Short Consultancy ( Gate Analysis in children with Cerebral

TERMS OF REFERENCE

Gate Analysis in children with Cerebral Palsy Training Module for Physiotherapy.

(ACIII Access to Physical Rehabilitation Services for Persons with Disability in West Bank)
1-CONTEXT

HI has been operating in Palestine since 1996 and has developed relationship with several disability stakeholders.  According to the Palestinian Central Bureau of Statistics there are around 4,048,403 million Palestinian living in the oPt (2,513,283 million in West Bank and 1,535,120 million in Gaza strip). According to general estimations by WHO, between 10-15% of a given population would have some kind of disability; in the Palestinian Territories, this implies that the figure would be around 284,000 – 404,000 people. According to the last records, the prevalence of disability in the oPt was about 7% (relaxed definition) with similar prevalence in each of the West Bank and Gaza Strip. While the prevalence of disability using the narrow definition was 2.7% distributed as 2.9% in the West Bank and 2.4% in Gaza Strip; while it was 2.9% for Males and 2.5% for females.  Taken together, this implies that the total number of PWDs in oPts is around 113,000-287,000.

HI has performed regular assessments in order to identify needs of PWDs in oPt. Main findings of our last needs assessment:

1-Increased number of PWD and deterioration of the socio-economical situation in the OPT,  PWD are one of the most vulnerable groups in this kind of context.

2-Limited access to quality rehabilitation services in relevance to SW due to :
-Limited accessibility to rehabilitation services for PWDs.
-Low quality of rehabilitation services not addressing the users' needs.
-Lack of quality and appropriate assistive devices.
-Lack of information of PWDs on services available and how to access it.

HI current Project (ACIII) ‘Access to Physical Rehabilitation Services for PWD in West Bank” funded by the MoFA of Luxembourg, has addressed the above mentioned main findings of the needs and developed four main Expected results aiming to achieve :
-Global objective

A comprehensive approach of Persons with Disabilities (PWDs) for Physical rehabilitation is shared amongst service providers in the West Bank.
-Specific Objective

Persons with disabilities can access to holistic physical rehabilitation services in the West Bank.

2-DESCRIPTION OF THE REQUIRED SERVICE PROVISION

In order to reach the project specific objectives, a number of training modules will be implemented. One of the implemented activities is the technical training for graduate phisiotherapists (PT's) on Gate Analysis in children with cerebral Palsy for Physiotherapy. In coordination with HI’s technical advisor, the trainer will design the training material and the lesson plan for the training implementation according to the objectives dedicated for this purpose.  The work will be realized, keeping in mind the general objective of the project and HI’s philosophy and training approach. 

Specific objectives of the consultancy

Objective I: Design and develop training materials for the training module on Gate Analysis in children with cerebral Palsy for PT.

In coordination, and collaboration with the HI TA, the consultant will build the teaching materials for the training on the Gate Analysis; the training material shall address sufficiently the main and core concepts and skills of Gate analysis in children with Cerebral Palsy. 

Objective II: provide training for 25 PT’s on the most updated different theories, and principles of the Gate Analysis used in children with CP, and the common intervention modalities.

By the end of the training the trainer will ensure that the 25 PTs will be able:

1-Describe the five priorities in normal gait according to Gage.
2-Describe the most common foot deformities in CP and its effect on child gait.
3-Classify the gait of a child with cerebral palsy into one of the five main types of deviations and describe what kind of orthotics would be appropriate to improve the gait.
4-Use the 10 meter walking test, the 6 minutes walking test and the FAC to quantify the gait.
5-Use the Berg Balance Scale (BBS) in order to describe the balance of a child with cerebral palsy and how to use result to analysis gait problems.
6-To build up intervention plan according to assessments findings with client/family involvement.
7-To prescribe appropriate assistive devices according to the client capabilities and functional needs.
8-Evaluate the evidence base for gait analysis in cerebral palsy.

Objective III: provide clinical training for 25 PTs at their work facilities on the clinical skills of the Gate Analysis.
-Evaluate how the participants apply the new knowledge and skills they acquired, by means of giving feedback on and grading the follow-up task.
-Get an overview of the problems participants run into when using the new knowledge and new skills and define possible solutions.
-Evaluate lessons learned and the added value of the training.
-Make a recommendation for follow-up regarding the specific topic of the module.
-Help identify, as well, problems in carrying out the training skills related to the managerial behaviour of the centers where the service is given.

3-CONSULTANT’S PROFILE
-Higher education in PT field or closely related Rehabilitation field (Pediatric Physiotherapy) (MSc or Phd).
-Knowledge and experience on training Professional on the Gate Analyses in children with CP.
-Knowledge and experience in teaching field.
-Five years of relevant work experience, preferable in the field of research and Education in Paediatric Physiotherapy.
-Good social and communication skills, able to respect confidentiality
-The consultant is expected to have a sense of personal security, be aware of the security situation and take respective action, especially when approaching check point.
-Excellent English language skills (reading, writing and speaking).

4-SERVICE DURATION AND LOCATION

Start date: Saturday March 24th 2013.
Mission end date: Saturday April 20th 2013
Mission timetable: number of working  days according to the requested work load and within the proposed mission time:

Service location: Ramallah City West Bank.
5-REPORT

Number of Reports: one report required on the training
The report should include:

-Summary of the training
-Discussion on the input.
-Results of the training (impact on the trainees).
-Conclusion (training output)

-Recommendations

Submission:

The report due date is 5 days after the last day of the 2 days training.

Language: English

6-RESOURCE PERSON

Within the framework of the consultancy, the Consultant will be in collaboration with Handicap International’s teams and in particular with HI Technical Advisor who will be the point of contact.

7-BUDGET

Once the short listing of applicants is done, Handicap International shall contact the shortlisted applicants to provide a full proper price quote with his/her financial expectations according to the services requested fitting with the below criteria:
-Price quote shall be in English and in ILS currency.
-Prices shall be inclusive of VAT.
-Delivery timeframe & payment terms shall be clear and mentioned in the quote fitting with the start/end dates requested by Handicap International.
-Price quote shall be signed and stamped.

Please send your CV with at least 2 references and cover letter no later than March 10th 2013 With the reference (Gate Analysis in Children with Cerebral Pulsy for Physiotherapy)  [email protected] 

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