ST JOHN PAUL II

Introduction

We thank God that despite the difficult situation worldwide during the Covid 19 pandemic the centre was open and continues providing rehabilitation services to persons with disabilities. This is annual narrative report starting from 1st of January 2020 to 31st December 2020. The report will provide an overview of the implemented activities during the period.

Vision statement:

The vision of JPRC is to see people with disabilities rehabilitated, respected, integrated and fully participating in an inclusive society.

Mission statement:

JPRC is committed to giving physical and spiritual healing to persons living with disabilities in the communities of the Roman Catholic Archdiocese of Arusha.

Featured Works

Educational different programs and Ocassions

Specific Project objectives

  • Children and adults with physical and mental disabilities are rehabilitated.
  • Children and adults with disabilities are empowered in education and have professional skills after rehabilitation
  • Communities are aware of the needs and rights of PWD and take responsibility in supporting them.
  • The Archdiocese of Arusha plays an active role towards the sustainability of JPRC in collaboration with relevant stakeholders

Activities

Identification of people with disabilities

During this period a total number of 354people with disabilities were identified. 198were identified during outreach and 153 cases were referred to our center through another system of referrals (hospitals, institutional referrals and self-referrals).

Developing individual plans with specific indicators for rehabilitation

The individual plans developed to each PWD’s attended rehabilitation services based on needs and ability.

Organizing outreach clinics and home visits in the catchment areas

villages were visited in the 5 districts during outreach clinics. The total number of people with different disability attended was 363; the majority were male (N=223) female were 140. The new cases were 155, follow up were 208. (See annex V – Outreach visits January to December 2020).

Providing pre and post operative care for children and adults with disabilities

64 children and adults with disabilities received pre and post operative care at the rehabilitation centre.

Organizing and providing physiotherapy for PWD’s

Physiotherapists provided physiotherapy services to PWD who attended at the centre, during outreach and home visits.

During this period the Physiotherapists at the centre attended 532 patients with different disabilities. The majority were male (n=344). The new cases were 237 and follow up were 295. The leading conditions were Cerebral palsy (n=200) followed by tallipesequino varus/club foot (n=95) and the third condition was knee deformities (Genu valgus/ Genu Varus) (n=41). The majority of knee deformity was operated to correct the deformities and received post operative physiotherapy management before discharge. Some of the patients with knee deformity was not operated the reasons being the cancellation of the trips to Tanzania for the visiting Orthopedic Surgeons from Abroad and financial constrains to some of the patients. Awareness creation was done to parents about Health Insurance so as to benefit from

Follow up visit and assessment of a child with clubfoot

Children with tallipesequino varus/club foot received regular manipulations and casting to correct their feet deformities before the surgery (tenotomy).

Cerebral Palsy weeks

During the year 2020 we had seventh sessions for children with cerebral palsy. In thethird period we had only two CP cases due to COVID 19 pandemic. The parents/ caretakers of cerebral palsy (CP) children came at the centre and stayed for two weeks for physiotherapy services and other managements according to their clinical presentations

During this period, three sessions of cerebral palsy weeks was organized. We attended 122children with different problems. The majorities were male 80 and female were 42. The new cases were 51 and follow up cases was 71.

Provision of special diets for children with severe malnourishment

Special diets provided to 40 children with disability during the rehabilitation care at the centre to restore their health nutritional status.

Provisions of appropriate appliance and supportive aids

During this period 72people with different disabilities were provided with 91appropriate appliances and supportive aids to assist them in undertaking the activities of daily living and improve quality of life.

Referring children and adults with disabilities to other service providers

47 people with disability were referred to other service provider outside the centre for further management and after the treatment they were returned back to our centre to continue with the treatment plan as per individual requirements.

       KCMC Hospital – 35

       ALMC Hospital – 27

        Machame Hospital – 9

        Selian Lutheran hospital –6

        Nkoaranga – 17

        UsaRiver Rehabilitation- 11

        Plaster house -3

Program Archievements

During this period from January to December 2020 the centre managed to achieve the following:

  • During this period people with disabilities who visited the centre for rehabilitation services were 532, new cases were 237, follow up were 295.
  • Total number of admission for the period were 751
  • People with disability who were operated were 51
  • Total number of PWD’s seen during outreach were 363, male were 220, female were 143. The new cases were 161, and follow up were 202
  • Total number provided physiotherapy service were 532
  • Orthopaedic devices was fabricated to 72 people with disability and 91 devices were fabricated
  • Prognosis of the rehabilitated patients was good, Majority of the orthopedic cases achieved maximum correction and live an independent life
  • Seventh (7) sessions of cerebral palsy weeks was organized. We attended 122 children with different problems. The majorities were male 80 and female were 42. The new cases were 51 and follow up cases were 71
  • Increased number of PWD’s during outreach and also those coming at the centre for rehab services despite the COVID19 pandemic disease
  • Resurvey work for the centre was done and already approved. Follow up on the title deed is on progress
  • Shifting of water pipe line about 365 meters from new plots to reserved area was done was done (Tanzania Military Academy water pipeline)
  • Reconstruction of one underground water tank done to reduce water problem
  • We managed to secure funds from the Archdiocese – Bishop Office and other friends of the centre in order to support on the running cost for treatment, food income generating projects and other costs
  • Two proposals to improve services at physiotherapy and orthopedic department were prepared for sustainability of the centre
  • Reassessment of income Generating projects at the centre was done.
  • The centre received certificate of appreciation from Tanzania Clubfoot Care Organization for continuing providing treatment to children with clubfoot during COVID19 pandemic

Challenges

  • Centre sustainability. 85% of the total running cost for the centre depends on funding from external donors and only 15% is a local contribution. This is a challenge for the continuation of the centre activities hence more local support is required for the sustainability of the centre.
  • Cost sharing-Majority of the rehabilitated PWD’s were not able to contribute to rehabilitation costs, more efforts were done to search more fund to cover the hospital bills
  • The centre’s registration as a Home for Children under the Commissioner of Social welfare Office is still a challenge on ongoing services for JPRC. Needs to review the registration with the relevant authority
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Future plan

  • To improve the income generating projects focusing on the recommendations provided during assessment. Evaluation will be done after 6 months
  • Ensure the cost sharing scheme and establish cost recovery activity for rendered services in order to secure continuity of the activities
  • To publish the Centre through broadcasting, designing brochures and calendars
  • Lobbying to the local Government to support the work done at the centre by providing annual grant
  • To sensitize and encourage persons with disabilities to join the health insurance schemes
  • Lobbying the Government to link other specialized services in the health insurance scheme.
  • Build close collaboration with other actors and stakeholders in the community in order to support people living with disabilities
  • Lobbying and searching for internal and external donors to support the centre in more sustainable way
  • Follow up on centre registration.

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