Physiotherapist

RIGHTS Project: Inclusion, Accessibility & Opportunities for the

Differently Abled in Tamil Nadu

TERMS OF REFERENCE FOR ENGAGEMENT OF

Physiotherapist- One Stop Social Care Service Centre

1. BASIC DETAILS

TENKASI –I) KADAYANALLUR II) M.N. NALLUR
Duty Station :

CHENNAI- I) SHOLINGANALLUR II) TEYNAMPET

TENKASI –2 (Two)
No of Engagements :

CHENNAI- 2 (Two)

Language
: English & Tamil

Required/preferred

Duration of Contract : 24 months (Renewable subject to performance)

Reporting Officer : Centre Manager-OSC

2. BACKGROUND

i. As per the Census (2011), Tamil Nadu is the sixth most populous state in India

with a population of 72 million, which includes a proportion (1.63 percent) of

Differently Abled Persons compared to the national average of 2.21 percent A

study that used pooled data from the District Level Household Survey-4 (2012-

13) and Annual Health Survey 2nd updating round (201213) reveals that there are

4550 differently abled persons amongst every 100,000 population in Tamil Nadu,

thereby indicating a much higher prevalence of disability in comparison to the

census data. Therefore, if one goes by the estimates of this recent study, about 3.2

million people in Tamil Nadu would live with some form of disability. Moreover,

even these estimations appear on the lower side, significantly since the definition

and type of disabilities have changed to include a larger population group since

the promulgation of the Rights of Persons with Disabilities Act, 2016

ii. Differently Abled Persons (DAP) face multiple socio-economic constraints,

including poorer health outcomes, lower education levels, limited economic

participation, and higher poverty rates than persons without disabilities. They

often experience exclusion and barriers in accessing health services, education,

employment, transportation, information, care, and rehabilitation services.

Furthermore, households with disabled members are more likely to experience

material hardships–food insecurity, poor housing, lack of access to safe water and

sanitation, and inadequate access to healthcare. Thus, these limitations and

barriers hinder their full and effective participation in society and affect the

country's productive potential, the human capital. To increase human capital and

reduce the achievement gap among people with disabilities, a coordinated and

comprehensive package of interventions appears warranted for addressing the

individual and community contexts at multiple and systemic levels.

iii. Tamil Nadu has always been a pioneer in the implementation of welfare schemes

for all sections of socially disadvantaged groups. Through its various initiatives

and schemes, the Department for the Welfare of the Differently Abled (DWDAP)

has extended full support to the differently abled people in their pursuit of full and

equal involvement in every aspect of society. The DWDAP is mainly responsible

for all administrative, statutory and service delivery functions, which are

implemented through its well-experienced workforce at the state, district and local

levels. The thrust areas of the DWDAP are prevention and early interventions,

special education, employment & vocational training, social security

(maintenance allowance, travel concession, assistance to NGOs), aids &

appliances, and barrier-free structure. Recently, DWDAP conducted a pilot project

in a few blocks of the state and has identified a need for a multi-sectoral, whole-

government, and capacity-building approach to care and rehabilitation of the

differently abled.

iv. The RIGHTS Project focuses on three pillars: first, promote inclusion of all by

ensuring that persons with disabilities participate equally with others in any

activity and service intended for the general public, such as education, health,

employment, and social services; second, improve the access of specialised

programs by investing in specific measures for quality care, rehabilitation and

support services; and third, provide opportunities for persons with disabilities for

completion of education, skills training and market-linked employment

opportunities. However, to manage the project at the proposed scale, substantial

efforts would be required to build the current institutional capacity of the DWDAP

at all levels in terms of field units for administration, service delivery, supervision

and monitoring, along with autonomous capacity.

v. The project would be managed through the Directorate for Welfare of the

Differently Abled (DWDA), led by the Project Director (PD) RIGHTS project

cum Director, DWDA, in the future also referred to as PD, and would have a

team of consultants. District Project Implementation Unit in each district will

oversee the activities at the district level headed by District Differently Abled

Welfare Officer (DDAWO). It will have a team of District Project Officers.

vi. To provide the overall process coordination of successful delivery of the

RIGHTS project, the DWDA for its RIGHTS PROJECT is seeking an interested

and qualified person to be engaged as a Physiotherapist - in the One Stop Social

Care Service centre in each sub-division during the project implementation.

3 OBJECTIVES AND SCOPE

Under the supervision of the Centre Manager-OSC, the incumbent will be

responsible for the activities related to Physiotherapy such as assist/restore

movement and function when someone is affected by injury, illness or

disability through movement and exercise, manual therapy, education, and

advice.

T he roles and responsibilities of the Physiotherapist are as follows,

Perform physiotherapeutic assessment of each DAP, referred by Case Manager

with diverse and complex conditions, to provide a physiotherapy diagnosis and

to develop and deliver a individual focused treatment

Responsible for planning and prioritizing the DAP’s and prepare a plan of

action to manage each case in timely and efficient manner.

Determine that beneficiary understands the treatment proposals to ensure valid

patient consent. To understand and work within a legal framework with

beneficiaries who lack the capacity to consent to treatment.

Actively participate in the in-service training programs.

Encourage DAPs in an active approach to regaining and maintaining

independence.

To undertake an assessment of DAPs referred by Case Manager using clinical

reasoning skills and manual assessment techniques to provide a physiotherapy

diagnosis of their condition with a motive to enhance their mobility and

independence.

Focus on rehabilitation to achieve appropriate quality of life.

Ensure that own practice meets the required professional standards of

physiotherapy practice.

With appropriate support, to formulate prognosis and recommend best course

of intervention, developing discharge plans.

To formulate and deliver individual and group physiotherapy treatment

programme based upon knowledge of the evidence of the treatment options

available. Ensure that there should not be any violation of physiotherapy

standards.

To evaluate a patient’s progress, re-assess and alter treatment programmes if

required.

Guide and mentor, the DAPs regarding precautions to be taken as well as other

requisites.

Ensure timely maintenance and cleanliness of all physiotherapy equipment’s

with the help of support staff.

Train the caregiver in Physiotherapy aspects

Need to deliver tele consultation for DAPs as per schedule.

Responsible for the progression of mobility-related issues of DAPs in the

centre.

Responsible for guiding the rehabilitation specialist in Block OSC

Need to travel in mobile unit for assessment and treatment related to

physiotherapy aspects.

Any other relevant task/ activity as assigned by the Subdivision Officer for

Differently abled.

4 REPORTING AND REVIEW

The Physiotherapist will report to Centre Manager – OSC.

5 EDUCATIONAL QUALIFICATION AND EXPERIENCE

The Physiotherapist requires dynamic, experienced, and analytical professionals with

demonstrated experience in programs related to disability.

i) Physiotherapists should possess a valid Bachelor / Master’s degree in Physiotherapy

from a UGC recognized University.

ii) Preferably 3 years post-qualification experience for a Master degree / 5 years Post-

qualification for Bachelor's degree in areas relating to service delivery for persons

with disabilities, particularly in care, support, and rehabilitation services is

preferred.

iii) Demonstrated understanding of centre-based rehabilitation activities related to

Physiotherapy

• Preference will be given to Differently Abled Person and their family members

6. Skills Required

Capability to assess, evaluate and monitor the physical and mobility aspects of

the differently abled people

Knowledge and competency of safe use of all equipment and techniques related

with Physiotherapy.

Computer proficiency and good knowledge of MS-office, or equivalent

computer applications are required.

Responsible for own time management in planning case load to meet service

and DAP’s priorities.

Should have coordinating, crisis management, resource planning and project

management skills

Efficient in case wise record keeping and must have appropriate communication

and writing skills in English and Tamil

Ability to work in teams and liaise well with others.

7. Remuneration

i) The remuneration for the Physiotherapist would be Rs 35,000 per month. Only

travel expenses will be paid additionally as per actuals. The Physiotherapist will be

located at Subdivision level OSC during the contract period. Physiotherapists may

require travel as per Project requirements.

ii) The Physiotherapist will have to attend OSC on all working days unless on an

official tour as approved by Centre Manager- OSC. Physiotherapists may also be

required to attend office or travel in mobile unit for assessments on holidays as and

when desired by PD/DPIU/SPIU/other higher officials for disposal of urgent

matters. However, no extra remuneration will be paid for attending the office

on holidays.