty

have been mainstreamed to school.

In 2011 specif ic focus was put on:

Improving the social inclusion of CWD and with spe-

cial needs in school by other children with the in-

troduction of the Child to Child methodology and

the setting up of “circles of fr iends”. The object ive

is to raise awareness about disability among other

children, to ensure the part icipation of CWD in ex-

tra curriculum activit ies and games during break

t ime, to encourage group’s support and individual

support for CWD by the students, such as review-

ing lessons together. This resulted in improving the

inclusive environment in class, in developing a bet-

ter mutual understanding among children and great

motivation from other children to support their CWD

fr iends. In total 62 circle of friends were set up

St rengt hening Teachers’ capacit ies wit h train-

ings and the development of manuals and tools.

An “Individual Educat ion Plan” Guidel ine was f i-

nalized to better support t eachers when assess-

ing chi ld ren’s needs, designing and applying

individual educational plans for chi ldren wit h

special education needs. 2 support missions

were also organized on t his t opic. A “Complet e

Learning Disabi li t ies handbook”, t ranslat ed from

an American document has been developed and

© D

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© DON WRIGHT FOR HANDICAP INTERNATIONAL © DON WRIGHT FOR HANDICAP INTERNATIONAL

adapt ed to Viet namese education syst em. Train-

ings on IEP group work, t eaching and learning

aids and effect ive lessons were also provided t o

the teachers.

Activit ies of the inclusive education support team

(IEST), set up in 2010 to support and monitor the

inclusion of 10 disabled children in their neighbor-

hood school were strengthened. The IEST is now

functioning well and thanks to the individual sup-

port provided to the children at home and in school,

the 10 chi ldren have made remarkable progress.

Two rehabi l i tat ion rooms were set up in the

DCEC and in Quang Chu II primary school wit h

specif ic equipment for rehabi l i tat ion, st imula-

t ion and learning act ivit ies on a playful way.

Construct ion work to improve school physical

accessib il i ty was completed in 5 schools (ramps,

adapt ed bathroom and toi let s…). Assist ive de-

vices were del ivered to 75 chi ldren (66 glasses,3

hearing aids and 6 wheel chairs). 15 chi ldren re-

ceived special ized treat ment and rehabil i tat ion

in Thai Nguyen.

As a continuum of previous years’ act ivities, the

project continued to strengthen CWD parents’ in-

volvement in their children’s education: involvement

in school, through the parents clubs fundraising ac-

t ivities: in total 9 Parents clubs are participating in

school act ivit ies; 105 received training on support-

ing education at home in 2011, which brings a total

of 339 parents trained in 2 years.

A f inal evaluation of the project conducted in De-

cember 2011 highlighted the good results of the

project: “The evaluation shows that the project

achieved impressive results for a 3-year t imeframe”.

Among t he best ach ievement s, t he evaluat ion

emphasized t he impact b rought by t he project

on schools’ capacity to pr ovide inclusive educa-

t ion to chi ldren wit h disabi l i t ies, wit h an act ive

support form chi ldren, parent s and communi-

ty. The use of Ind ividual Educat ional Plan int e-

grat ed int o schools’ p lan greatly cont ribut ed t o

th is result .

Parents of chi ldren with disabi li t ies have in-

creased skil ls on providing home care support-

ive to the overal l development of their chi ld. The

project has also contributed to the fact t hat com-

munit ies are start ing to value the pot ential of

people with disabi li t ies.

However, now that the project is coming to an end

(February 2012), some challenges remain.

If the project brought signif icant changes in re-

gards to the improvement of the overal l qual it y

of education (community bond, teaching/ learn-

ing aids, child-friendly environment), changes in

teaching/ learning met hodologies t ake t ime and

need long t erm support. Local authori t ies are

wi l ling to continue and extend the model and

tools developed but don’t have yet the capacity

to fully reproduce the whole model without ex-

ternal support.

The IEST, which plays a crucial role in children with

disability’s adaptat ion and development in school,

due to lack of resource wi ll probably decrease the

scope of its intervention.

The project ’s achievements will remain, thanks to

the development of tools and investment in capac-

ity building of teachers, schools and community

member. But a second phase would strengthen

these results.

Provided with the support of the EU

Leng Huu Khoi

Six year old, Khoi has hearing and physical impair-

ment, but is now he is going to preschool at Thanh

Van commune. Before this school year, he had never

accessed education because his parents were afraid

his health was too weak for him to go to school ev-

ery day, and because he cannot speak, they thought

his inability to express his ideas to his teacher would

be a barrier between Khoi and his.

After screening day, Khoi was visited by an inter-

national consultant to perform an overall assess-

ment including gross motor development, f ine mo-

tor development, intellectual, social and emotional

development. After the assessment, an individual

act ion plan was set up with physical exercises to

st imulate his development. These exercises are

done by his parent’s every day following the in-

struct ions of the international consultant. Khoi was

also selected for a one-month rehabilitat ion in Thai

Nguyen and was given a rolator to st imulate his

progress from standing to walking.

Thanh Van Preschool director and teachers have

attended a lot of trainings organized by the proj-

ect and understand the importance of enrolling

children with disabi lit ies at their school. They en-

couraged Khoi’s parents to bring him to school by

ensuring a safe and friendly environment for him

to learn and play. Seven months from the date of

enrolment, Khoi has shown a lot of improvement

in his physical environment. Now he can walk,

with support, from the classroom to the toilet by

himself. Although Khoi cannot express his ideas

orally, he can follow lessons as well as his fr iends.

Acknowledging Khoi ’s di ff icult ies and his strengths


© TRUONG THI NGOC ANH FOR HANDICAP INTERNATIONAL

of observation, his teachers always put him in a

suitable position to ensure that he can observe and

follow teacher’s instruct ions. Moreover, his teacher

studies sign language on her own to communicate

with Khoi more easily.

We were impressed when we visited Khoi’s class

and saw the support his friends provide him. His

teachers set up a circle of fr iends around Khoi

made up of three children. Although these children

are only 4 to 5 years old, they st ill provide support

to Khoi, helping him move around the class, help-

ing him reach i tems from the shelf, and sharing

their toys with him. The children understand that

Khoi is different from them and do not discriminate

against him or isolate him from class activit ies.

With al l the support from the project and the

school, and the obvious progress achieved by

Khoi, his parents are motivated to continue to

bring him school.

© PHOTO LIBRARY OF HANDICAP INTERNATIONAL

Sett ing Up Four Decentral-

ized Provincial Spinal Cord

Units in Northern Vietnam

2010- 2012

Hanoi, Ha Tinh, Son La, Thanh Hoa and

Bac Giang provinces

Ministry of Foreign Affairs of Grand

Duchy of Luxemburg

Kadoorie Charitable Foundation

:

National Hospital of Bach Mai – Spinal

Cord Injury Rehabili tat ion Department

Bac Giang Rehabil itation Hospital

Thanh Hoa Central Rehabilitation

Hospital

Son La Provincial Rehabilitat ion

Hospital

Ha Tinh Provincial Rehabilitat ion

Hospital

To have four provincial rehabilitation

centers (PRC) that can manage spinal cord

injury (SCI) patients, meet their functional

needs and provide them orientation infor-

mation to enhance their social integration

process after discharge.

The Annual Conference on Rehabi litat ion Year 2011

organized under cooperation between Handicap

International and Vietnam Rehabilitat ion Associa-

t ion (VINAREHA) provided a platform for the SCIU

project to update part icipants on the achievements

of the social orientat ion activit ies for persons living

with SCI in the four targeted provinces. It provided

a clear picture of the effect iveness of the mandate

of the Ministry of Health (MOH) and the access to

basic health insurance coverage for patients. Both

are seen as essential components of a swift start

toward early rehabil itation services.

Greater awareness of the availability of services na-

t ionwide and the need to adjust exist ing services

to better meet socio-economic needs of persons

living with SCI were highlighted during the opening

ceremony in Thanh Hoa PRC. Son La PRC launched

its opening in the presence of local authorit ies and

representat ives of the latest donors of the SCIU

project. The Visit of His Royal Highness-The Duke

of Luxemburg to Rehabili tat ion Center of Bach

Mai hospital where the project implemented was a

highlight in the history of the project and gave im-

portant visibility to the achievements of the project

in Vietnam since 2003, including nine functioning

and sustainable SCI units that provide accessible

care to the populat ion in need.


Training act ivit ies continued to upgrade the medi-

cal and functional rehabi litation knowledge of the

PRC staff. Four one-week training sessions were

provided by 8 Bach Mai trainers to 36 medical staff

and rehabil itation staff of the four Northern PRC.

Social orientation training act ivit ies were ex tended

to include four weekly home visits to select vulner-

able SCI persons in each Province. The home vis-

its were an opportunity to assess each individual’s

situation and draft an orientat ion plan to facilitate

their social and economic integrat ion.

The trend of increasing need for services for SCI

persons l iving in the provinces continued this

year, with over 85% of the 256 beneficiaries com-

ing from the provinces. The four Northern PRC are

now start ing to take 25% of these patients into

their care. The project ’s activit ies concentrated a

lot of effort into ensuring that all four PRC had ap-

propriate and accessible infrastructure, in addit ion

to standard equipment and consumables, to start

the care act ivit ies with a 10 bed capacity.

Epidemiological data from this year shows an in-

jury trend of almost equal proport ions between

road traffic accidents (RTA), fal ls and labor acci-

dents. More than 10% of accidents are now related

to non-traumatic causes. Factors such as alcohol

use, and lack of work safety knowledge in the for-

mal and informal labor sectors, play an increas-

ing role in severe spinal cord injuries. Data collec-

t ion on the socio-economic needs of vulnerable

SCI persons, revealed that low educational back-

ground, an act ive male populat ion, rural l iving en-

vironments, transient employment si tuations and

poor health insurance coverage lead to serious

economic hardship after SCI accidents, includ-

ing high debts, loss of income, severe depression

© JEAN-YVES LE GARZIC FOR HANDICAP INTERNATIONAL © JEAN-YVES LE GARZIC FOR HANDICAP INTERNATIONAL


and dramatic shifts in family roles. It confirms the

overal l view that severe disabi lity often has links

to, or results in, poverty.

Social orientat ion act ivit ies focused on providing

better information on the services and informa-

t ion available to persons living with SCI, including

health insurance coverage, referral information for

vocational training and self care counsel ing servic-

es. Informal networks of communication exist in

the community and need to be better uti lized in the

future through local organizations of people with

disabilit ies (DPOs) to counter the isolat ion of per-

sons with SCI. In addit ion, Community Based Reha-

bi litat ion services available at the village level need

to conduct better outreach to persons with SCI.

Continuing research outcomes from project activi-

ties in the field of epidemiology, disaster manage-

ment, social consequences of SCI, good practices in

socio-economic recovery, and cost effective treat-

ment strategies were presented at national and inter-

national conferences, including ASCON in Sri Lanka,

technical seminars in Hue, and Health Partnership

Group (HPG) meetings in Hanoi, and submitted for

publicat ion in international reports and journals.

Twenty-one year old Nguyen Huu Luu, twenty-two

year old Trinh Duc Binh and twenty-f ive year old

Nguyen Quang Tao from Bac Giang and Thanh Hoa

provinces have many things in common. Al l of them

are very young, had good lives with many dreams

and ambit ions, and all of them had unfortunate ac-

cidents that completely changed their lives. While

Tao and Luu were working in factories and Binh

was working as an electrician, all received spinal

cord injuries in motorbike accidents and now have

to use wheelchairs to get around.


Since their accidents, Tao, Luu and Binh have ac-

cessed medical care, psychological consultancy

and social orientat ion on vocational training and

employment opportunit ies through the project of

the Spinal Cord Injury Units at Bac Giang Rehabili-

tat ion Hospital and Thanh Hoa National Rehabilita-

t ion Hospital. Before part icipating in the project,

the young men were found in poor health, depen-

dant on family members for all their dai ly act ivi ties

including personal hygiene and mildly depressed.

Without wheelchairs, all their daily act ivit ies, in-

cluding going to the bathroom, were done in bed.

They stayed in bed all day with a TV remote and did

not communicate with other people.

Luu’s father said he did not leave the house and

was angry with all his family members. Binh was

found by the project during his hospit al izat ion

for a severe tunnel pressure ulcer on his bot-

tom which had not improved after two months of

treatment. When we f i rst met Binh, he was barely

talking and did not want to answer questions

during our interview. He was depressed and con-

sumed with negative thoughts.

Tao, Luu and Binh had not received basic informa-

t ion about SCI management to provide themselves

with self-care and manage complicat ions generated


by their spinal cord injuries. They thought they were

useless and believed they could never have love or a

family with children like other young men their age.

Addit ionally, the economic situation of the three

families was almost exhausted, and they could not

afford to pursue further treatment for their sons.

After part icipating in the support program given

by the project, al l three young men agreed to

come back to the hospital for further rehabil i ta-

t ion including techniques to transfer themselves

from bed to their wheelchairs, to the toilet; self-

dressing and self-hygiene ski l ls, and high tech-

nique wheelchair skil ls to go over obstacles when

travell ing further distances. After the rehabil i ta-

t ion program and ski lls test ing, Tao, Luu and

Binh were discharged to go home. Once at home,

they prepared the necessary school prof i le t o ap-

ply for an IT course in the ESTIH School, a col lege

of technique and informatics in Hanoi, through

the social information packet for PWDs on social

orientat ion and employment opportunit ies pro-

vided by t he hospital.

We had an opportunity to interview them after two

months studying at the IT school. We met them in

a 20 bed dorm for students in similar situations.

They welcomed us with big smiles and bright eyes

ful l of hope. They showed us their pictures from

the Flower Festival they attended in Hanoi during

New Year 2012. They were spending t ime with

other students who stayed in the same hospital

with them, who had also received information

through the program to apply to the school. In

total, six students were accepted by the school.

All of them received support, including free edu-

cation fees, and f inancial support for accommo-

© JEAN-YVES LE GARZIC FOR HANDICAP INTERNATIONAL© J

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KADOORIE CHARITABLE FOUNDATION

dation and part ial living expenses from Catholic

Relief Services (CRS) which also works for persons

with disabi li ties.

Since we last talked with them, Tao, Luu and Binh

became more confident and opened up to us.

Binh, whose pressure ulcer had long since healed,

shared his dreams with everyone. He said, “I will t ry

my best to study to be able to open a photocopy

shop by myself at home”. Luu shared that he wants

to open a game laying stat ion at home because he

has l iked playing game since he was a child. Tao

also shared that he wishes to be a good student

and be selected to work for a company like some

outstanding students from the previous course.

Although the young men know they st i ll have a

long, chal lenging road ahead of t hem which wil l

require a strong commitment, patience and ef-

fort , they are al l committed to fol lowing the

course unt il the end. Their studies are chal leng-

ing as none of them passed Grade 12, and their

l iving condit ions are st il l not completely acces-

sible as the toi let is t oo small for a wheelchair,

but despite t hose dif f icult ies, they have shown us

their determination to move toward to t he future

and leave their pasts behind.


Towards mainstreaming the

discriminated populat ions

in the HIV/ AIDS struggle in

Vietnam and Laos

9/ 2008 – 6/ 2012

Agence Française de Développement

(AFD)

European Union (EU))

Inst itut ional Partners:

Department of Foreign Affairs (DOFA)

Provincial HIV/ AIDS Prevent ion Council

(PHPC)

District Health Cent re; Dakrong

District Health Cent re; Huong Hoa

Provincial Red Cross (PRC)

Department of Education and Training

(DOET).

Local NGO:

Advancement of Community empow-

erment and Partnership (ACEP).

Civ il Society :

Yeu Thuong Club (YTC)

Over al l Ob ject i ve: To reduce the inci-

dence of HIV/ AIDS t ransmission among

sedentary and migrant populat ions

l iving along Route 9 in Vietnam and

Laos and to cont r ibute to the inclusion

of minorit ies in Vietnamese and Lao

developmental pol icies.

©

Socio-Economic Interventions

To stimulate dialogue on HIV prevention in the

community, 10 dynamic groups were created in the

24 target villages in Vietnam and Laos by the Ad-

vancement of Community Empowerment and Part-

nership (ACEP). Within the groups, 102 economic

projects were created involving 229 beneficiaries.

To improve the psycho-social and socio-economic

condition of people living with HIV (PLHIV), 19 mi-

ACEP) tiêu

- -


Specif ic Object ive: To reduce the inci-

dence of HIV/ AIDS among the ethnic

minority populat ion between 12 and 49

years of age in the hill area beside Route

9, in Savannakhet province in Laos and

Quang Tri province in Vietnam, through

prevent ion, testing and care.

cro-credit loans were given by the Provincial Red

Cross (PRC) and three PLHIVs of the Yeu Thong

Club (YTC) were provided a Train the Trainer (TOT)

session on psycho-social counseling.

Beside economical act ivit ies, ACEP also supported

to 20 social act ivi ties such as vol leyball in Vietnam

and Sepak Takraw in Laos to the 12 exist ing groups

comprising of 112 members.

Behavior Change Communicat ion

To prevent the spread of HIV/ AIDS and promote saf-

er sexual behaviour through awareness raising cam-

paigns, the project disseminated tailored behavior

change messages using information, education and

communication (IEC) tools. Seventy-nine HIV preven-

t ion group discussions involving 903 participants,

and six school events including 1686 students,

were conducted.

Volunt ar y Counsel ing and Test ing

Voluntary Counselling and Testing (VCT) through

facili ty based and mobile VCT has been used as a

crit ical start ing point for HIV prevention and care.

It has not only facilitated the acceptance of serosta-

tus knowledge and referral for preventive care and

3

6


early management of opportunist ic infect ions by

PLHIVs, but has also facili tated behavioural change

in project part icipants. Overal l, 2480 screening

tests were conducted, and 3183 persons from in-

side and outside of project area were counseled

and tested in the stat ic and mobi le VCTs.

Yeu Thuong Club

To address the diverse problems of access to treat-

ment for PLHIVs in healthcare sett ings, and st ig-

matizat ion and discrimination in both work and

community sett ings, ten capacity building train-

ings, two psycho-social counsel ing sessions and

one TOT on psycho-social counseling for three

YTC members were provided. These act ivi ties

were designed to respond to the psychological

and social needs of their members. YTC members

also conducted 60 group discussions on st igma

and discrimination in the community.

To put into place a more effect ive mechanism of

planning, implementation of activities, and f inancial

management through frequent meetings and regu-

lar communication between HI and project partners.

Improvement of communication between HI and

partners to improve future decision making.

Creating a strong l inkage between HIV group dis-

cussions, VCT activit ies, awareness generation in

schools and act ivit ies of Yeu Thuong Club to make

the awareness program effect ive.

Strengthening the capacity of YTC in organization-

al management, f inancial management and fund-

raising to make it sustainable.

Lessons Learned

The involvement of YTC members in giving test i-

monies during the group discussion session on

st igma and discrimination in the vi llages gener-

khu

10

-xã

60

Câu

tài

“



ates greater interest and understanding among

communit ies and improved acceptance of PLHIVs.

Regular consultat ion with partners, and joint iden-

t if icat ion of problems and solut ions, results in

better understanding and more effect ive project

interventions.

NVC, aged 34 years, lives in Quang Tri along with

his parents and his younger brother. He dropped

out of school when he was a student of Grade 9

and underwent tailoring training to work as a su-

pervisor in a tai loring shop in Ho Chi Minh City. In

1996, he started taking the drug heroin for fun,

but slowly became addicted. In 1999, he was sent

by his family to Quang Tri to prevent him from mix-

ing with drug addicted fr iends.

In 2000, he got a job in the army. His colleagues

in the army introduced him to sex workers whom

he started visit ing frequently. He left the army in

2001. In the same year, he went back to Ho Chi

Minh and went with his brother for a regular health

check-up. Both were found to be HIV posit ive.

NVC was mentally shattered. He thought there was

no future for him and that he would die soon. In

2001, he came across a person who introduced

him to the “Jesus Union”. He joined the group and

kept himself busy doing social work. In 2011, the

Public Health Preparedness Consultants (PHPC) in

Ho Chi Minh City sent his prof ile to PHPC Quang

Tri. After few months, two YTC members came to

his house on a new member mobilizat ion drive and

asked him to join the club.

NVC was happy to join YTC and now undergoes

CD4 cell tests and regular medical health check-

ups at the advice of the doctors. He has also started

a small business selling mung tree sapl ings. NVC

says, “I am cheer ful and comforted to have fr iends

in YTC who have the same ser ostatus as mine. I

want to join act ivit ies car r ied out by YTC to f ight

against discrimination and to make people change

their att i tude towar ds PLHIV. I now consider HIV

just another chr onic disease”.

-


Congenital Dif ferences

2008 – 2010 (First Phase)

2011 – 2013 (Second Phase)

Belgium Directorate-General for

Development (DGD)

ANOVA

Mulva Family Foundation

Hue College of Medicine and

Pharmacy

Office of Genet ic Counseling and

Disabled Children (OGCDC)

Thua Thien Hue’s Provincial Health

Services

To reduce the rate of

disabili ty and resulting disabili ties in

children 0 to 5 years.

2011 was the fi rst year of the second phase (2011

– 2013) of the Congenital Differences Project. It

saw the implementation of a range of act ivit ies in-

cluding the prevention, detect ion and treatment of

children with disabi lit ies and children at risk of dis-

abilit ies through training, awareness raising, early

detect ion and intervention. Activit ies also included

the provision of medical equipment to project part-

ners and capacity building of health staff from the

province to the commune level.


Prevention act ivit ies continued to focus on the

importance of folic acid in the prevention of fetal

neural-tube defects and Rubella Syndrome in preg-

nancy. Activit ies included mass media outreach;

trainings for 757 doctors and nurses and 1,035

vi llage health workers; vi llage meetings, seminars

and community theatre for 38.654 women; and the

distribut ion of informational booklets and leaflets.

Early detect ion before birth focused on upgraded

training on prenatal ultrasound scan and diagnosis

for seven ultrasound technicians and obstetr icians

of the Provincial Health Services and Hue Col lege of


Medicine and Pharmacy, and basic ultrasound scan

training for 40 doctors at the commune level. Early

detect ion at birth and after birth was emphasized

in trainings on early detect ion for 757 doctors and

nurses, and 1,035 village health workers, and in

vi llage meetings for 35,481 local women. Twenty-

one district doctors received specialized training

on early detection, folic acid and rubella to become

key trainers for their districts. In addit ion, 450

cases of fetal abnormalit ies were detected out of

2,562 pregnant women scanned by the ultrasound

at the University’s hospital and 2,315 children with

disabilit ies were detected by and/ or provided with

updated services by local health workers at com-

munes and distr icts.

Early intervent ion act ivi t ies were implemented

through trainings on newborn care and assess-

ment for 15 nurses and midwives in t hree dis-

tr icts. Afterward, they were provided with new-

born equipment. One doctor for neurosurgery

and 15 nurses received urology training. Addi-

t ional ly, treatment was provided to 12 chi ldren

with hydrocephaly through shunt placement and

endoscopic third vent riculostomy (ETV); care

was provided to eight children with bowel and




bladder management problems; 16 cases were

screened for physical assessment and hearing

screens at the Screening Unit , and an audio ma-

chine was supplied to the Hue College of Medi-

cine and Pharmacy.

Other related act ivit ies included:

100 chi ldren with disabi lit ies attended the dis-

ability days

15 partners staff received training on team

bui lding

Seven doctors part icipated in national and inter-

national conferences

The successful co-organization of a conference

on rubella in pregnancy in Hanoi with attendance

of representat ives of MOH, hospitals, WHO,

NGOs, and other interested part ies.

The close cooperation of project partners, Hue Col-

lege of Medicine and Pharmacy and Thua Thien

Hue’s Provincial Health Services, and the active

part icipation of the partners and beneficiaries from

the province to the vi llage level, contributed to the

success of the project this year.


However, t here were some chal lenges:

It was dif f icult to achieve 100% part icipation in

the vil lage meetings on early detect ion, f ol ic

acid and rubel la.

Information on fol ic acid and rubel la t reatment

for birth defect prevent ion was provided to the

residents but the challenge l ies in ensuring

that t hey apply t he informat ion t o their dai ly

l ives and modif y their pract ices and behaviors

accordingly.

Fol ic acid t ablets (1mg) are unavai lable in re-

mot e and mountainous areas.

The conference on rubel la in pregnancy was

successful ly organized and shared in Hanoi,

but the pract ical appl icat ion of the expected

outcomes and recommended guidel ines from

the conference may be dif f icult .

Dr . Nguyen Th i Ngoc Hai is a doct or working as

part of the mother and chi ld prot ect ion team in

the Huong Thuy distr ict health cent er. In 2011,

she r eceived t rain ing on early det ect ion, ru-

bel la and fol ic acid with the Congenit al Dif fer-

ences Project to be key t rainer for her dist r ict.

She was then invit ed t o del iver t hese t rainings

to local r esidents during vi l lage meetings and

to pr ovide updated services and increased de-

tect ion act ivi t ies for chi ld ren wit h d isab i l it ies

in her dist r ict.

Dr. Hai says, “Thanks to Congenital Dif ferences

Project of Handicap Internat ional, I had the op-

portunity to be t rained , learn from ot hers and

support health workers and residents at the

community level by sharing my ski lls and knowl-

edge. Addit ional ly, through t he project act ivi ty,

I found some early det ect ion cases and referred

them t o Handicap Int ernational for support and

to t he hospital for treatment. What is more im-

portant than helping children and t heir parent s

feel bet ter?”

With the support of Mulva Family


Welcome To Life

2006 – 2013

Belgian Development Cooperat ion

(DGD)

Children for A Better World

Khanh Hoa Department of Health

Khanh Hoa Provincial Center for

Reproduct ive Health

Khanh Hoa General Hospital

(Departments of Pediat rics, Obstetrics,

Rehabilitation and Ophthalmology)

Khanh Hoa Center for Rehabili ta-

tion and Education for Children with

Disabilit ies

Khanh Hoa Provincial Center for Health

Communications and Education

To improve childhood conditions in Khanh

Hoa through three specific objectives:

Prevent death and disabili ties before

birth and at bir th

Detect and care for newborns with dis-

abili ties at an early stage

Integrate children with disabilities into

community life

After a successful fi rst phase beginning in 2006

and ending in 2010, the second phase of the proj-

ect began in 2011, in spite of the delayed approval

of the Khanh Hoa People’s Committee. In line with

new international and national updates in maternal

and child health, the project has made unmistak-

able progress in 2011, beginning the second phase

which will run through 2013.


Successful planning and orientat ion for the second

phase, resulted in posit ive achievements in the ar-

eas of training, medical equipment provision and

information education communications/ behavioral

change communications (IEC/ BCC). This year, for

the f irst t ime, we had an off icial workshop at two

selected distr icts of Ninh Hoa and Cam Lam to pres-

ent the project to more than 100 local authori ties

and partners. The workshop allowed us to receive

part icipant input on project act ivit ies and provide

them with a better understanding of why Handicap

International is working in Khanh Hoa Province,

part icularly in their districts.

In the area of training, the project has brought new

and urgently needed ideas to part icipants, meeting

the objectives of prevention and care for disability

in Khanh Hoa Province. Training has focused on

preconception care, newborn physical examina-

t ion for early detection of disability, ret inopathy of

prematurity (ROP) screening and IEC/ BCC activit ies.

Through coordination with Tu Du Hospital, No. 1

Children’s Hospital and Eye Hospital (HCM City), the

project organized three study tours, six workshops,

and trained 56 core trainers and 265 other provin-

cial, district and commune health staff. Now trained,

these participants will help to popularize, imple-

ment and monitor the quality of relevant services at

health facilities in the project areas. Refresher train-

ings for these topics will be made in 2012-2013.

The project also organized two trainings on data

collect ion for 160 health staff and social work-

ers, one training on support ive supervision for 14

provincial and distr ict supervisors, two trainings

on newborn care for 18 doctors, nurses and mid-

wives; six trainings on care for children with dis-

abil it ies for 314 parents and caregivers of chi ldren

with disabi lit ies, and two classes on independent

living and management skil ls for 153 people with

disabi li ties. In addition to providing trainings to

health staff, the project collaborated with relevant

units and developed training materials. These ma-

terials will be completed and used for future train-

ings within the second phase of the project.

In order to establish and consolidate mother and

child health care services, the project supplied new-


born care equipment, including CPAPs, infant beds,

infant warmers, and other relevant materials to Khanh

Hoa General Hospital and two district hospitals. The

Department of Ophthalmology of Khanh Hoa Gen-

eral Hospital received a Binocular Indirect Ophthal-

moscope for ROP screening. Additionally, officers of

Community-Based Rehabilitat ion were equipped with

a motorbike to do home visits in the community.

During the year, the project conducted disabili ty

data collect ion act ivit ies in two selected districts.

With the data collected on the needs of people

with disabil it ies, the project developed training

courses on l ife skil ls, held meetings with groups

and associations of people with disabi lit ies, and

organized a celebrat ion for International Disabi li ty

Day, in addit ion to other act ivit ies to help people

with disabil it ies better integrate into community

social l ife. Deeper analysis wil l be conducted in

the next two years in order to learn more about

needs of people with disabili t ies and develop

project act ivit ies to better promote their indepen-

dence, confidence and integrat ion into social l ife.

2011 was considered a start ing point to refresh

communication act ivi ties in the community. The

project organized two workshops on communica-

t ion orientat ion for Welcome to Life 2011-2013 with

the part icipation of the National Center for Health

Communications and Education, and more than 80

local partner delegates. Results from needs analy-

sis and communication materials developed this

year helped the project establish a clearer commu-

nication plan at the provincial, distr ict, commune,

vi llage and household levels regarding household

visits and community meetings.

The Mutual Fund continued in 2011 in the moun-

tainous area of Khanh Son district and supported

10 low income women experiencing complicat ions

at birth. The micro-credit fund also helped 15 low

income women with the amount of three million

dong (about 150 US dollars) to improve their eco-

nomic situation by breeding animals or running a

small business. In addit ion to the act ivi ties men-

t ioned above, the project also organized large

meetings on International Disabil ity Day in order to

raise awareness in the community towards disabili-

t ies. Partners and beneficiaries were also sent to in-

ternational and national conferences and seminars

to receive updates on maternal and child health

and childhood disabi lit ies. These were good op-

portunities for project staff to receive international

level training for use in future project act ivit ies.


Throughout t he second phase, t he project con-

t inued t o receive ent husiast ic support and ef -

fect ive cooperation from the local aut horit ies,

partners inside and outside of the province,

and int ernational and nat ional part ners and

consultants. This has been an ex tremely large

encouragement f or the project in the past year.

However, t he project f aced some chal lenges

in t erms of col lect ing dat a and involving t he

most appropr iate part icipants f or some training

courses. Addit ional ly, due to human resource

l imit at ions, a few training act ivi t ies have not yet

been imp lemented in a comprehensive and ef -

fect ive way.

Phung Thi Bich Hanh, 23 years old, l iving in Nha

Trang, is an excellent leader of the Blue Ocean

Club – a club for young people with hearing im-

pairments. After six years of study, she is also

successful as a tailor.

Hanh said that by being a member of the Blue

Ocean Club, she has had many opportunit ies to

learn from her teachers as well as her friends with

hearing impairments. Through the club, she was

trained on legal issues for people with disabi lit ies,

traffic laws, and marriage and family law. Through

management training organized by the WTL proj-

ect, her knowledge of disabi li t ies and the respon-

sibili t ies of a leader and a manager has increased.

Hanh was supported by her teachers and fr iends

to improve her sign language communication

ski lls and make many non-hearing impaired

friends from the “Volunteer Flowers” group and

the Department of Special Education of the Na-

t ional Nursery College II.

As a leader of the club, Hanh hopes that there wi ll

be more organizations encouraging and support-

ing the club by donating money to implement the

micro-credit program, organize trainings, arrange

exchange study tours and create jobs for young

people with hearing impairments.

Ms Hanh is happy with her husband


Dong Nai is a gateway connect ing the northern

and central provinces with Ho Chi Minh City and

the southern provinces and southern highlands.

Dong Nai has a diverse traff ic net work, including

more than 6,000 ki lometers of roads, 400

ki lometers of waterway and 88 kilomet ers of

rai lway. Five national roads pass through the

province with a total length of 244 kilometers

North to South. Twenty-seven industr ial parks are

located along two sides of national roads, wit h

over six hundred thousand workers primari ly

traveling by individual t wo-wheeled vehicle.

Transportat ion of goods is managed by motor

vehicles, those with large loads operating al l day

and night. The continual ly increasing f low of road

vehicles is already 5 to 10 t imes the designed

capacity, so the need for of traff ic safety and

order is even more complex.

Safe Roads for a Better Life

2008 – 2011

Belgian Development Cooperat ion

(DGD)

Provincial Traffic Safety Com-

mit tee in Dong Nai Province

The project aims to reduce the socio-eco-

nomic consequences of road accidents

in Dong Nai province through five prin-

ciples: Education, Enforcement, Engineer-

ing, Emergency and Encouragement

In 2007, after assessing the abi li ty to perform a

traff ic safety project in some eastern and south-

western provinces, Handicap International select-

ed Dong Nai as an implementation area for the

“Safe Roads for a Better Life” project.

Education

Developed training software, and provided

software, computers, bicycles, motorcycles and

teaching facilit ies to two Traff ic Safety Parks at

Nguyen Hue Primary School in Thong Nhat District

and Tan Hanh Primary School in Bien Hoa City.

Provided training to 264 high school teachers on

writing scripts, creating plays on traff ic safety

communications at schools and traff ic safety as a

teaching profession.

Organized contests on traff ic safety at all three

levels of school.

Recorded videos of small plays used for school

communications and provided teachers with

educational video clips and study aids on traffic safety.

Distributed 750 helmets for primary school stu-

dents and 240 kits for traff ic regulat ion.


Awareness Raising

Coordinated with radio and television stat ions

and the Provincial Department of Culture, Sport

and Tourism to develop 12 documentary fi lms

and four plays on traff ic safety which are shown

and performed in remote areas.

Set up 13 groups of panel at key posit ions

for t raff ic safety and order communications,

such as t hose at Dau Giay Crossroads, along

National Roads 20 and 1A. 750 band rolls in

response to t he international Decade Action for

Road Safety”.

Provided training on road safety, including road

traff ic law, and the decree on administrative pun-

ishment for traff ic safety and order violat ions, to

575 people with disabil it ies.

Emer gency

Set up and upgraded 10 f irst aid posts with nec-

essary primary emergency care aids.

Provided training on fi rst aid to 112 distr ict staff

volunteers, commune Red Cross emergency

posts and motorbike taxi teams.

Engineer ing

Surveyed and counted 64 black spots and devel-

oped recovery plans.

Recovered 43 black spots with funding from the

Provincial Traffic Safety Committee.

© PHOTO LIBRARY OF HANDICAP INTERNATIONAL© PHOTO LIBRARY OF HANDICAP INTERNATIONAL


Law Enforcement

Equipped 11 district police stat ions, traff ic police

off ices and the Provincial Traff ic Safety Commit-

tee off ice with statist ical software on traff ic ac-

cidents, records of administrat ive penalt ies for

traff ic safety and order offences, and 15 sets of

computers, printers and laptops.

During project evaluation, we found the project

to be very effect ive. The models of construc-

t ion, education and communication act ivi t ies in

the Road Safety Parks (two in the ini t ial phase,

and a third in Trang Bom Distr ict through the

investment of t he Asia Injury Prevent ion) have

made the subject of road safety an interest ing

and helpful school subject. Addit ionally, upgrad-

ing and equipping emergency posts and ambu-

lances, and providing f i rst aid training to f i rst

aid staff, Red Cross members, volunteers have

played an important role in improving primary

emergency care for traff ic accident vict ims. Pro-

viding st at ist ical software, records on traff ic ac-

cidents and administrat ive penalty offences and

alcohol t esters to traff ic police forces has also

contributed meaningful ly to the enforcement of

traff ic safety law.

The project focused on pract ical, specif ic, quan-

t i tat ive ob ject ives in accordance with real needs.

The project was consistent with the object ives,

and the part ners were highly responsible and

enthusiast ic. Investment was focused on innova-

t ive and effect ive methods and the project plan

is now integrat ed into provincial t raff ic safety

plans. During project implementation, all plans

were coordinated at t he Provincial Traff ic Safety

Committ ee Off ice to al low for HI’s input and to

ensure other programs on traf f ic safety have

similar posit ive results.

Mr. Nguyen Van Lac

Contact number: 0974651937/ 0613 867 995

DoB: 1959 (53 years old)

Mr. Lac is a physician living in Thong Nhat District

in Dong Nai province. He provides basic health

care to people living along National Road 20. He

has attended the First Aids program operated by

the Safe Road for a Better Li fe project and the Red

Cross Inst itut ion in Dong Nai for the past two

years. He continues to work as a member of the

First Aids volunteer group even though the project

ended in 2011. Mr. Lac shared information about

his volunteer act ivi ty through a phone interview

on Friday, March 16th.

When asked what his motivat ion was for becoming

a volunteer when he knows there aren’t any tangible

benefits within the First-Aids network, he said that if

everyone only saw tangible benefits as a motivation,

there would not be any volunteers. Living near the

national road and witnessing so many dramatic acci-

dents and near-accidents almost every day inspired

Mr. Lac to become a volunteer. Watching vict ims

that needed help and support and not being able to

do anything for them was a dif ficult feeling for most

people living in the area. When they learned that the

First Aids campaign could provide basic knowledge

on how to support accident victims and provide ba-

sic health care in emergency situations, Mr. Lac and

others volunteered to attend the training in order

to help others and train to other people, especially

high school students. In his opinion, emergency

first aid skills are basic living skills that need to be

taught to high school students.

Mr. Lac said that First Aids training isn’ t only use-

ful for traff ic accident vict ims but also for com-

munit y members in Dong Nai province. Many

people in Dong Nai work in the mountains and

jungles, and could have a labor accident at any


© PHOTO LIBRARY OF HANDICAP INTERNATIONAL © PHOTO LIBRARY OF HANDICAP INTERNATIONAL

t ime or fall or sl ide on wet roads. The knowledge

of First Aids volunteers could be appl ied in those

cases as well . Given his background as a physi-

cian, Mr. Lac is much appreciated for his faci li ta-

t ion of train of trainer sessions to duplicate the

training courses for other groups. He is a very

act ive member of the team, most of whom are

motor-bike tax i drivers.

Through his volunteer work, Mr. Lac has pract i -

cal experience helping more than 10 accident

vict ims. When asked if he ever received a phone

cal l or other acknowledgement from the people

he helped, he laughed and said they don’ t of ten

remember who rescues them. Because of this,

he said, the volunt eers cal l themselves t he un-

known heroes. However, t hey f eel much bet ter

every t ime they see the vict ims transf erred t o

the hospit al .

He finished his interview with a compliment on the

qual ity of the First Aids training courses provided

by Handicap International. He said the training

curriculum is valuable and the trainer is interest-

ing and hard working. The courses were organized

with an act ive teaching methodology which keeps

them interest ing for part icipants and the trainer

always completes the course sufficiently.



Decent Work and Social

Protect ion for Persons

with Disabilit ies

2011 – 2013

European Union (EU)

Department of Labor, Invalid and

Social Affairs of Dong Nai Province

To bet ter address the employment and

social protection needs of persons with

disabili t ies (PWD) in the target areas

through sustainable community level

init iat ives l inked to formal social pro-

tection and employment f rameworks.

As a part of HI’s intervention in Vietnam, this proj-

ect aims to facil itate equal social and economic

integrat ion for PWDs and their caregivers to create

local, accessible, sustainable support structures.

The project wi l l be implement ed in t hree

phases. In 2011, t he f i rst phase of the project

aimed to iden ti fy the gaps between t he needs

of persons with disabi l i t ies in terms of voca-

t ional t raining, employment, social prot ect ion,

and f ormal legislat ion and services; and to de-

f ine, wit h partner s, specif ic community based

actions to address these gaps. During Phase

II (2012-2013), t he proj ect wi l l p i lot t hese ac-

t ions, and during Phase III, at the end of 2013,

the proj ect wi l l t ry t o l ink t he most successf ul


st rat egies to the for mal employment and social

prot ect ion f ramewor k in order to st rengt hen

their sust ainabi l i t y.

The project team has carried out the study in

Phase I, using the same methodology as similar

projects in Laos and China which included the fol-

lowing steps:

1. Review and synthesize current laws, pol icies

and programs on employment and social pro-

tect ion, both those specif ic to PWD and the

mainstream populat ion;

2. Map employment related services available in

the target area, both mainstream and specific

to PWDs;

3. Assess the social protect ion and employment

needs of PWDs;

4. Identify and assess the informal mechanisms

and pract ices exist ing at community level to

support social protect ion, vocational training

and employment for PWD and others, and use

these to inspire new community based and self-

help solut ions to be piloted by the project in

Phase II.

Main f indings:

The main f indings in employment and vocational

training for PWD show that although most PWD

need training as a precondit ion to access employ-

ment, part icipation of PWD in available trainings

options is st ill very limited. Limited part icipation

is due to a combination of factors, including a mis-

match between training options and training needs,

and a low level of inclusion for PWDs in available

training options. Findings also showed low partici-

pation of PWD in wage employment due to a com-

bination of factors, including a lack of support for

PWD seeking jobs and lack of legislation support-

ing proactive col laboration between authorit ies,

employment services and employers. There is also

a lack of support for PWD to start small businesses.

There are no services to provide PWD with business

counselling, no grant programs for PWD without

personal or family savings to use as equity, or any

other self employment support.

The assessment of the result s in social protec-

t ion for PWD indicated that compulsory social in-

surance and health insurance is provided only to

half of PWD working in wage employment who

appear to meet the eligibi li ty crit eria. The avai l-

abi li ty of voluntary social insurance is not known

by most of work ing PWD. Addit ional ly, 3% of PWD

surveyed were not aware that social assistance is

based on the level of a person’s disabil i ty, inde-

pendent from employment status and t he eco-

nomic situation of their household.

Phase I was closed with an international work-

shop in Dong Nai province with more than 15

part icipants from China and Laos and 40 par-

t icipants from Vietnam. Part icipant s included HI

staff , members of the Vietnam National Coordi-

nating Counci l on Disabil ity (NCCD), and the Min-

istry of Labor, Inval id and Social Affairs; Dong Nai

Department of Labor, Invalid and Social Affairs

(DoLISA); and representat ives from Vocat ional

training Centers, Disabled People Organizations,

and other International Non-Governmental Or-

ganizations. During the workshop, part icipants

were able t o share and analyze the approaches

of the four projects in the region (Vietnam, Laos

and China) and t o contribute to the definit ion of

the next two years of planning for each project

with new shared insights and methodologies.

The survey showed that there is a great need for vo-

cational training and self-employment among PWD.

7%

10%

61%

22%

Wage-emplo yment (6.86%)

Business im provement (1 0%)

Business start-up (61.14%)

Have no n eeds o f emp loyment (2 2%)

6.86%

10.00%

61.14%

22.00%

Needs of em ployment

Needs of vocat ional tr ain ing

© NGO THI THUY FOR HANDICAP INTERNATIONAL

However, the ex ist ing Vocational Training Centers

(VTCs) do not meet the need. Most PWDs are seek-

ing local, short-term training (less than 3 months),

while VTCs provide training at their facil it ies, pri-

mari ly training programs last ing over 6 months

conceived for people seeking wage-employment

rather than self-employment. Moreover, almost

no training opportunit ies exist for PWD with only

a primary school level of education.

Next steps:

1. Establish network of social workers and/ or oth-

er community volunteers to provide counseling

to PWD as vocational counselors and pilot busi-

ness development facilitators;

2. Improve inclusion of PWD into government

training provided at the community level;

3. Pilot peer training and apprenticeships in small

businesses as a method to develop PWD skil ls to

start small businesses;

30.3%

27.4%

24.6%

17.7%

0.0%

5.0%

10.0%

15.0%

20.0%

25.0%

30.0%

35.0%

Never been to school Primary Secondary From high shool

v

30.3%

27.4%

24.6%

17.7%

0.0%

5.0%

10.0%

15.0%

20.0%

25.0%

30.0%

35.0%

0%

10 %

20 %

30 %

40 %

50 %

60 %

70 %

80 %

Vocation al

t rain ing needs at

com mun ity

Vocation al

t rain ing needs at VTC

Sh ort -t ime

t rain ing ( 3 mo nths)

Lo ng-t im e

t rain ing (> 6 mo nths)

67 % 33 % 70 % 30 %

0%

10%

20%

30%

40%

50%

60%

70%

H c ngh t i c ng ng

H c ngh t i TT d y ngh

H c nghng n h n ( 3

tháng)

H c ngh dài h n (> 6 tháng)

67% 33% 70% 30%

Educat ion

Vocat ional t r ain ing needs

4. Support groups of PWD to establish small busi-

nesses;

5. Pilot a small grant program for small business

start ups to co-share the investment in tools or

other fixed assets;

6. Provide f inancial education and information,

and link PWD to existing sources of small loans;

7. Pilot informal small loans programs for PWD;

8. Improve the inclusion of PWD in employment

service centers;

9. Support wage employment through work

tr ials, apprenticeship and employment pro-

grams, or link PWD to out sourcing produc-

t ion opportunit ies.

II. Social protect ion for persons wit h disabi l i t ies

1. Improve the knowledge and awareness of PWD

to ensure they know and understand the current

social protect ion schemes, their eligibility crite-

ria and the benefits they are enti tled to;

2. Improve knowledge of social workers on legis-

lat ion related to PWD and how to disperse the

information;

3. Improve the current social assistance scheme by

lobbying authorit ies to provide social assistance

for PWD who do not currently qualify based on

special situat ions;

Mr Tran Van Bich – Social worker of Bac Son

Commune, Trang Bom Distr ict

Tel: 0905201539

Mrs Duong Thi Khoa – Social worker of Dong

Hoa Commune, Trang Bom District

Tel: 0938979907

Mr Bich and Mrs Khoa conducted a needs as-

sessment survey of PWDs in Dong Nai province

in 2011. During a discussion on the phone with

them regarding the preparation of an act ion plan

for PWDs in Dong Nai province in the nex t two

years (2012-2013), we received some feedback

from them about the training they have received

during the survey. The main object ives of the sur-

vey were to collect information from PWDs and to

provide capacity building training for social work-

ers in the areas of communication, interviewing

and questionnaire design.

Mr. Bich said they learnt many things during the

mission in community. He said the questionnaire

that was developed wil l be a good reference docu-

ment for the social workers in the Bac Son. The

survey was structured with questions repeated in


an unrecognizable way to provide a cross-check

for reliabi lity of the information provided by the

PWDs. The cross-check ensured that the answers

given were an accurate ref lect ion of the needs and

interests of the PWDs.

Mrs. Khoa said t he questionnaire seemed very

complicated at f i rst. She was not comfortable us-

ing i t and did not believe her team could conduct

the interviews using i t . However, as the survey

progressed, she said it was interest ing to see how

the information could be checked and confirmed

aft er they f inished the int erview. She thinks i t is

a good tool and said her team in Dong Hoa Com-

mune could apply this structure t o other ques-

t ionnaire forms for other t arget groups. She said

the work should be encouraged and developed

further after the project ends.

Bot h social workers believe the training and ex-

periences the project brought them were more

useful and effect ive than previous t raining they

have received. They are happy t hat Dong Nai

province has received t his project. They hope the

project wil l bring good things to PWDs in Dong

Nai in the fut ure.


© PHOTO LIBRARY OF HANDICAP INTERNATIONAL © PHOTO LIBRARY OF HANDICAP INTERNATIONAL

FINANCIAL DATA -

For Handicap International financial transparency

is a management principle, and it aims to be able

to account for the use of the funds entrusted to it

at all times. In addit ion to its own internal control

procedures, the Association submits itself to sev-

eral types of audits.

0

200,000

400,000

600,000

800,000

1,000,000

1,200,000

1,400,000

1,600,000

Sum of Year

2005

Sum of Year

2006

Sum of Year

2007

Sum of Year

2008

Sum of Year

2009

Sum of Year

2010

Sum of Year

2011

Year

HIB

HIF

Total


15%

11.5%

16%

11.5%

12%

9%

4%

21%

Inclusive Educat ion

Spinal Unit

HIV

Congenital Dif ferences

Welcome to life

Safe road for better life

Social Economic Inclusion

Support off ice

AFD

DGCD

European Union

HI Luxembourg

HI Own funds

Kadoorie Chari tab le Foundat ion

Others donors

Wallonie Bruxelles Internat ional

35%

17%

1%

2% 7%

15%

6%

17%

economic

education

rehabi li tat ion

healt h

social

basic needs

governance

economic

education

rehabi li tat ion

healt h

social

basic needs

governance

In 2011, Handicap International received significant

donations from private donors in Vietnam in dif fer-

ent sectors including charitable foundations, com-

mercial companies and social entrepreneurs. We

would like to take this opportunity to express our

delight and deep appreciation for their contribut ion

to Handicap International and towards the mission

of support ing persons with disabilities in Vietnam.

AQUA Company

AQUA Company specializes in manu-facturing and medical instruments and pharmaceutical distribution

Address: 105 To Hieu St, Nha Trang City, Khanh Hoa Province

Tel: (058) 3885 885 | Fax: (058) 3880 456Website: [email protected] ion: 3,000,000 VND

Quang Tri Company

Quang Tri Company specializes in man-ufacturing and medical instruments and

pharmaceutical distributionAddress: 23/ 10 Diên An – Diên Khánh – Khánh Hòa

Tel: (058) 3503 117Donat ion: 3,000,000 VND

Phu Hau Company

Phu Hau Company specializes in manu-facturing and medical instruments and pharmaceut ical distribution

Address: 6/ 423 Chi Lang – Hue CityTel/ Fax: (054) 3517 126

Mobile: 0972 181 333Donat ion: 5,000,000 VND

Thien Thanh Company

Thien Thanh Company specializes in manufacturing and medical instruments

and pharmaceutical distribut ionAddress: 10K35 Chu Van An, Hue City

Tel: (054) 3838338 | Fax: (054)3811 643Donat ion: 2,000,000 VND

Address:

9th f loor Hanoi Towers - Office Building, 49 Hai Ba Trung Street, Hoan Kiem District, Hanoi, VIETNAM

Tel : + (84) (4) 3 934 61 77 + 78 | Fax: + (84) (4) 3 934 61 83E-mai l: [email protected] ed.be | Websi t e: http:/ / www.diplomatie.be

About Belgian Development Cooperati on: As an organization with solid, long-standing experience in foreign rela-

tions, FPS Foreign Affairs, Foreign Trade and Development Cooperation deploys its ex pertise and knowledge of the international environment in order to defend Belgian interests abroad, promote the advent of a more stable, fairer and

more prosperous world, and combat global povert y. Our FPS feels t hat providing support and assistance to Belgian nationals abroad is one of it s main responsibilit ies.Working in coordination and consultation with other partners active abroad, our FPS will cont inually encourage

consistency of action by our country abroad.

Address: The Delegation of the European Union to Vietnam

17th - 18th floor, Pacif ic Place Office Building, 83B Ly Thuong Kiet, Hanoi, VIETNAMTel : +844 3941 0099 | Fax: +84 4 39461701

Email : [email protected] | Websi t e: www.eeas.europa.eu About European Union:The EU is a unique economic and political partnership between 27 European count ries that

together cover much of t he continent. One of its main goals is to promote human rights both internally and around the world. Human dignity, freedom, democracy, equality, t he

rule of law and respect f or human rights: these are the core values of the EU.

Address:

Lux embourg Embassy in Hanoi, VietnamPacific Place - Suite 1403, 83B Ly Thuong Kiet, Hoan Kiem, Hanoi, VIETNAM

Tel : (+84) (4) 3946 1416 | Fax: (+84) (4) 3946 1415Email : [email protected] | Websi t e: http:/ / www.embassypages.com

Address: HANOI: 6-8 rue Ton That Thiep - BP 137, Ba Dinh District

Tel : (84 4) 3823 67 64/ 65 | Fax: (84 4) 3823 63 96Email : [email protected]

HO CHI MINH-VILLE: 27 Nguyen Thi Minh Khai, BP 307, D1

Tel : (84 8) 3824 7243 | Fax: (84 8) 3520 6914Email : [email protected] r | Websi t e: http:/ / www.afd.fr

About AFD: AFD is the Groupe Agence Française de Développement , a bi-lateral development finance institution es-tablished in 1941 that works on behalf of the French government. Its mission is to finance development according to France’s Overseas Development Assistance policies. AFD’s activities are aimed at reducing poverty and inequalities, pro-

moting sustainable economic growth, and protecting “Global Public Goods” of benefit to all humanity. Protecting Global Public Goods includes the fight against climate change and pandemics; the preservation of biodiversity; the promotion of

social and environmental responsibility; as well as aid to countries weakened by strife, war and natural disasters.

Address: Ronald Li ( ), Programme Officer1st Floor, St . George’s Building, 2 Ice House Street, HONG KONG

Tel : +852 2905 3386Websi te: ht tp:/ / www.chinadevelopmentbrief.com

About Kadoor ie: The Kadoorie family has had long-standing philanthropic ties with China but the foundation was not established until 1997, following the death of Sir Horace Kadoorie (1902-1995). The foundation supports some work in Hong Kong, Nepal, and other Asian countries, but the largest portfolio of projects is on the Chinese mainland.

The foundat ion makes grants t o both government agencies and local NGOs, and also supports some projects implemented by international and Hong Kong-based NGOs. Support has consistently been given to the health sector

(including rehabilitat ion and social integrat ion of people with disabilit ies), but the foundat ion also funds a wide range of initiatives in health, community development, poverty alleviation and education.

KADOORIE CHARITABLE FOUNDATION


Address: P.O. Box 3360 - 5203 DJ ‘s-Hertogenbosch,

Hambakenwetering 15 - 5231 DD ‘s-Hertogenbosch, THE NETHERLANDSTel : +31 73 7502000 | Fax: +31 73 7502001E-mai l: [email protected]

About ANOVA: Based on keen Dutch business spirit and moral commitment, Anova Seafood became a leading Euro-pean supplier for both fresh and frozen seafood products. Our sustainability policy ensures high quality sustainable

fish for future generations and at t he same t ime, helps to create a stable livelihood for local fishermen.

Address: Oberföhringer St r. 4, 81679 Münchenm, GERMANY

Tel : +49 (0)89 / 45 20 943 - 0 | Fax: +49 (0)89 / 45 20 943 - 43Email : info children.de | Websi t e: www.children.de

About Chil dren f or bet ter wor ld: The children’s aid organization Children for a bet ter World e.V. was founded in 1994 by Dr. Florian Langenscheidt with 30 engaged individuals from a diverse spectrum of professional fields. So far, t he non-profit organization has collected more than 20

million Euros in donat ions and supported count less projects for children without Home or Hope.

Address: French Communit y of Belgium & Walloon Region (WBI) Daeha Business Cent re, N° 505, 5th f loor,

360 Kim Ma, Hanoi, VIETNAMTel : + (84) (4) 3 831 52 40 | Fax: + (84) (4) 3 831 52 42E-mai l: [email protected] | Websi t e: www.wbri.be/ hanoi

About WBI: WBI fulfils missions that are mandated by the French Community of Belgium. It is in charge of preparing policies on international relations within the scope of decentral-

ized activities regarding cultural exchanges between WBI and its international partners. It supports mainly projects relating to promotion of cultural exchange activities and supporting development activities in the countries where it is represented.

Address: Fermanagh House, Broadmeadow Place, Enniskillen, Co.Fermanagh, N.IRELAND

BT747HRTel : +44 (0)28 66320091 | Fax: +44 (0)28 66320230

Email : info@livabilit y.ie | Websit e: http:/ / www.livability.org.uk/About Li vabi li ty: Livability Ireland (formally John Grooms Overseas) has worked in t he developing world since 1995. Our work aims to address the unmet needs of disabled people in the developing world. These people are often the

poorest of the poor and lack access to essential services. We work in partnership with a range of organizat ions in Asia and this work is helping to break the cycle of poverty and despair and is enabling disabled people in Asia to live full

meaningful and dignified lives.

Address: Mister Luc Gaethofs, Dienst MENS

Provincie Limburg, Universiteit slaan 1, 3500 HASSELT – BELGIUM Tel : 011 23 72 96 | Fax: 011 23 72 90E-mail: [email protected] | Websit e: www.limburg.be/ subsidies

About Limburg Province: Within the limits of it yearly budget, the provincial authori-ties of Limburg (Belgium) can provide a subsidy to an NGO linked with an association in Belgium or a person from this

Province working on a project abroad. A part from supporting a local development project t hat HI supports in any given themat ic, this link of support is also used to promote project s of HI among the general public of the Province of Lim-burg in Belgium as a mean of awareness and promotion of cooperat ion between Developed and Developing countries.

Address:

11603 Versailles Lakes Ln, Houston, TX 77082-6843About Mulva Fam il y: The nonprofit Mulva Family Foundation of Houston, Texas

with EIN number 203221183 is a Charitable Organization Corporation company. Their main purpose is Philanthropy, Voluntarism and Grantmaking Foundations and focus mainly on Private Grantmaking Foundations.

With the support of Mulva Family

On occasional of having a mission in Vietnam Mr

Kim Brown – Director of Latter-Day Saint Charit ies

in Asia countries and Mr Ullr ich Michel – Director of

Latter-Day Saint Charities in Vietnam- have come and

visited the Spinal cord injury unit project in Bach Mai

rehabilitat ion center. The visit was aimed to under-

stand better on how persons with disabilit ies in Viet-

nam have been assessed and received a wheelchair.

After the visit and meeting with Handicap Interna-

t ional, here is the letter that has been addressed to

Handicap International for their impression.

LATTER- DAY SAINT CHARITIES

P1707 Building Trung Yên 1- Trung Hoa Ward

Cau Giay Dist – Hanoi

Telephone: (04) 3786 8950 8

Mobile: 01658 005 883

March 5, 2012

Regarding: Handicapped International Bach Mai

spinal rehabilitat ion work

Dear Eric and Ngoc Anh,

What a please it was to interact with you on your

Bach Mai project. We are excited about the pros-

pects of building on the good works that you have

been doing in Hanoi.

As you know Latt er Day Saint Chari t ies has a

major wheelchair training and del ivery pro-

gram that we are doing in Vietnam. It would be

a privi lege t o in some small way t eam up with

Handicapped Internat ional in Hanoi to continue

serving the poorest of the poor in Vietnam who

have need of Wheelchairs.

As we and ou r Asia ar ea dir ector s (Mr and Mrs

Br own) met wit h you at your off ice and t oured

your bach Mai hospit al pr oject , t hey were

impr essed with your honesty, your passion f or

t he wor k that you are doing at t he Bach Mai

hosp ital and your knowledge and prof ession-

al ism in your chose f ield of work . Our hope

is that wit h your help and t he f oundat ion that

you have been laying in Hanoi, even more

peop le can be tr ained in assessing wheelchair

needs and t hat many more beneficiaries wi l l

receive t he r ight wheelchair t o make t heir

l ives bet ter .

Thank you again,

Sincer ely,

Ullrich and Carola Michel

Latter-Day Saint Charit ies Country Director

© JEAN-YVES LE GARZIC FOR HANDICAP INTERNATIONAL© LAYLA AERTS FOR HANDICAP INTERNATIONAL

Documents

Tàn TậT QuốC Tế ViệT Nam | DiễN đàN NgườI KhuyếT TậT · 2020. 11. 11. · Vinh Long and Lam Dong province Health Services; Vinareha 9 HIB 1996 1996 ... tra curriculum