Developing the ISPRM registry of rehabilitation disaster relief experts

Developing the ISPRM registry of
rehabilitation disaster relief experts
Jan D. Reinhardt, PhD; James E. Gosney, MD;
Andrew J. Haig, MD; & Jian’an Li, MD
• Natural disasters => new disabilities and
existing disabilities
• Physical Rehabilitation required
• However, rehabilitation perspective often
underdeveloped in disaster settings
• Scarcity of existing rehab resources and
professionals make external/international
assistance necessary
Background (continued)
• However:
• How identify deployable experts
– with expertise in disaster rehabilitation
– best suited to the setting in question?
• => Database of rehabilitation professionals
with expertise in disaster relief including
Physical and Rehabilitation Medicine (PRM)
• WHO DAR-ISPRM collaboration plan 20112013
Background (continued)
• “ISPRM will, moreover, compile a database of
international experts for PRM in disaster relief,
which may provide a PRM professional
volunteer team when it is needed in any
region of the world.
• In that ISPRM will closely collaborate with
relevant NGOs, other academic organizations
and WHO offices”. (WHO-DAR/ISPRM 2011)
• Establish a database of PRM/rehabilitation experts in
natural disaster that can be used to identify
deployable individuals/teams in the case of
international disaster
Deployment of rehab
Agency/NGO responsible
for disability & rehab
ISPRM disaster rehab
experts’ database
What is a database?
• More than a survey …
• “A database is an organized collection of data.
The data is typically organized to model relevant
aspects of reality (for example, the availability of
rooms in hotels), in a way that supports
processes requiring this information (for example,
finding a hotel with vacancies).”
What is a database? - continued
• Input (forms like surveys etc.)
• Storing (protected server, backups, etc.)
• Retrieving (search masks, structured requests)
• Managing information (update, modify,
aggregate, etc.)
What is a database? - continued
Database Management System (DBMS), e.g. SQL:
Data definition
ISPRM – Rehab Disaster Experts DB
Data definition:
• Variables
– Needs of end-user …
– Relevant info for monitoring
ISPRM – Rehab Disaster Experts DB
• Variables
– Demographics
Name (surname, first)
Date of birth
Country(ies) of citizenship
Country of residence
Contact information (phone, e-mail, address)
Hospital and/or university affiliation(s)
Current position(s)
Professional rehabilitation organization affiliation
ISPRM – Rehab Disaster Experts DB
• Variables
– Professional qualifications
• Emergency training qualification
• Disaster training qualifications
• Medical/specialty qualifications
MD (If yes, years of experience)
PRM residency qualification (if yes, years of experience)
• Upload CVs, diploma etc.
«FMTs will adhere to professional guidelines: all their staff must be registered
to practice in home country and have licence for the work they are assigned
to by the agency» (WHO-FMT Working Group 2013)
ISPRM – Rehab Disaster Experts DB
• Variables
– Disaster relief qualifications
• Disaster experience (up to 10 disasters)
• Disaster 1-10 (multiple entries possible)
Name of country
Type of disaster
Sponsoring organization
Medical role
Traumatic disabling conditions treated:
» fracture
» spinal cord injury (SCI)
» amputation, etc.
ISPRM – Rehab Disaster Experts DB
• Variables
– Deployability
Clearance by employer
Length of time willing to serve
Native language(s)
Other language(s)
Health restrictions
Dietary restrictions (describe)
Other deployment considerations (describe)
Motivation (Describe reason(s) for registering including your
feelings about working with people from different backgrounds)
ISPRM – Rehab Disaster Experts DB
Data definition:
• Relations
ISPRM – Rehab Disaster Experts DB
• Inserting data: Initial survey of ISPRM membership
• Modifying and deleting data: Repeated Surveys, online selfentry of users …
• Challenges: Reaching the expert population,
correctness/accuracy of information (verification through
ISPRM – Rehab Disaster Experts DB
Retrieval of info:
Search mask
Suited to the needs of the end-user
Easy to use
Practical usefulness of eventual output, i.e. list of deployable
ISPRM – Rehab Disaster Experts DB
• Registering and monitoring users, enforcing data security,
monitoring performance, maintaining data integrity, dealing with
concurrency control, and recovering information if the system fails.
• Needs ongoing professional programming and monitoring
• Needs secure server (https) involving firewalls etc.
• Needs ethical statement on data protection
• Needs mechanisms for backup
Database & Network
Disaster Relief
Database Administrator
ISPRM – Rehab Disaster Experts DB
• Potential links to other existing databases, e.g. CRED natural
disaster database, FMT database, ISPRM membership
database …
Related Projects
DART certification
UN disab experts, etc.:
Other rehab NGOs
ISPRM – Rehab Disaster Experts DB
- Infrastructure:
- Webserver
- Database-server
- Firewall, backup system etc.
- Database administrator/manager
- Programming (sql, html, php), definition of database (2
- Development of forms for entry and retrieval (2 months)
- Monitoring (1 day per months)
- Update (1 day per week)
ISPRM – Rehab Disaster Experts DB
Outlook/next steps:
• Think big, start with small steps
• Obtain feedback from responder organizations
on variables
• Initial ISPRM member survey
• Identify institution to host database
• Write up grant proposal
Thank You!

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