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| Physiotherapy Project Profile |
Physiotherapy Project Profile
The Physiotherapy project was started in1989 by Sr.
Dorothea Hudert.
Since 1993 Sr. Dr. Marie Jose Voeten was the project
in charge to date.
For
all those years both, Caritas Germany
and Lillian Foundation have
supported the project.
Other stakeholders are:
Ø The
District Executive Director of Sengerema gives support through (Tanzania Social
Action Fund – TASAF).
Ø The
District Medical Officer of Sengerema provides support through Basket Fund.
Over the years, Sengerema Hospital Physiotherapy
Project has developed its capacity to treat disabilities; support them for
Education and Social services.
The department is the rehabilitation unit of the
hospital.
Dr. Carl Unsicker, retired orthopedic surgeon from USA
played a big role in this until his death. After Dr. Carl’s death in May 2011
the department was renamed Dr. Carl
Physiotherapy Unit as a token of gratitude for the great contribution of
Dr. Carl to the care of Children with Disability in our Hospital.
Vision:
An inclusive society in which children and youngsters with disability are
empowered to fulfill their potentials.
Mission:
KCBRP partner network that empowers children and youngsters with disabilities
through community-based rehabilitation (CBR) approach in collaboration with
other stakeholders in areas of education, health, social and livelihood in
Tanzania.
Karagwe
Community Based Rehabilitation Programme Background:
For many years Lillian Foundation have supported its Partner
Organization direct from the Netherlands headquarter. Since about early 2000’s,
a Strategic Partner Organization was appointed in Tanzania. The main Country
office was launched at Karagwe – Kagera. Thus the Karagwe Community Based
Rehabilitation Program (KCBRP) took over the administration, financial
management and supervisory activities to all other Partner Organizations in
Tanzania.
It was agreed that all Partner organization should adopt
community based rehabilitation approach / matrix. Therefore, KCBRP took the
initiative to train its partners.
CBR is a strategy within general
community development for the rehabilitation, equalization of opportunities,
poverty reduction and social inclusion of all people with disability.
It is implemented through the combined efforts of people with
disabilities themselves, their families, organizations and communities and the
relevant Governmental and non Governmental health, education, vocational,
social and other services.
Health, Education, Social / Inclusion,
Livelihood and Empowerment are the focus areas for implementing CBR.
The Activity
Indicator to every focus area is divided into:
Ø Child development (Direct assistance
to the Child)
Ø Enabling environment (Indirect
assistance to the Child).
The
Indicators are as follows:
|
FOCUS AREA
|
INDICATORS
|
|
Health
|
Assistive devices, Therapies,
Transport, Infrastructure related to homecare, advocacy, awareness raising
and others.
|
|
Education
|
Preschool, Primary, Secondary and
University education, Infrastructure related to education, Awareness,
Advocacy and Lobby related to education.
|
|
Inclusion / Social
|
Counseling, legal protection,
Recreation, Infrastructure related to home care, Awareness, Advocacy and
lobby related to policy on equal rights.
|
|
Livelihood/Empowerment
|
Vocational education / Skill
development, Self employment.
|
The
project aims are:
1) To diagnose and treat
handicaps which can be treated
2) Assist disabled with
appliances which enhance their participation in society
3) Assist disabled
children and youngsters so that they can get formal and professional education
4) Assist disabled
youngsters and caretakers of disabled to develop their capacity for self
reliance.
While we seek to continue
the project for handicapped children, we have two additional focuses:
1) Clinics for the follow up of our patients from
NICU, Premature unit, and malnutrition ward as well as clinics for cleft lips
patients before and after surgery.
2)
Support for the pediatric cancer care.
Target group(s):
Ø New born babies who need intensive medical
attention and provision of specialized care
Ø Handicapped children with cerebral
palsy, mental handicaps and physically disabled children
Ø Children in danger of developing
disability (e.g children with severe malnutrition, children with pediatric cancer)
Ø Parents, families, caretakers of
disabled especially handicapped children.
THE
WORKING STAFF:
Dr.
Sr. MarieJose Voeten: The Medical Officer In charge of the
hospital and the overall supervisor of the project.
Daniel
Mihayo: The Project in charge, he is a Seniour Paediatric
Nurse with a Diploma in management, he is overall Caritas and Lilian Fonds
Mediator.
Charles
Gabriel: is the overall In-charge of the Physiotherapy
department. Since January 2019 Flora
Karayi: a social welfare officer seconded by the District Executive
Director through Sengerema District Council
Aristidia
Rwenyemamu: is responsible for the administration of
payment vouchers.
Constancia
Samuel: is a Medical Attendant experienced at Physiotherapy
department, working closely adjacent with the Physiotherapist. She also
organized follow up visit / Clinics.
Rhoda
Philipo: is a Medical Attendant does cooking lessons at
children’s ward, home visit and advice. She also does cooking lessons to
malnutrition room at Children’s ward.
Misoji
Musa: is a Medical Attendant does cooking lessons at
children’s ward, home visit and advice. She also does cooking lessons to
malnutrition room at Children’s ward.
Mathias
Mchele: is a Technical department staff for making appliances
and repair of wheelchairs / tricycle. Sometimes he participates in home
visiting.
Paulo
Majenga: is a
Technical department staff for making appliances and repair of wheelchairs /
tricycle.
DaudiLushina:
is a Technical department staff for making appliances and repair of shoes and
prosthesis.
Below
is a Team for managing the added focus:
Dr. Rwezaura:
Pediatrician of CUHAS is the Consultant on medical care of all groups of
children involved.
Dr. Caroline Mtani: Assistant
Medical Officer (AMO) facilitating Doctor at NICU and is a teacher for “Helping
Babies Breathe.”
Dr. Paul Mayala: Assistant
Medical Officer (AMO) takes care of cancer patients.
David
Japhet: Registered Nurse who takes care of children with
malnutrition at Children’s Ward.
MANAGEMENT
There is an outreach
program for children with cerebral palsy and other disabilities. Parents are
supervised in the way they do exercises to their children and get advice about
nutrition and how to take care of the children.
The project facilitates
education for handicapped children on primary, secondary and vocation level.
Some are supported in professional courses. The aim is to give them a chance to
integrate into the Society and become self reliant.
There is involvement and
cooperation with the nutrition rehabilitation in the hospital, and a food
supplement program for handicapped children who need it. Handicapped children
who are admitted get food support. The home visitors are knowledgeable about
nutrition.
The project assists
children with handicaps ( e.g. spinal bifida and hydrocephalus ) to get
surgeries by BMC surgeons as well
occasionally supports treatment of children with Congenital Heart Disease ,
Burns and other chronic disease both at Sengerema hospital and Bugando Medical
Centre. Also the project facilitates the visits by surgeons from BMC and
Netherlands who come for handicap corrective surgeries: Osteotomies for bowlegs
and knock-knees, cleft lip surgeries.
Since 2016 the project
office started to coordinate support for children with cancer, who are treated
in Sengerema Hospital under supervision of doctors from both Bugando Medical
Centre and Muhimbili National Hospital Pediatric Cancer Ward (Tumaini la
Maisha). They supply the medication, fares /transport costs are reimbursed by
Tumaini la Maisha. Food and Investigations need fund and organization.
All above mentioned activities are done in
collaboration with Lillian Foundation, Caritas Germany, as well as other
benefactors from The Netherlands.
LILLIAN
FONDS REPORTING SYSTEM.
For many years Lillian
Foundation have supported its Partner Organization including Sengerema Hospital
Physiotherapy Project from the Netherlands headquarter. Since about one decade
or so a Strategic Partner Organization was appointed and that is Karagwe
Community Based Rehabilitation Program. Therefore all administration and
financial management moved to Karagwe where it was announced to be the Country
Office.
It
was agreed that all Partner organization should adopt community based
rehabilitation approach / matrix. CBR is a strategy within general community
development for the rehabilitation, equalization of opportunities, poverty
reduction and social inclusion of all people with disability.
It is implemented through
the combined efforts of people with disabilities themselves, their families,
organizations and communities and the relevant Governmental and non
Governmental health, education, vocational, social and other services.
Health,
Education, Social / Inclusion, Livelihood and Empowerment are the focus areas
for implementing CBR.
The Activity Indicator to every focus area is divided
into:
Ø Child
development (Direct assistance to the Child)
Ø Enabling
environment (Indirect assistance to the Child).
The Indicators are as follows:
|
FOCUS
AREA
|
INDICATORS
|
|
Health
|
Assistive
devices, Therapies, Transport, Infrastructure related to homecare, advocacy,
awareness raising and others.
|
|
Education
|
Preschool,
Primary, Secondary and University education, Infrastructure related to
education, Awareness, Advocacy and Lobby related to education.
|
|
Inclusion
/ Social
|
Counseling,
legal protection, Recreation, Infrastructure related to home care, Awareness,
Advocacy and lobby related to policy on equal rights.
|
|
Livelihood
|
Vocational
education / Skill development, Self employment.
|
|
Empowerment
|
As
above.
|
CARITAS
GERMANY REPORTING SYSTEM
The reporting system
remains to be the same, although the template is complicated to control,
sometimes it misbehaves leading to wrong projections.
Another change we
experienced is sending the documents. One needs to follow the accepted formats:
-
Word
document: The accepted format are docx, dotx
-
Excel
document: The accepted
format is xlsx, xltx
NET
WORKING
:
Sengerema Hospital
Physiotherapy Unit is the home of the project. Sengerema hospital pays the
salaries of all staff on contract and other day to day costs of the department.
We continue working
closely together with the two Special Education Units which are Sengerema and
Kizugwangoma primary school These Special Education Units mentioned are also
Liliane Fonds beneficiaries.
Our relationship with the
District Council is good.
FKT – Foundation Karibu
Tanzania deals with abused children, victims of domestic abuse. We still
communicate very closely. The medical officer in charge is a Board member. We still accept any abused children who need
our attention for treatment and supported by the project. Currently the project
has difficult in running cost.
KCBR in Karagwe has the National Coordination
Office of Lillian Foundation. We work closely together.
Radio Sengerema is the coordinating media in the District;
they are always ready to help announce visits of specialists for a reasonable
fee.
FUTURE
PLANS:
Initiate special clinic to manage
children with Cleft Lip and Palate.
Monitor children for speech therapy after cleft
surgeries.
Develop support groups for sustainable services to
children with disability.
Special request from KCBRP that we have to present it
not late than 5th April, 2021, it should be sent almost the same
time when we are sending our first quarter implementation report.
