Jordan: Rehabilitation for people w/ disabilities

Injured by a bomb in Syria

My husband, Mohammed Hassan, is 31 years old. He has lived in a wheelchair since he suffered a spinal cord injury during a bomb attack in Syria, We got married a few years ago. We have no children. We now live in Irbid in Jordan.

Alia’s pivotal role

I play a pivotal role in helping Mohammed become more self-reliant, but I also have a disability. I’ve had cerebral palsy since I was 10 months old and I walk with a brace.

Mohammed did some physical therapy in 2014, which helped him with his mobility skills, such as rolling over in bed, using a walker and dressing. But he can’t move around without his wheelchair.

I take care of all the different aspects of Mohammed's daily life. I help him to dress, bathe and use the toilet. With Humanity & Inclusion’s support, we made the bathroom more accessible so he could be more independent. But he is still anxious about falling and often calls out to me for reassurance when he's alone in the bathroom. Whenever I go anywhere, I always make sure Mohammed knows what I am doing so he doesn’t get anxious.

I’ve organized a corner of the kitchen where he can make coffee and tea and help with the cooking, especially preparing the vegetables. This has boosted his self-esteem.

Mohammed has taken on some specific tasks, such as getting food and going to the market for supplies, as he enjoys being outdoors. We’ve set up some WhatsApp groups to help us communicate and coordinate our daily activities. The groups include "House" for household matters, "Wallet" to monitor our finances, and a "Cooking" group to keep track of the meals we’ve had and help us plan what we are going to eat next. We communicate mainly through voice messages. We think this is a good way of avoiding arguments and managing our lives more efficiently.

The challenge of being a caregiver

My life as a caregiver was particularly challenging when we were first married because I was still learning how to navigate everything.

Bedtime was set for 9 p.m., but sometimes we would get unexpected visits or inquiries from the building security guard or neighbors. When that happened, it was difficult for me to put my brace back on in time to answer the door. To solve this problem, HI helped us put a time management system in place. Now, no one is allowed to ring the doorbell after 5 p.m. This arrangement has proved useful because our routine isn’t disrupted.

Helping Mohammed at night can be particularly challenging for me, as I first have to put my brace back on. Despite this, I'm determined to provide him with whatever help he needs.

Knowing what helps Mohammed

My initial instinct was to help Mohammed without asking him, but HI advised me to always ask him whether he wanted my help, even for small things like putting his shirt on. This approach has made him more autonomous and taught me valuable patience and understanding.

Not everyone knows how to help Mohammed properly like I do. In fact, some well-intentioned people might inadvertently cause harm.

This is what motivated me to launch a personal initiative called “An Etiquette Guide for Interacting with People with Disabilities.” Now I give lectures to local societies to advocate for better treatment of people with disabilities and raise awareness of how to interact with them.

I also help Mohammed with exercises to prevent his muscles from stiffening and contracting. These exercises include leg stretches and applying hot towels.

One of the most demanding aspects of caring for Mohammed is dealing with his episodes of depression. This can be particularly tough, as he dwells on why he can't walk while others can. He’s nostalgic about his youth and sometimes he feels deeply emotionally exhausted. When he’s like this, I have to be there to support him emotionally and help lift him out of these episodes. It can be emotionally draining for me as well.

Encouraging him to find hobbies

Because he can’t read or write, I've signed Mohammed up for a literacy class to help him acquire these crucial skills. He has also expressed a strong interest in learning to use a computer, which is a great idea, so I‘ve also enrolled him in a class that will teach him computer skills.

Throughout our three years of marriage, we’ve faced a lot of challenges, including issues to do with married life and intimacy, which isn’t possible for Mohammed. These challenges have occasionally led us to seek counseling. Despite my tough exterior, I have my moments of vulnerability, and I often feel like a pillar supporting everyone around me. I've worked with people in even worse situations, but my commitment to my husband remains unwavering. I have a strong sense of purpose in life, even though I sometimes feel emotionally fragile on the inside. But I will persevere and put on a brave face when it’s needed.

Links:

• https://www.hi-us.org/en/country/jordan

Judy is an 8-year-old girl who lives in Amman, Jordan with her mother and her sister. When she was younger, a bacterial infection eventually caused her to lose mobility in her legs and develop a disability that affects her movement.

“She has a neurological condition called hydrocephalus and weakness in her lower limbs, so she uses a wheelchair to get around,” explains Suhad Abood Humanity & Inclusion (HI) Community-based rehabilitation manager. “She was unable to sit up on her own and has difficulty grasping objects. Judy participates in rehabilitation sessions, physical therapy sessions and occupational therapy sessions to help improve her movement and become more independent.”

After initially seeking rehabilitation services at a nearby hospital, Judy’s mother learned of the Primary Health Center, which opened in Amman in March 2022. The first of its kind, the center serves around 600 people per day and is easier for many members of the community to access since the hospital is often crowded. In the center, HI provides rehabilitation services such as physical and occupational therapy, and services that support people with cerebral palsy, survivors of stroke and individuals with mobility challenges.

Once Judy started coming to the center, she began to see changes. Her mother says that her hand movements improved to where she can now catch objects and sit up without requiring support.

During a visit to the center, HI’s rehabilitation specialists learned that Judy had never attended school.  “She is 8 years old, which is two years late for starting school,” Suhad says. “We contacted the Amman directorate to approve her registration, and she is now enrolled in school.”

Links:

• HI US Website