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MANAGEMENT OF CLUB FOOT DEFORMITY
(WALK FOR LIFE)

         # Manual Book -2013                            Updated: June,14

Action Plan                  The Glencoe Foundation : Clubfoot Program                    Present status

HNPSP - IHSM

Government Hospital

Private Hospitals & Clinics

Private Diagnostic Centre

Private Blood Bank

Medical Board

Cost Centres

Medical Waste Management

Referral System

Hospital Accreditation

Quality Assurance

Risk Management

Total Quality Management

Clinical Protocol

Management Development Program

Emergency Management

Poisoning Management

Hospital Autonomy

Safe Blood Transfusion

Community Participation

APR

Operational Plan

Women Friendly Hospital Initiative

EOC & Gender

Capacity Development

Establishment of Shishu Bikash Kendra

Memorandum of Understanding

The Ministry of Health, Bangladesh and Glencoe Foundation (registered Bangladesh NGO 2605)

 A strong working relationship between the Ministry of Health Bangladesh and Glencoe Foundation is an opportunity to greatly improve the life of children in Bangladesh suffering from club foot deformity. A common goal of both organizations is to eliminate clubfoot as a life long disability.

The co operative efforts of the two parties will provide high quality standards of club foot treatment in. Bangladesh in a manner which enables them to be successfully implemented and sustained over time.

Therefore the Ministry of Health and Glencoe Foundation have agreed to fully co- operate to ensure the success of the Walk for Life program.

The goal of the joint efforts will be to:

  1. Establish a network of club foot clinics with the intention of making club foot treatment accessible to every child born with club feet.

  2. Organize and sponsor medical education so there is a core of medical professionals trained in Ponseti treatment method and able to appropriately treat children born with club feet.

  3. Provide medical education to other healthcare workers so that clubfoot is identified at an early age and children are referred. to the appropriate treatment centers.

  4. Work with the Ministry of Health and other organizations to establish the program and ultimately establish long term funding and sustainability for club foot treatment.

  5. To work towards the introduction of formal training on the Ponseti Method in the teaching curriculum of doctors, physiotherapists, nurses and medical assistants in government and private teaching establishments. This will be undertaken by suitably trained medical professionals, the cost of whom is paid for by GF.

 

   

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MANAGEMENT OF CLUB FOOT DEFORMITY
(WALK FOR LIFE)

Action Plan

 

WALK FOR LIFE

 

 

 

 

BACKGROUND

 

·       Since 2009, Walk for Life has treated 12,000 feet! We began as a pilot project in Jessore and grew into 43 clinics around the country with the help of our partners and donors.

·       Sohel is one of many children whose feet have been corrected at the WFL clinics. He is from a very poor family and without the free of cost treatment he received from WFL,Sohel would not be standing on corrected feet.

·       It is with great pleasure that we are leading a sustainable clubfoot program in Bangladesh. We thank the Ministry of Health for their continue support in our work.

 

YEAR ROUND ACTION PLAN

 

Walk for Life was established in 2009 to correct clubfoot deformity using the Ponseti method.

 

Walk for Life is successfully embedding clubfoot care into the health system of the country under a 5 year MOU with the government.

This MOU ends in 2016, at which time the program will be handed over to the Ministry of Health.

WFL, with its partners, has established a network of clinics around the country. Currently there are 43 clinics: by August 2013 the network will be complete with 51 clinics. This includes the clinics in Chittagong Division under Zero Clubfoot.

 

Walk for Life is a well integrated total Ponseti care program. Very importantly it combines training with service delivery in government hospitals. Many organizations around the world provide workshops and training: however it is the service delivery that sets Walk for Life and its partners apart.

 

This project has:

 

·        Multi disciplinary training at many levels of teaching institutions (commencing 2013)

·        Works closely with this countries leading orthopedic surgeons

·        Detailed printed and visual training aids

·        Discussion, teaching and evaluation from practitioners around the world

·        Countrywide awareness that this condition can be corrected.

·        Research into outcomes

·        Skilled Ponseti practitioners in all clinics.

·        Brace manufacturing

·        Parent support groups

·        Long term monitoring

·        Comprehensive data base

·        Service delivery.

 

As at 1st of June 2013 over 8 500 children have enrolled in the program. That’s nearly 13 000 feet. See last page of newsletter for location of clinics.

 

We acknowledge the invaluable help and support from the honorable Minister of Health and Family Welfare Prof A F M Ruhal Haque.

 

SECTION ONE: Vision and Mission

 

  Vision

Ponseti training is embedded into the health system of the country. The deformity is recognized at birth and all these children have access to the best treatment and follow up whatever the parent's financial situation.

 

Mission

 

Provide training to all levels of health workers so that the condition is recognized at birth and so make quick referral to the network of clinics throughout the country.

Deliver multi disciple teaching and training in the Ponseti method.

Manufacture and supply a world class foot abduction brace.

Provide on going care to monitor results through parent support groups and trained practitioners.

 

Current challenges

Follow up visits

Frequent strike

 

 

 

 

 

Objective

Description

Responsible staff

Timeline

 

Year Round Action Plan / Activity Log Frame

 Teaching and practical training.

 

Establish regular training workshops in Teaching Hospitals for surgeons, nurses, and medical assistants. Instruction by orthopedic surgeons.

Upon request by multi discipline teaching colleges write lesson plans for integration into curriculum.

Ongoing training at all our clinics under supervision of orthopedic surgeon.

Write, Print and distribute teaching materials written by orthopedic surgeons and produce visual aids

Orthopedic surgeons

WFL co ordination

2013-2016

 

Midwives and 

Community health workers

Build awareness that as soon as they see abnormal feet at birth children are referred to a clinic.

Produce aids to assist in identifying these children.

Regular meetings and discussion with leaders of community health programs.

Use government agencies through Civil surgeons to reach community health workers, together with the network of 2000 community health clinics.

Clinic managers and assistants

Field staff

volunteers

2011-2016

 

Establishment of service delivery clinics in government hospitals

50+ clinics established throughout the country in government teaching and district hospitals. Skilled Ponseti practitioners staff these clinics. Each clinic makes long term plans in regard to training and follow-ups so that handover at end of program goes smoothly.

Orthopedic surgeons, nurses, medical assistants, physiotherapists

n

2011-2016

 

Community awareness building

Ongoing and extensive awareness program using miking, posters, handbills. Look for opportunities to promote in newspapers and TV.

Wide distribution of newsletter.

Work with service organizations such as Rotary. Regular updates to the 2000 community health clinics.

Clinic staff, field workers, Rotary clubs, other volunteers

Community health clinics

2011- 2016

 

Liaison with surgeons

Every two months mail all orthopedic surgeons with latest news on clubfoot treatment and general interest news. Regular meetings and social events with out 50 key orthopedic surgeons who supervise government clinics.

WFL staff

2011-2016

 

Build worldwide links

WFL is governing member of Global Clubfoot Initiative. WFL maintains extensive contacts with Ponseti practitioners around the world. Oversees guests visit to evaluate program. Bangladesh surgeons and Ponseti practitioner visit overseas. Bangladesh surgeons and physiotherapists are training Myanmar practitioners to establish their own WFL program.

Orthopedic surgeons, WFL staff

2011-2016

 

Parent support groups

A staff member is responsible for pioneering a parent support program tailored to Bangladesh culture and needs. A support group will be established in all clinics by end of 2013.

Clinic staff – supervisor WFL

2011-2016

 

Manufacture braces

A key part of our program. It is vital that children wear a foot abduction brace at night after plastering is completed. The ‘Bangla Brace’ is low cost and efficient. It is produced in Jessore and is distributed throughout the country.

WFL factory

2011-2016

 

Research Activity – data base

The huge number of patients allows us produce worthwhile research. We have commissioned software to allow real time reporting from all clinics.

‘The first 5000 feet’ has now been published in the Journal of Pediatric Orthopedics. Our second paper on evaluating 400 early patients is now being written.

Worldwide orthopedic surgeons. WFL staff

2011- 2016

 

 

Monitoring patients

Ensuring patients come back for their regular checkups is our biggest challenge. The new software (see above) should greatly assist in this.

Clinic staff. WFL staff

2011-2016

 

phase out

From June 2013 our program is focused on handing over a sustainable program to the government in the second half of 2016.

M of H, civil surgeons, superintendents, teaching staff, orthopedic surgeons, WFL staff

End 2016

 

 

 

 

 

 

   

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MANAGEMENT OF CLUB FOOT DEFORMITY
(WALK FOR LIFE)

Present Status

 

 

# WFL Newsletter

# DETAIL HANDOUT APRIL 2013

# Chart (Year Basis) From 2009 to June 2014

# Clubfoot day function

# Image