Interbor, the international dome association of national Prosthetic and Orthotic (P&O) branch associations, has developed a program for developing countries to structure their P&O sector by means of founding small sized private enterprises or joint ventures with local partners and P&O partners from the developed world. The program is titled as:

"Private P&O Enterprises in Developing Countries" abbreviated as: PEDECO.

The main purpose to develop PEDECO is to ensure continuity of P&O care and provisions after emergency or first help, mostly provided by NGO's. Very often one sees that projects, originally set up by NGO's in close collaboration with a national government, after 4 to 6 years turn over into the hands of a national ministry or authority. Due to various reasons it appears that the concerning country is not able to continue the original project. This means very often, sometimes from one day into the other, that physically handicapped persons face a sudden cancelling of their P&O care and provisions and that is where PEDECO tries to offer a solution.

Therefore the GOAL of PEDECO is:

Concrete it means:

For example the partnership or joint venture could exist of:

  1. a P&O workshop or person from the developed world, in order to transfer and support the professional knowledge and management,
  2. an orthopaedic manufacturer in order to guarantee the delivery of raw materials and components, as far as it does not exist in the country itself. Condition is that the manufacturer should be aware of the specific needs (socially and economically) in developing countries,
  3. a local participant, related to orthopaedics, in order to undertake the daily supervision,
  4. a local or national insurance company in order to get access to the national insurance system and insured people.

The 4 mentioned institutions could participate in the social- and funding capital. The first three institutions could have more or less, an equal share in the capital and the fourth a minority.

To establish a joint venture or a P&O enterprise, it is advisable to observe the guidelines for training personnel in developing countries for P&O services, as published by the WHO, Geneva 1990 and to contact Interbor about the need for appliances, the type and need of personnel, the time needed to educate and train personnel, the division of professionals per workshop, the manpower per workshop, the average number of P&O products produced per year in relation to the average amount of investment.