About Us


Background

The exact history posnepal-committeeof prosthetics and Orthotics in the context of Nepal is still to be search. It has been said that after the II world war prosthesis was brought to Nepal. The used prostheses of the soldier of II world war was brought to Nepal by British army and distributed to the amputee Gurkha Armies during the war and other people. While talking about an orthosis it seems that people of the country are aware of it from the very ancient age. People wore 12 hand long cloths PATUKA around their waist and abdomen, which give support as t hat of lumber corset. This is still in use.
Then in 1972 donor agency from Germany established a modern workshop in Kathmandu, and two people were trained at the time. Then after the appliances were starts to make in technical principle. Even though till date the technologies in the country still could not be updated according to the development.

The all Nepal Prosthetics and Orthotics conference was held for the first time in Nepal on September 2002 at HRDC Banepa.The slogan was "Dynamic network of service provider". The conference was concluded by realizing the felt need of a platform where all the Prosthetics and orthotics professionals and organizations can be accommodated in one place for the common goal. An ADHOC committee was formed to prepare draft constitutions for the registration. In 2063, the Adhoc committee succeeded to register the organization as" Prosthetics Orthotics Society-Nepal" (POS - Nepal) in Chief District Office of Kathmandu under the act of 2034 of Nepal Government, register number 678/062/063.

It is a non-profit making and non-political genuine social organization. It is established with aim to develop a national level society for standard and accessible rehabilitation service for the people with physical disability with coordination among government, non-government and professional involving in rehabilitation by prosthetics and Orthotics.

The Disability Situation in Nepal

Nepal is an underdeveloped land-locked nation of enormous culture, religion and ethnic diversity. It has a population of 2.8 million, with 147,181 sq.Kms of territory. It is divided into three diverse ecological zones; the Terai (plain), the hills, and the mountains.

According to the United Nation, approximately one in 20 people have disability. More than 80% of them live in third countries where they are likely to be poorest of the poor and lack access to basic rehabilitation facilities. The Nepal government has no strategic vision and plan in terms of prosthetics and Orthotics service for the people with physical disability.

People with disabilities are always viewed as a disadvantaged and marginalized group because their condition is associated with poverty, lack of education, and unemployment that often leads to stigma and discrimination. It is estimated that one in five of the poorest people in developing countries is disabled.

There is no comprehensive data on disability in Nepal. even the number of people with disabilities vary. However, it is estimated that approximately 10 % of total population has disability and out of this 23% have physical disability.

Prosthetic orthotic service- a scenario in Nepal"

 

The people from various geographic conditions of the country vary the performance of the prosthesis usage. Most of the people from hilly region put off their prosthesis after went back home from the centre. They hang it inside the room as a showpiece. And when they hear about next mobile camp nearby they queue up again thinking it will be more advanced and comfortable. So it seems necessary to study regarding the component and pattern of rehab management according to the region. Here again lack of update knowledge, exposure to Technology and expertise makes it hard to be possible.

 Nepal Government itself is not aware of establishing P/O services and neither do they have any future plans.  The facility provided by the government is the concession on custom duty while importing the assistive devices and prosthesis, but not in components and raw materials. As the poor and land locked country every raw material and components are required to be imported from India, china or third countries but government is not aware of facility in such importing materials. Until it is not done, the rights of having low cost appliances easily won’t be possible. During this time of drafting the new constitution of the country it is essential to discuss in high/government level to establish the rights of easy accessing of appliances and rehabilitation as the basic rights of PWD in the country. It is the basic rights of all PWDs to get required device for their complete rehabilitation .So the advocacy and different stages of discussion are necessary in this crucial period.  We are demanding one rehab centre in each purpose federal state in upcoming constitution.

The professionals in the country are providing the services up to their ability. There is no any government body to monitor and supervise the professionals. Absence of training schools and exposures make them halt in the same technologies they had learned in the school before a many years ago. So the services in the country are always behind than that of existing in the advance world. Professionals feel lack of exposure, opportunity to update knowledge, skill and technologies according the recent development. So professionals are developing themselves in their own individual effort. POS – Nepal realize the necessity of different capacity building programs, short term trainings, workshops on recent technologies to develop the services in the country. Until and unless the knowledge has not been updated and lack of expose with the development of the technique, we can not do cooperative study and research work which is essential for developing the quality in the services. As other bodies are unaware POS – Nepal should work in it and advocate for the betterment of client and development of service provider.

 

 While collecting data and information it has come to note that number of experienced technician without formal training are working in most of the centre. It has also comes into the light that few people are doing illegal quack practice in P&O saying they are qualified professional. And they are getting client on the basis of commission to the referrer. POS – Nepal strongly objects this unethical practice to secure the correct and quality service of the client. It is wastage of money of poor people as the appliance does not work correctly and management is not effective. Above all it's against professionalism and humanity. So it's now necessary to step up to stop unprofessional practice. We demand for proper management and ethics to makes professional service accountable towards the client. Those who are registered under Nepal health professional council, they themselves feel they need to be accountable and ethical so went to be registered. Otherwise there is not any terms and condition that they should register. POS – Nepal is working in strategies to collect all professional under the ethics and make them accountable to the client.

The Prosthetics and Orthotics is just in infancy stage in the country even though it has long history here in Nepal. The professionals are not enough in number and those available are beyond the technologies and results in the other place of world. Government is unaware of the education program on P & O. Even Ministry of Health and Ministry of Social Welfare is not feeling their liability in this P&O field of rehabilitation and completely unaware of technologies. So we saw that the basic essential strategies to develop this part of rehab needs to create awareness and educate the allied professionals. For making possible of easy accessible of the devices, its now time to discuss about the raw materials that we have to imported from other neighboring countries. The quality devices can be fabricated if we have got quality knowledge, training and human resources, so it is required in the interval of time to make rehabilitation qualitative and successful. The next important work for quality and successful rehab management is the research work regarding the devices and the regions. Otherwise all the money investing   for rehabilitation is just like pouring water in the sand. There should be collective effort from all level and organization, where the technical professionals or professional organization themselves should initiate and leads the network for the betterment of PWDs in the region.

The tentative number of professionals, technicians and orthopedic helpers in Nepal at present may be listed as:

Professionals: – 7 – 8 persons
Technicians (trained by institutions): – 25 – 30 persons
Orthopedic helpers (trained by job training):  – 40 - 50 persons

It shows that a lot of people are professionally involved in prosthetic orthotic field but there are very few people with professional training.  It also shows the prosthetic orthotic field in Nepal is limited and small.

Nowadays, technology used in the fabrication of devices also has improved in Nepal. Most of prosthetic orthotic centers use polypropylene sheets and joints to fabricate braces instead of metallic calipers.  Suction process is used to fabricate shells and sockets.


The prosthetic orthotic service providers in Nepal as listed above can be classified on the basis of ownership:

Non-governmental organization                     - 9
Semi governmental organization                     - 1
Government                                                    - 1
Medical college                                                           - 3
Private                                                             - 3

It shows the involvement of NGO and private sector in this field is more than others.  The involvement of government sector is nominal.

The orthotic prosthetic service providers in Nepal as listed above can be classified on the basis of development regions:

Eastern development region                           - 2
Central development region                            - 11
Western development region                          - 2
Mid western development region                   - 1
Far western development region                     - 1

It shows the service of prosthetic and orthotic is easily available in central and eastern development regions of Nepal compare to the western regions.

The problems of orthotic prosthetic service in Nepal:

Awareness problem
Geographical problem
Socio economic problem
Scarcity of professionals and trained persons
Quack practice

Awareness problem

General people, even persons involved in medical field do not know about prosthetic orthotic service. People even do not know about the importance and usage of prosthesis & Orthosis.


Geographical problem

Due to geographical terrain in Nepal it is very challenging job to provide accommodative prosthesis & orthosis to people from remote and hilly areas.

Socio economic problem

It is a major problem in every sector of development process. Prosthetic orthotic service is expensive and a long-term process. Most people of Nepal are economically poor who can not afford to acquire it. So it is a great problem in prosthetic orthotic service in Nepal

Scarcity of professional and trained persons

It is also a problem of prosthetic orthotic service in Nepal. There is no professional in Cat 1 level in Nepal. Due to the scarcity, it is difficult to provide quality and standard prosthetic orthotic service to different areas of Nepal.

Quack practice

Quack practice in any field causes not only bad impression of profession it also gives poor or bad service to dignified clients.

Possible solutions of problems in prosthetic orthotic service in Nepal

Increase awareness programs
Decentralized service
Increase socio economic situation
Increase training and education programs
Involvement of government sector

Increase awareness programs

Awareness programs regarding prosthetic orthotic service are very essential. Government and stakeholders of rehabilitation should also realize the importance of prosthetic orthotic service, as it is an integral part of the process.

Decentralized service

A decentralized policy and service should be implemented to provide prosthetic orthotic service in remote part of the country.

Increase socio economic situation

Improved socio economic condition of people will make people enable to receive the prosthetic orthotic service in Nepal. For this purpose income generating programs may help to them.

Increase training and education programs

Training and education programs will improve the professional quality of prosthetic orthotic service. Scholarship,Shot term, long term training programs, workshop, conferences, orientations may be organized for this purpose.

Involvement of government sector

Government sector should contribute to develop prosthetic orthotic service in Nepal. It should make rules and regulations regarding the service and implement them. Government should make vision and planning  on P&O sector according to need of the country.

 

  • Donate

    I bless for our unite effort to develop Prosthetic, Orthotic and Rehabilitation sector which inspire us to serve indifferently who are living with pain and difficulties in this planet.
    Thanks.
    Bank : Prime Bank Limited, Kathmandu, Nepal
    Account No. : 00100912PE
    Account Type : Prime Silver Saving

  • Objectives

    • It will be non-profit making people benefited social organization.
    • Coordinate or let coordinate among government, non – government, private organization and volunteers involved in prosthetics and Orthotics in Nepal.

    • Help to upgrade the living hood with prestige of PWD in Nepal.
    • Promote and disseminate information regarding concepts and programs on prosthetics and Orthotics in Nepal.