This presentation provides an overview of Pehla Qadam in Pakistan. Pehla Qadam is program headquartered in Indus Hospital, Karachi, Pakistan. Pehla Qadam aims to eliminate untreated clubfoot from Pakistan, India and the world.

1. Clubfoot – A crippling birth defect
that can be fixed with simple casts
Program Overview for Potential Donors – July 2012

2. Untreated Clubfoot Cripples Life
• 1/1000 births have clubfoot. ~Equal distribution in race, gender
• ~200,000 annual births with clubfoot
• Unfortunately only ~20% get correction
• Millions live crippled lives because lack of simple knowledge

3. Treating Clubfoot is Simple
8-12 weeks of treatment can change a life forever
• 8-12 weekly casts
– Casts should start within 1 month of birth
• Simple heal-cord release club foot
normal foot
• 5-8 months of braces

4. Ponseti Method
• Dr. Ponseti developed the simple casting technique to
correct clubfoot in the 1960s at U of Iowa.
– The simple casting technique is now called the Ponseti
method
• Ponseti method is being promoted worldwide by the
Ponseti International Association (PIA)
http://www.ponseti.info

5. Introduction
Pehla Qadam
(translation: first step)
Mission: Eliminate untreated clubfoot
Method: Promote Ponseti method to
developing countries

6. Goals
1. Develop a local sustainable model for
club foot care in resource constrained
settings
2. Create public awareness about club
foot and its optimal management
3. Establish clubfoot treatment in
current hospitals

7. Initial Project
• Initial focus on Pakistan then expand into region
• Funding team in Indus Hospital, Karachi, Pakistan

8. Training for Doctors
• Trained Dr. from Pakistan in Iowa. Started clinic in
Pakistan Nov 2011
• Started creating Toolkit for expansion in Pakistan
– Marketing materials to increase awareness
– Training manuals for clinics
– Ecosystem development (braces, education)

9. Current Status
• Total 100+ feet have been corrected since Sept 2011
• New pictures from Clinic are uploaded weekly on Facebook
• Website has more info
http://www.pehlaqadam.org

10. Road Map – Next Steps
• Present results from pilot program and costing study at
International Clubfoot Conf. in Iowa, October 2012
• Expansion of the program in Pakistan
– City, National
– Enable Nationwide sustainable model
• Scalability, Capacity, Personnel, Financial, M&E,
Reduce Costs
– Work with Ponseti Institute Association to help Regional/Global
outreach

11. Pehla Qadam Background
• US based family with personal experience
provided initial funding in mid 2011
• Indus Hospital in Karachi, Pakistan manages Pehla
Qadam programs
• Working closely with University of Iowa

12. How Can You Help
• Like us on Facebook, spread the word
• Donate Generously
– $250 treats one child
– Zakat, Sadaaqa, Charity are applicable
– You can donate online, via check, wire transfer or payment
in Karachi. For more info visit the website
Web: http://www.pehlaqadam.org or fixclubfoot.org
Contact: Muzaffer Haider. mhh5@hotmail.com
Amer Haider. amerhhh@gmail.com