Follow up at_outreach_clinics_and_homevisits_ambrose_ganshanga

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Follow up at_outreach_clinics_and_homevisits_ambrose_ganshanga

  1. 1. Follow up at Out Reach Clinicsand Homs visitsAmbrose GanshangaTherapist, OURS SB/H and CBR Team leader
  2. 2. Experience the reality of follow up
  3. 3. Experience the reality of follow up
  4. 4. OURS(OURS) Organized Useful Rehabilitation Service. Isa community based program that, Empower children with disabilities and their families in South /West of Uganda to participate in society with an enhanced quality of life through provision of accessible, hollistic and affordable rehabilitation service
  5. 5. Follow up at Out Reach Clinics andHoms visits Aim- To promote inclusive development of SB/H Children(Health, Social, Education, Livelihood, and Empowerment) Follow up at Out Reach Clinics and Homs visits is part of activities of CBR. But why inclusive development important in implementing CBR?
  6. 6. Consider a case of example of a Spina bifidachild identified deep from the Villages of Isingiroduring the home visit:  Jane is a beautiful 5 years old child except that she was born with Spina bifida and club foot. Shortly after two weeks her head increased the size abnormally. Her mother was chest from the husband’s family saying she was cursed and she returned to her poor parent’s family deep in the village. On identification Jane was a smiling four years old Child. However she already had contractures, pressure sores all over the body, Urinary tract infections, and smelling urine. She was always left at home alone and could not interact with peers thus excluded from the main stream of development.
  7. 7. Follow up at Out Reach Clinics andHoms visits From the example above all the areas of child development are affected in one way or another. There for Holistic Rehabilitation is not possible without promoting inclusive development through Follow up.
  8. 8. What do we need to prepare forfollow up Have all your materials and equipments for implementing all areas of inclusive development in one package. Have a folder of all documents to assess and evaluate the progress of the Client Be Therapeutic; Have a flexible mat and some toys.You may find the house closed!! Remember to pack Folic acid
  9. 9. What do we need to prepare forfollow up Have you teaching materials Have a folder of list of all SB/H clients Have a map of your area of coverage List clients from the same sub county find their treatment/management files. List the clients on a cord; name, parents, village and local leader, contact if any.
  10. 10. What do we need to prepare forfollow up Keep all the documents in your bag and travel with a card in your hands Travel to the furthest stage towards the clients stay. Meet Motorists/boda boda at the stage and discuss with them the need of what your doing.
  11. 11. Use village structures In case they cannot located the Clients family, ask them to take you to the Local leader (chair person of the village) Introduce yourself to the family/ local leader and why your there. Initiate relationship with the client/care giver and sit down with them
  12. 12. Attend to the Client Curry out your assessment and compare the results with previous clients status. Areas of assessment; Home situation, Presentation of the client, Home rehabilitation, Environmental situation, Intervention, Recommendations
  13. 13. Intervention Base on the positives (Abilities) to deal with the Limitations Involve other members of the family. This make SB/H child included in daily life activities and support the main care giver Bring Fathers on board to support mothers Agree with the Client/care giver on treatment plan and what next/ review
  14. 14. Community involvement & networking Visitservice providers in the area; Health centers, schools to get the child included Use the groups you have involved to identify the new clients in the area and to support them. Give them information materials
  15. 15. Attend to the Client
  16. 16. Get siblings involved
  17. 17. Get all parents involved
  18. 18. Bowel Wash Out is Possible atCommunity level
  19. 19. Use locally available materials
  20. 20. Demonstrate practical activities
  21. 21. Families and Communities have arole to play
  22. 22. Families and Communities have arole to play
  23. 23. Train the community, be at the samelevel
  24. 24. Rehabilitation for big numbers
  25. 25. Promote other inclusivedevelopment activities
  26. 26. Records Wright down the summary of your activities In the clients file and Clients record book which acts as their reference. Leave the family with a different attitudeIwish you can see the smile of Jane now!!!!Thanks for listening.
  27. 27. You may know us!

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