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Follow up at Out Reach Clinics
and Homs visits

Ambrose Ganshanga
Therapist, OURS SB/H and CBR Team leader
Experience the reality of follow up
Experience the reality of follow up
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
Follow up at Out Reach Clinics and
Homs 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?
Consider a case of example of a Spina bifida
child identified deep from the Villages of Isingiro
during 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.
Follow up at Out Reach Clinics and
Homs 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.
What do we need to prepare for
follow 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
What do we need to prepare for
follow 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.
What do we need to prepare for
follow 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.
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
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
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
Community involvement & net
working
 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
Attend to the Client
Get siblings involved
Get all parents involved
Bowel Wash Out is Possible at
Community level
Use locally available materials
Demonstrate practical activities
Families and Communities have a
role to play
Families and Communities have a
role to play
Train the community, be at the same
level
Rehabilitation for big numbers
Promote other inclusive
development activities
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.
You may know us!

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Follow up at_outreach_clinics_and_homevisits_ambrose_ganshanga

  • 1. Follow up at Out Reach Clinics and Homs visits Ambrose Ganshanga Therapist, OURS SB/H and CBR Team leader
  • 2. Experience the reality of follow up
  • 3. Experience the reality of follow up
  • 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. Follow up at Out Reach Clinics and Homs 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. Consider a case of example of a Spina bifida child identified deep from the Villages of Isingiro during 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. Follow up at Out Reach Clinics and Homs 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. What do we need to prepare for follow 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. What do we need to prepare for follow 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. What do we need to prepare for follow 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. 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. 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. 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. Community involvement & net working  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. Attend to the Client
  • 17. Get all parents involved
  • 18. Bowel Wash Out is Possible at Community level
  • 21. Families and Communities have a role to play
  • 22. Families and Communities have a role to play
  • 23. Train the community, be at the same level
  • 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.