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Unlocking potential: innovative "private-non-profit" partnership for empowering children with disabilities in
Bibek Banskota1,2, Rajan Bhusal1, Prakash Kumar Yadav1
1Hospital and Rehabilitation Centre for Disabled Children (HRDC), Banepa, Nepal.
Insights
A private-nonprofit partnership in Nepal significantly reduced costs and improved care for children with physical disabilities. This model offers a sustainable, replicable framework for addressing healthcare access challenges in resource-limited settings globally.
Area of Science:
- Global Health
- Pediatric Rehabilitation
- Healthcare Partnerships
Background:
- Physical disabilities impact 240 million children worldwide, with many in resource-limited settings facing significant healthcare barriers.
- In Nepal, 2% of children under 16 have physical disabilities, struggling with access to care, education, and social integration.
- Traditional healthcare models are often inadequate for providing affordable, accessible, and sustainable care for these children.
Purpose of the Study:
- To evaluate the effectiveness and sustainability of a private-nonprofit partnership model for comprehensive care of children with physical disabilities in Nepal.
- To assess the impact of integrating non-profit expertise with private sector resources in a resource-limited healthcare environment.
Main Methods:
- Analysis of a 40-year experience of a healthcare delivery model combining the Hospital and Rehabilitation Centre for Disabled Children (HRDC) and B&B Hospital.
- Integration of four key components: identification (mobile camps, outreach), medical treatment, rehabilitation, and social reintegration.
- Community-based approach covering all 77 districts in Nepal through mobile clinics.
Main Results:
- Achieved a 62% reduction in treatment costs compared to private institutions.
- Provided over 55,000 surgeries and benefited more than 116,000 children.
- Distributed 100,000+ assistive devices, raised awareness among 1.5 million+, and trained 700+ therapists.
Conclusions:
- Private-nonprofit collaboration effectively overcomes healthcare barriers for children with physical disabilities in resource-limited settings.
- The model's success lies in cost efficiency, quality care, and community integration, offering a replicable framework for developing countries.
- Key success factors include diverse funding, strong community engagement, and integrated service delivery.
Background:
Physical disabilities affect approximately 240 million children globally, with limited access to comprehensive care in resource-constrained settings. In Nepal, an estimated 2% of children under 16 experience physical disabilities, facing significant barriers to healthcare access, education, and social integration. Traditional healthcare models often struggle to provide affordable, accessible, and sustainable care for these children.
Objectives:
To evaluate the effectiveness and sustainability of an innovative private-nonprofit partnership model between the Hospital and Rehabilitation Centre for Disabled Children (HRDC) and B&B Hospital in Nepal, designed to provide comprehensive care for children with physical disabilities in resource-limited settings.
Methods:
The study analyzes a 40-year experience implementing a unique healthcare delivery model combining HRDC's non-profit expertise with B&B Hospital's private sector resources. The model integrates four key components: identification through mobile camps and community outreach, comprehensive medical treatment, rehabilitation services, and social reintegration programs.
Results:
The partnership achieved a 62% reduction in treatment costs compared to private healthcare institutions. Over 40 years, HRDC has performed more than 55,000 surgeries, benefiting over 116,000 children surgically. The program has distributed 100,000+ assistive devices, raised disability awareness among 1.5 million+ people, and trained over 700 primary rehabilitation therapists. The model's community-based approach has enabled coverage of all 77 districts in Nepal through rotating mobile clinics.
Conclusion:
The HRDC-B&B partnership demonstrates that private-nonprofit collaboration can effectively address healthcare barriers for children with physical disabilities in resource-limited settings. The model's success in combining cost efficiency, quality care, and community integration provides a replicable framework for similar interventions in other developing countries. Key factors for success include diverse funding sources, strong community engagement, and integrated service delivery under one roof.
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