Follow up at Out Reach Clinics

and Homs visits

Ambrose Ganshanga

Therapist, OURS SB/H and CBR Team leader

Experience the reality of follow up

Experience the reality of follow up

OURS

(OURS) Organized Useful Rehabilitation Service. Is a community based program that,

Empower children with disabilities and their families in South /West of Uganda to participate in society with an enhanced quality of life through provision of accessible, hollistic and affordable rehabilitation service

Follow up at Out Reach Clinics and

Homs visits Aim- To promote inclusive development

of SB/H Children(Health, Social,

Education, Livelihood, and Empowerment)

Follow up at Out Reach Clinics and Homs

visits is part of activities of CBR.

But why inclusive development important

in implementing CBR?

Consider a case of example of a Spina bifida

child identified deep from the Villages of Isingiro

during the home visit:

Jane is a beautiful 5 years old child except that she was born with Spina bifida and club foot. Shortly after two weeks her head increased the size abnormally. Her mother was chest from the husband’s family saying she was cursed and she returned to her poor parent’s family deep in the village. On identification Jane was a smiling four years old Child. However she already had contractures, pressure sores all over the body, Urinary tract infections, and smelling urine. She was always left at home alone and could not interact with peers thus excluded from the main stream of development.

Follow up at Out Reach Clinics and

Homs visits From the example above all the areas of

child development are affected in one way

or another.

There for Holistic Rehabilitation is not

possible without promoting inclusive

development through Follow up.

What do we need to prepare for

follow up Have all your materials and equipments

for implementing all areas of inclusive

development in one package.

Have a folder of all documents to assess

and evaluate the progress of the Client

Be Therapeutic; Have a flexible mat and

some toys. You may find the house

closed!!

Remember to pack Folic acid

What do we need to prepare for

follow up Have you teaching materials

Have a folder of list of all SB/H clients

Have a map of your area of coverage

List clients from the same sub county find

their treatment/management files.

List the clients on a cord; name, parents,

village and local leader, contact if any.

What do we need to prepare for

follow up Keep all the documents in your bag and

travel with a card in your hands

Travel to the furthest stage towards the

clients stay.

Meet Motorists/boda boda at the stage

and discuss with them the need of what

your doing.

Use village structures

In case they cannot located the Clients

family, ask them to take you to the Local

leader (chair person of the village)

Introduce yourself to the family/ local

leader and why your there.

Initiate relationship with the client/care

giver and sit down with them

Attend to the Client

Curry out your assessment and compare

the results with previous clients status.

Areas of assessment; Home situation,

Presentation of the client, Home

rehabilitation, Environmental situation,

Intervention, Recommendations

Intervention

Base on the positives (Abilities) to deal

with the Limitations

Involve other members of the family. This

make SB/H child included in daily life

activities and support the main care giver

Bring Fathers on board to support

mothers

Agree with the Client/care giver on

treatment plan and what next/ review

Community involvement & net

working Visit service providers in the area; Health

centers, schools to get the child included

Use the groups you have involved to

identify the new clients in the area and to

support them.

Give them information materials

Attend to the Client

Get siblings involved

Get all parents involved

Bowel Wash Out is Possible at

Community level

Use locally available materials

Demonstrate practical activities

Families and Communities have a

role to play

Families and Communities have a

role to play

Train the community, be at the same

level

Rehabilitation for big numbers

Promote other inclusive

development activities

Records

Wright down the summary of your activities

In the clients file and Clients record book

which acts as their reference.

Leave the family with a different attitude

I wish you can see the smile of Jane now!!!!

Thanks for listening.

You may know us!