O C o n t i n u e d o p t i m u m use o f existing resources (staff t i m e a n d equipment) w i t h i n t h e present system, including passing o n of skills t o staff a n d carers, a n d good w o r k i n g relationships w i t h colleagues, a n d adaptation o f regimes o f management.
of those staff a n d better facilities at t h e .Provision hospital (eg m o r e beds, f i n a n c i a l support, etc).
Author Jane Schofield MCSP is a senior physiotherapist in the Learning Disabilities Service, Rotherham. She has worked as a volunteer and a staff member at the Western Regional Hospital, Pokhara, and will be returning to Nepal this year.
Address for Correspondence Ms J Schofield BSc MCSP, 542 Ecclesall Road, Sheffield s1 8QA.
.Development o f some f o r m o f c o m m u n i t y service f r o m t h e hospital o r other suitable bases.
References
involvement in t r a i n i n g of staff w i t h physiotherapy/rehabilitationskills, a n d development of w o r k opportunities for t h e m (including within WRH) as p a r t o f development o f t h e physiotherapy service within e x i s t i n g structures o f h e a l t h care and c o m m u n i t y development.
Action Aid Nepal (1988). Progress and Planning Report, Action Aid (UK), London.
.Continued
0 Continued involvement in h e a l t h education programmes and m o r e i n f o r m a l h e a l t h education opportunities. OImproving l i n k s between existing structures (government, non-government organisations, l o c a l organisations - eg L i o n s groups - self-help groups, a n d so on). .Investigating a n d i m p l e m e n t i n g new structures a n d services i f appropriate.
Acharya, M and Bennett, L (1981). The Rural Women Of Nepal, vol 11: ‘Field studies’, Centre for Economic Development and Administration, Tribhuvan University, Kathmandu, Nepal.
Anderson, M (1983). An lntroduction to Epidemiology, Macmillan, London, page 113. Dixit, S (1989). ‘Let them smoke cigarettes’, Himal, March-April, 6-7. Edgar, A (1986). ‘The effect of distance, caste and sex on the treatment of leprosy sufferers in the Western Development Region of Nepal’, dissertation for geography tripos, Gonville and Caius College, Cambridge. Holloway, S (1981). ‘Volunteering: A professional challenge’, Physiotherapy, 74, 1, 579-580. Loudon, I S L (1976). Demand for Hospital Care: Oxford, United Oxford Hospitals. Luhan, J, M,and Thapa, P (1989). ‘World of the girl child’, Himal, January-February, 9-12.
T h u s t h i s s t u d y and analysis o f t h e i n - p a t i e n t physiotherapy service h a s made possible q u a l i t a t i v e identification of problems and strategies o f t h e e x i s t i n g service, a n d has shown p o t e n t i a l strategies w h i c h can be incorporated i n t o f u t u r e m a n a g i n g a n d development.
Rose, G and Barker, D J P (1986). Epidemiology for the Uninitiated. British Medical Association, London.
Acknowledgments
Werner, D (1988). Disabled Village Children, Hesperian Foundation, San Francisco, USA.
I would like to acknowledge the work of my colleagues at WRH, particularly Mr Bijay Pradhan, and of all those involved in the development of physiotherapy in Nepal. I would also like to thank all those who have supported me in many ways while I have been working abroad, and Jennie Collins and Dr Anne Parry for thei; help in the writing of this article.
Ward, S (1991). ‘Elective in Nepal’, Physiotherapy, 77, 2, 143- 144.
periodicaI review
UNICEF (19&7). Chrldren and Women of Nepal, Kathmandu, Nepal.
See also:
White, N (1989). ‘An elective in Nepal’, Physiotherapy, 75,6,328.
Manipulative Physiotherapist Journal of the Manipulation Association of Chartered Physiotherapists
1992, vol24, no 1, Spring
Physiotherapy in Sport Journal of the Association of Chartered Physiotherapists in Sports Medicine
1992, vol XIV no 2, June Take the clean road to the top Tennis injuries: Select bibliography Fluid replacement during exercise in the heat Taping tips
W Green
A study of the lateral joints of atlas and axis in man A Evans The hidden neuropathies D Butler
Association of Chartered Physiotherapists in Oncology and Palliative Care Newsletter
1992, no 9, Summer M Millard-Stafford R Macdonald
In Touch Journal of the Organisation of Chartered Physiotherapists in Private Practice
.1992, no 64, Summer Are you really just treating a neck, shoulder, elbow? Clinical diagnosis
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A footballer’s intermittent dropped foot
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The role of a Macmillan physiotherapist
W Brougham
Journal of the Association of District and Superintendent Chartered Physiotherapists 1991/92, no 1Z Winter Standards - The way forward The changing face of human resource management in the NHS Manpower issues of the 1990s What are the conflicts of a ‘professional’ working in an organisation?
A Hunter
P Hurley M Downton
B Ellis
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Physiotherapy, August 1992, vol78, no 8