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and do no necessarily reflect the views or policies of the Asian Development Bank
(ADB), or its Board of Governors, or the governments they represent. ADB does not
guarantee the accuracy of the data included in this paper/presentation and accepts no
responsibility for any consequence of their use. Terminology used may not necessarily
be consistent with ADB official terms.

ACCESSIBLE HEALTH FACILITIES

Josephine Bundoc MD
UNICEF –PGH Center for Children With Disabilities
 Accessible Health Facility

An accessible health facility has architectural or structural

features which have been reasonably enhanced in order to
render safe and efficient reachability and usability by people
with disabilities
 UNICEF – PGH Children With Disabilities Center
Integrated assessment and provision of assistive technology &
rehabilitation to children with vision, hearing, mobility, developmental
impairments
UNICEF – PGH Children With Disabilities Center
as an Accessible Health Facility

1. One – stop – shop

2. Universal design
 One – stop – shop

HEARING MOBILITY VISION

DEVELOPMENTAL
Universal Design
Challenges in Disability Service Provision
1. Topography

2. Cost

3. Raw materials

4. Training

5. Sustainability
 Opportunities in Disability Service Provision
1. Policy makers recognition of UNCRPD, WHO Global Disability
Plan 2014-2021 ; Republic Act 7277 and Department of Health
AO 2015 -004
2. National Assistive Technology Program linked to satellite health
care facilities and community-based rehabilitation providers
3. National Health Insurance Corporation Benefit Packages for
Assistive Technology and Rehabilitation
4. Professional Training Courses in Assistive Technology
5. Public private partnerships
Children With Disabilities
• 18.9 % of PWDs are < 14 y/o 2010 Census

• Highest prevalence is among the urban poor & rural communities

2005 ADB

• Impairments with profound impact on function are hearing,

vision, mobility and developmental delay 2016 CWD Prevalence Survey

• Early recognition and intervention improve functioning and

participation
UNICEF – PGH Children With Disabilities Center
as an Accessible Health Facility
1. One – stop – shop
2. Universal design

• Mindanao ( Southern Philippines Medical Center )

• Visayas ( Eastern Visayas Regional Medical Center )
• Luzon ( Baguio General Hospital )
 One-Stop-Shop

UNICEF - PGH Within 1 floor

Mindanao Within 1 compound
( Southern Philippines Medical
Center )
Visayas Within 1 building
( Eastern Visayas Regional
Medical Center )
 What can facilitate wider adoption in DMCs
?
1. UNCRPD Article 3 ( Accessibility as a Right ) awareness,
communication & recognition

2. Understanding the country’s legislative framework

3. Multistakeholder engagement ( PWDs, DPOs, NGOs,etc)

4. Public-private partnerships

5. Sharing of good practices