An innovative, business-led approach to the development of sustainable and affordable Prosthetic and Orthotics services in Myanmar, to expand the sector, support the inclusion of persons with disability and promote wider economic development.

假肢和矫形(P&O)服务需求和可获得性之间的差距是一个重大的社会经济挑战，因为80%需要P&O服务的人无法获得这些服务。尽管P&O治疗恢复了流动性，并通过提供教育、培训和就业机会使受抚养人成为贡献者(即纳税人)，但它们是一个较低的优先事项，需要创新来解决缅甸等资源有限的国家的服务缺口。缅甸有超过40万人需要P&O服务。该国有一所P&O学校，由Beyond Worldwide于2015年成立，旨在培训当地的P&O专业人员。有5家P&O诊所，其中两家得到了Excise的支持，三家得到了红十字会的支持。这些诊所每年总共为约5,000名病人提供免费服务，其中大部分需要终身护理。发展P&O培训的必要性也同样明显，因为缅甸需要500多名P&O专业人员，现有的学校每年可以提供15-18名毕业生。基于行业知识和经验，Beyond Social Enterprise(ESE)、其他项目合作伙伴和Beyond Worldwide认为，进入全球供应链，引入商业、更复杂的P&O服务，以及现有的免费服务，可以通过引入选择、创造市场、创造新的收入以扩大P&O部门，使更多的残疾人能够在新的诊所获得改变生活的服务。缅甸国家康复计划证实了政府对私营部门伙伴关系的兴趣。拟议的可行性研究将借鉴ESE在柬埔寨类似倡议的经验，并将涉及与利益攸关方合作，以确定和解决转移到示范项目所涉及的技术、文化、基础设施、人力、供应链、财务、客户服务和组织问题和机会。特别是，该研究将制定业务、实施和执行计划，并将评估示范项目和拟议模式的更广泛部署可能产生的经济和社会影响。通过与选择更复杂服务的客户进行公平贸易创造新的收入，该项目将有助于更有效地为卫生系统筹资、改善获得服务的机会、创造就业机会和实现可持续发展目标3。通过创造一个新的市场，为P&O专业人员创造就业机会，并让更多的残疾人士获得打开就业机会大门的服务，该项目支持了可持续发展目标8的‘体面工作和经济增长’。

"The gap between Prosthetic and Orthotic (P&O) service need and availability is a major socio-economic challenge, as 80% of those who need P&O services cannot access them. Even though P&O treatment restores mobility and enables dependents to become contributors (i.e. taxpayers) by providing access to opportunities for education, training and employment, they are a low priority and innovation is needed to address the service gap in resource-constrained countries, like Myanmar.Over 400,000 people need P&O services in Myanmar. The country has one P&O School, established in 2015 by Exceed Worldwide to train local P&O professionals. There are 5 P&O clinics, two supported by Exceed and 3 by the Red Cross. These clinics collectively provide free services for some 5,000 patients per year, most of whom require lifelong care. The need to develop P&O training is equally clear, as Myanmar needs over 500 P&O professionals and the existing School can supply 15-18 graduates per year.Based on sector knowledge and experience, Exceed Social Enterprises (ESE), the other project partners and Exceed Worldwide believe that access to global supply chains and the introduction of commercial, more sophisticated P&O services alongside existing free services can transform this situation by introducing choice, creating a market, generating new income to expand the P&O sector and enabling many more people with disabilities to access life-altering services in new clinics.The Myanmar National Plan for Rehabilitation confirms Government's interest in private sector partnerships. The proposed feasibility study will draw upon ESE's experience with a similar initiative in Cambodia and will involve work with stakeholders to identify and address the technical, cultural, infrastructure, human, supply chain, financial, customer service and organisational issues and opportunities involved in moving to a demonstration project. In particular the study will develop business, implementation and execution plans and will assess the likely economic and social impact of a demonstration project and wider deployment of the proposed model.By generating new revenue through fair trade with clients who _choose_ a more sophisticated service, the project will contribute to more efficient funding of health systems, improved access to services, the creation of employment opportunities and the achievement of the goals of SDG 3\. By creating a new market, employment opportunities for P&O professionals and enabling more people with disabilities to access services which open the door to employment opportunities, the project supports the 'decent work and economic growth' objectives of SDG 8\."