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Iraq: Prosthetics-Orthotics Trainer – Kurdistan Region, Iraq

08.19.2013 · Posted in NGO / Non Profit Jobs

Organization: Handicap International
Country: Iraq
Closing date: 20 Sep 2013

Handicap International is looking for : Prosthetics-Orthotics Trainer

COUNTRY : Kurdistan Region, Iraq
CITIES : Erbil, Suleymaniah, and Dohuk
Starting date : October 24th, 2013
Length of the assignment: 2 working days outside Iraq, 26 working days in Iraq from October 24thto November 29th 2013 (28 working days in total).
Closing date for application : September 20th 2013
Advertisement reference : P&O Training

Terms of Reference for Prosthetics & Orthotics Trainer
Handicap International is an independent and impartial international aid organization working in situations of poverty and exclusion, conflict and disaster. Working alongside persons with disabilities and other vulnerable groups, our action and testimony are focused on responding to their essential needs, improving their living conditions and promoting respect for their dignity and their fundamental rights. Handicap International is a not-for-profit organization with no religious or political affiliation. It operates as a federation made up of a network of associations that provide it with human and financial resources, manage its projects and implement its actions and social mission.
For more details on the association: http://www.handicap-international.fr/en/s/index.html

JOB CONTEXT:
Project overview
The Victim Assistance Project is a year-long initiative aiming at providing mine/ERW survivors and other persons with disabilities (PwDs) in Iraqi Kurdistan with rehabilitation services that respond more effectively to their needs. This project comes as reinforcement to the 4 year-long Multi-Stakeholder Initiativestarted in January 2010 with the aim of improving access to quality rehabilitation services in the region. Rehabilitation services in Iraqi Kurdistan are particularly affected by a lack of technical expertise. The Victim Assistance project intends to tackle this issue by providing technical trainings to the rehabilitation centers’ staff, thus developing their skills for the benefit of PwDs.

Brief overview of the Iraqi context
After the official end of war in 2003, the population of Iraq is still hit by a complex and potentially violent situation. Despite a general improvement of the environment since 2007, the political agenda for the coming period is relatively volatile. Tensions between communities, issues such as access to oil reserves are not yet solved and can create further violence. As civilians are the primary victims of security incidents, Iraqi people continue to live in a climate of fear and insecurity. In addition, decades of wars and economic sanctions have also left Iraq in chaos. The country’s infrastructure has been severely damaged; access to basic goods and services remains restricted in many parts of the country. In Kurdistan Regional Governorate, where HI mission is based, overall situation and living conditions are far better than in the rest of the country. Nevertheless, the environment still remains unpredictable.

Overview of the 3 centers targeted by the assignment
Kurdistan Organization for the Rehabilitation of the Disabled (KORD), Sulaymaniyah: The team is composed of 1 physiotherapist (PT) and 3 Orthopedic Technicians (OT). KORD used to operate as an NGO focusing on the production of standard devices such as Below Knee and Above Knee prosthesis using resin system. On rare occasions the center would produce foot orthosis using polypolyne technology. The main users of service are adult amputees.
Teaching Children Rehabilitation Centre (TCRC), Sulaymaniyah: this center focuses on physiotherapy for children with cerebral palsy, clubfoot and congenital hip dislocations, provision of technical aids such as seating and standing aids and delivery of orthotic devices. The team consists of1 orthopedic surgeon, pediatricians, 16 PTs, 1psychotherapistand 5 OTs. Some of the orthopedic technicians are PTs who have undergone on the job training to become technicians.
Centre for Early Detection of Childhood Disability (CEDCD), Duhok: this center focuses on physiotherapy for children, mostly children with cerebral palsy. The team consists of doctors, 7 PTs and 7 OTs. The Orthopedic Unit provides devices, mainly Ankle Foot Orthosis (AFOs) and hip abduction braces as prescribed by doctors.

JOB DESCRIPTION:
Goal, Objective and outcomes of the assignment:
Goal: To improve technical skills of Orthopedic Techniciansin the chosen topics (see below) while promoting Person-Centered Approach (PCA) in Rehabilitation
Specific objective
 To elaborate and carry out theoretical and practical training on clinical and technical skills, and choice of appropriate technologies and materials for P&O on identified medical areas in each of 3centers
 To contribute to promote PCA and a multi-disciplinary approach in the centers
 To identify other topics and areas of improvement for P&O staff.
Expected Outcomes
 P&O technicians demonstrate improved knowledge on the theory behind the devices that they produce (in the pre-identified areas of improvement)
 P&O technicians demonstrate improved understanding of the indications and contraindications of the devices under consideration
 P&O technicians show improved practical technical skills in production
 At least two case study sessions bringing together relevant rehabilitation staff are held in each centre.
 On job training is conducted to ensure adequate and targeted application of knowledge gained for technical skills on P&O production
 Areas of further learning are identified and included in the final report of the trainings

Expected Training Methodology
 Participatory learning based approach
 Theoretical Training
 Technical training on production (actual production of devices), on-the-job coaching
 Case study interdisciplinary conferences
Topics to be covered by the training per rehabilitation center
Following an assessment conducted in June 2013 by a technical adviser from Handicap International, priority training needs were identified for P&0 technicians currently working in KORD, TCRC and CEDCD. In order to update their theoretical knowledge and practical skills on assessment, fitting, fabrication, evaluation of neuromuscular deformities, amputations and pediatric/adult orthopedic deformities, the P&O trainer will be required to design and develop training materials covering the following topics:
Specific topics to be covered by the training in KORD (5 onsite working days):
1. Introduction to Basic Pathology:
 Amputations and amputation levels.
 Lower Limb deformities.

  1. Prosthetics assessment and measurement techniques for:
     Ankle disarticulation prosthetics.
     Trans-tibial prosthetics.
     Knee disarticulation prosthetics.
     Trans-femoral prosthetics.
     Partial foot prosthetics.

  2. Orthotic assessment and measurement techniques for AFO, KAFO, HKAFO.

  3. Fabrication & fitment of different design of AFO, KAFO, and HKAFO for the following conditions:
     Lower limb deformities associated with Cerebral Palsy.
     Spinal Cord injury.
     Club Foot.

Specific topics to be covered by the training in TCRC (10 onsite working days):
1. Introduction to lower limb deformities:
 Congenital and developmental deformities.
 Neuromuscular deformities.
 Orthopedic deformities.

  1. Orthotic assessment and measurement techniques for AFO, KAFO, HKAFO.

  2. Fabrication & fitment of different design of AFO, KAFO, and HKAFO for the following conditions:
     Lower limb deformities associated with Cerebral Palsy.
     Lower Limb deformities associated with Spina Bifida.
     Club Foot.

  3. Shoes Fabrication and modifications.

  4. Fabrication & fitment of Boston brace.

Specific topics to be covered by the training in CEDCD (10 onsite working days):
1. Introduction to lower limb deformities:
 Congenital and developmental deformities.
 Neuromuscular deformities.
 Orthopedic deformities.

  1. Orthotic assessment and measurement techniques for:
     AFO.
     KAFO.
     HKAFO.
     Cock up splint for upper limb.
     Functional splint for upper limb.

  2. Fabrication & fitment of different design of AFO, KAFO, and HKAFO for conditions:
     Lower limb deformities associated with Cerebral Palsy.
     Lower Limb deformities associated with Spina Bifida.
     Club Foot.

  3. Fabrication and, fitment of different design of upper limb orthotics:
     Cock up splint (hand wrist splint) and Functional splint.

  4. Shoes fabrication and modifications.
    Time and Duration
    It is expected that the trainer will have 2 working days outside of Iraq and be in Iraq from 24/10/2013 to 29/11/2013 as follows:
     1 working day in Erbil to be briefed by the Project Manager;
     5 working days in KORD to carry out trainings in the above pre-identified area;
     10 working days in TCRC to carry out trainings in the above pre-identified areas;
     10 working days in CEDCD to carry out trainings in the above pre-identified areas.

Candidate Duties and Responsibilities
 Develop lesson plan for both training modules.
 Design training package according to the identified topics
 Provide training manual, quick reference guide or training handouts
 Evaluate the training sessions (pre-test and post-test)
 Draw lessons learned and recommendations to support future trainings
 Prepare final report in English

CANDIDATE PROFILE:
Mandatory
 Prosthetics Orthotics CAT or CAT II with ISPO certification
 Ability to use Participatory / Learning in Action methodologies.
 Several years of training experience in production of P&O devices
 Experience in working with children with cerebral palsy and adult amputees in countries with minimal resources
 Experience in Person-Centered Approach

Complementary
 Experience working in international/inter-cultural settings

Required language skills
 English mandatory
 Kurdish and/or Arabic an asset

BUDGET:
Consultant fees: 8.000 USD maximum

How to apply:

Please provide us with:
 CV including references,
 cover letter
 technical offer and corresponding financial offer.

Please send your application no later than September 20th2013to:

Handicap International Iraq: hi.iraq.recruitment@gmail.com

Applications submitted by email should indicate as subject: P&O-VA

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