walk for life - the national clubfoot program of bangladesh
TRANSCRIPT
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
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
Challenge 2
Accelerate
•
Ponseti training in Government Hospitals.Open clinics.The key:train and service delivery at same time
Turn off the tap and unleash
Ponseti Power!As Bangladesh orthopedic surgeons become trainersEvery clinic an informal Training centre.
Challenge 3
Assoc. Prof. Dr. Krishna Priya Das, BSMMU and Assoc. Prof. Dr. Sayed Ahmed, RMCH at training workshop.
“is our program. It’s our responsibility to take care of it.”
Assoc. Prof. Dr. Krishna Priya 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
MOU signed with government :To promote clubfoot awareness in 12000 Community Health Clinics. Provided hot line number 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
Celebrating World Clubfoot Day in Dhaka, Bangladesh on 2015. In addition 10
other Walk for Life clinics around the country.