Supporting and initiating health programs in Bangladesh since 2004

Bangladesh2009

Tragedy for up to 5000 children, and their families, born with clubfeet every year.

Some surgery and Ponseti service– very fragmented.

Huge numbers risk developing neglected clubfeet

What does the future hold?

So many untreated feet. Dr Rouf at Jessore District hospital 2009.

Fast forward to June 2015

Year 2009 Year 2010 Year 2011 Year 2012 Year 2013 Year 20140

500

1000

1500

2000

2500

3000

3500

4000

89

1530

2427

2846

32673513

Fast forward to June 2015

“It is, the most successful clubfoot program I have seen worldwide.” Frederick R. Dietz, MD,

Professor of Orthopedic Surgery

Lets be proud of our achievement

Challenge 1

Teach the Ponseti MethodFocusing on a multi-disciplinary

team approach.•Orthopedic Surgeon• Nurse/Physiotherapist • Medical Assistant• Parents

Add in Committed Volunteer teachers

From 6 nations

26 visits between

2009 and now.

The Ponseti salute at Khulna on the day Prof Ponseti died.

Challenge 2

Accelerate

•

Ponseti training in Government Hospitals.Open clinics.The key:train and service delivery at same time

Signed MOU – GF and Government.

Clinic opening by mother with clubfoot child

Walk for Life Clinic Days

Seminar on Successful Clubfoot Management to Prevent Disability in Bangladesh

In addition 12 New clinics2014

Turn off the tap and unleash

Ponseti Power!As Bangladesh orthopedic surgeons become trainersEvery clinic an informal Training centre.

Challenge 3

A Prof Said and A Prof Das at training workshop.

“is our program. It’s our responsibility

to take care of it.”

Assoc. Prof. Dr. Krishna Priyo Das,Orthopedic Surgery Department, BSMMU

Quote:

10 orthopedic Surgeons as master trainers +42 Orthopedic surgeons overseeing Clinics +22 full time Ponseti Physiotherapists+22 full time Ponseti assistants+11 250 supporting parents + 7 administration = a very successful Ponseti program

We estimate85 000 casts

25 000 braces

Challenge 4

Build awareness

sign at every government hospital

MOU signed with government :To promote clubfoot awareness in 12 000 Community HealthClinics. Hot line gives many patients.

2009-2010 2013-20140

2

4

6

8

10

1210

4

Age (Month)

Age (Month)

Really important: average age of patient keeps dropping!

Parent support groups.Tell me and I’ll forget; show me and I may remember; involve me and I’ll understand. Old Chinese proverb

Challenge 5

The Steenbeek Braceapologies to Michiel!

Challenge 6

Challenge 7To transfer information world wide

by publishing research.

Challenge 8

Instruct the child they must tell their parents: “I must wear my brace every night ”!!

The reward. Transforming Lives !

Rokeya

Tamim

Momin

Koli

Liza

Kawsar

Arafat

Celebrating World Clubfoot Day in Dhaka, Bangladesh

Its all worthwhile!

Many many people are contributing to the success of Walk for Life.

A lot of these people are here today.

There are many thousands of children who would like to say “Thank you”