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.
The vision of JPRC is to see people with disabilities rehabilitated, respected, integrated and fully participating in an inclusive society.
JPRC is committed to giving physical and spiritual healing to persons living with disabilities in the communities of the Roman Catholic Archdiocese of Arusha.
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
During this period from January to December 2020 the centre managed to achieve the following: