Tanzania Clubfoot Care Organization TCCO By Dr Rachel

Tanzania Clubfoot Care Organization (TCCO) By Dr. Rachel Nungu. TCCO coordinator

TCCO HISTORY • -Collaboration from BCCP, URRC, CCBRT, Mnazi Mmoja Hospital(Zanzibar) • First Meeting February 2014 -Dar es salaam • 2 nd meeting -February 2015 • Support fom Miraclefeet

VISION • To ensure every child with clubfoot in Tanzania receive timely and quality treatment using PM as a gold standard treatment hence providing them with equal opportunities to lead active and productive lives. • MISSION; To ensure all Clubfoot Children in Tanzania have access to quality treatment they deserve within recommended time

OBJECTIVES • Advancement of clubfoot treatment across Tanzania promotion -media, quality training sites • Development of Best practices for parent education and Community outreach • To develop guidelines for best practices for treatment of all clufoot children • To develop advocacy strategies to lobby for policy in support of clubfoot treatment at all administrtive levels • Initiation of a study to determine Clubfoot incidence rate in the country

ADMINISTRATIVE TEAM • • • Chairperson- Dr Robert Mhina Vice chairperson- Dr Isidor Ngayomela Secretary- PT. Emmanuel Kowero Treasurer/Coordinator- Dr Rachel Nungu Executive committee-Salim Ali Dr Prospe Alute Board Member- Mathew Shayo

STRENGH • • • Increased number of clubfoot patients at existing clinics Expanding /Establishing more clinics Standardized patient records Over 70 providers trained in the PM across the country Local production of braces Mandated free care for children under age five at public/government-supported hospitals • Good national dialogue and improving collaboration between Ponseti providers nationally, facilitated by TCCO

CHALLENGES • Inadequate number of providers, regionally and nationally, trained in PM • Insufficient government funding for treatment supplies • Lack of governmental policy concerning the treatment of clubfoot • Wide-spread poverty, making it difficult for patients to access treatment • Stigma associated with clubfoot and lack of general public awareness • Insufficient data on clubfoot in certain regions and zones • Difficulties with data collection and communication from remote clinics • Administrative support exceeds current need • Providers working in isolation without opportunities to learn, share, and collaborate

FUTURE PLANS FOR TCCO • To be SUSTAINABLE • Link with MOH and the Gorvenment in General • Ensure PM is gold standard for treatmentcuriculums, trainings, • Increase community awareness of clubfoot and its treatment

• THANK YOU