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Mary I originally came over to Malaysia in 1984 through a VSO project working in a residential centre for special needs children which was run by the Welfare Department. There was no equipment but I was able to tap into organisations like British High Com, some charities to get one off budgets for stuff. The staff had absolutely no training or, in many cases, understanding of the underlying problems facing the children so I ended up spending large amounts of time on Staff Training programmes. If you wish to communicate further my e mail is < [log in to unmask]> . Hope to hear from you. Hannah Mary Martin wrote: > I have been asked to help design the rehabilitation component of a > 200 bed accident and trauma centre in Kathmandu. Expected > patient length of stay is approximately one week.There is funding > for the initial equipment, but will be little money for ongoing > supplies or maintenance. > > I have been asked to comment on the needed size, location > staffing and setup of the dept, as well as the latest, "state of the art > gadgets". I feel strongly that state of the art will not work well in > Nepal, as maintenance is an issue, as is the fact that the patient > tends to look upon electrotherapy as "magic" and I feel becomes > unlikely to take ownership of their own rehabilitation. Another factor > in making me hesitate to recommend high tech electrotherapy > equipment is the fact that the staff likely to be using electrotherapy > equipment have very variable (and sometimes minimal) physio > training. > > I have lots more questions, but will leave it at this, and hopefully > communicate directly with whomever offers to help. > > Thanks a lot. > > Mary Martin BSR(PT/OT) > Rehabilitation Facilitator > United Mission to Nepal > Kathmandu, Nepal