Hello Ian
Good to see you again. I am not sure how similar the research will be,
however, the School of Occupation and Leisure Sciences at University of
Sydney conducts a program called 'Hands on International' which is a
community rehabilitation scheme operating from (not sure whether to say
'remote', 'rural' or 'regional') areas in India. (Also Fiji). The Person
Co-ordinating the project, (also an Occupational Therapist) is Ms Robyn
Twible. I am sure Robyn would be delighted to talk to you.
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----- Original Message -----
From: ian <[log in to unmask]>
To: [log in to unmask]
<[log in to unmask]>
Sent: Friday, September 10, 1999 12:52 AM
Subject: Purpose of the list
> 9/9/99
>
> Thank you for the various responses.
>
> Let me clarify one thing: I do not for one moment suggest that the
> sort of ethical debate taking place on this list is not important. My
> concern was only that it is not what I expected from reading the
> purpose of the list, and is not what I was looking for in subscribing.
> So I really only wanted clarification as to what normally goes on: I
> have enough things to fill my mailbox without messages I will not
> read.
> My comments about Singer's relevance that someone picked up on
> (sorry I am being lazy and not scanning back through all the
> messages) were somewhat tongue in cheek, somewhat arising
> from a cynicism about the importance of American philosophers to
> African ethics, and somewhat arising from my context, which is a
> long way from academia. (See below)
>
> So why did I subscribe? Or, as someone else put it, what is my
> request to the DJ?
>
> My wife (an occupational therapist) and I (a family physician,
> serving as medical superintendent, or medical director) work in a
> remote rural health sub-district in the northern KwaZuluNatal
> province of South Africa, serving a community of about 100 000
> people. The service consists, inter alia, of a 280 bed hospital, 9
> fixed clinics, and 3 mobile clinic teams. The nearest specialists
> and referral centres are 300km away for adults (mainly surgical
> disciplines) and 500km away for children (and all sub-specialities).
> My wife (Jacqui) has been involved in researching the prevalence of
> disability in children in the area, and developing a service to meet
> some of the needs, working with the rehabilitation team (3 other
> therapists -unique in a rural hospital in South Africa, 3 therapy
> assistants, and 2 community rehabilitation facilitators). So we are
> interested in other similar research being done in rural areas in
> developing countries.
>
> What sparked us (or me, as I am the one with the e-mail) to join
> the list is that I attended the Third World Rural Health Conference,
> organized under the auspices of the World Organisation of Family
> Doctors (WONCA), in Malaysia in July and presented a paper we
> wrote together trying to look at some of the implications of Jacqui's
> findings for primary health care and for rural doctors especially. (In
> many rural areas in developing countries, there is nothing in the
> way of rehabilitation services, and doctors avoid dealing with
> disability, for all sorts of reasons, and though lip service is paid to
> rehabilitation as a fundamental ingredient in primary health care, it
> seldom is in practice.) The response was, to say the least,
> underwhelming. However, I made it clear at the end of the
> conference that I want this to have a higher priority at the next
> conference (August 2000) and agreed to submit a motivation for
> this. I have not done anything on that yet, but that was in my mind
> when I saw something about this list while looking up info at an
> Internet cafe while on my travels. (I do not have access to internet
> here, so cannot follow up the suggestions that some of you posted
> for me.)
>
> OK, my cards are on the table. Do I stay connected? Will
> someone play my tune.
>
> Best wishes
> Ian Couper
>
>
> __________________________________________________________
>
> Dr Ian Couper [log in to unmask]
> Medical Superintendent
> Manguzi Hospital
> P/Bag X301 Tel (W): +27-(0)35-5920147/8/9 or 5920150/1/2
> KwaNgwanase Tel (H): +27-(0)35-5920600
> 3973. South Africa Fax: +27-(0)35-5920150 ext 2203
> __________________________________________________________
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