developing comprehensive sustainable services in kenya the association for the physically disabled...
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DEVELOPING COMPREHENSIVE SUSTAINABLE SERVICES IN
KENYA
THE ASSOCIATION FOR THE PHYSICALLY DISABLED OF KENYA
Amman – Jordan 8th to 11th of December 2009
Kenya
East Africa – Capital Nairobi Population 39 Mio. 52% population live below 1$ per day 4.7% prevalence of disability (1.8 Mio.) 38% physical disability Disability Act passed in 2003 Ratified UN Convention May 2008 Rehab services very limited in Government –
largely NGOs and faith based organisations
1958 – 2008 50 YEARS
OF EMPOWERING PERSONS WITH DIFFERENT ABILITIES
The APDK VisionAn inclusive society where
persons with different abilities enjoy equal rightsand have access
to comprehensive quality rehabilitation services
The Mission
To enable persons with disability
to overcome their physical limitations and empower them
socially and economically
to become self reliant and fully integrated members of their
communities.
APDKEstablished in 1958 as an NGODeveloped 7 branches in the 1970th
1992 – NORAD withdrew – 5 branches closedNairobi branch survived due to rental incomeCoast Branch developed 5 programs – 330
employees2002-2006 revived upcountry branches
integrated in Government hospitals funded by
CIDA and BMZ ( CBM Co-funding )
Network of nine main branches in largest towns in Kenya integrated in Government hospitals
15 satellite branchesExtensive CBR programs in slums of
Nairobi and Mombasa330 Mobile outreach clinic stations440 employees (221 persons with
disabilities)54 Government attached Therapists and
Technologists
Impact in 2009:Reached 56,000 people with disabilities in
the country through various servicesUndertook 1,650 orthopaedic surgeriesCorrected 820 clubfeet –PONSETTI-Produced 15,400 orthopaedic appliancesProduced 4,600 appropraite wheelchairsCollaboration with 220 CBOs with 4,400
memerbs for economic empowerment (2,800 received loans)
Rights based model through twin track
APDK FUNDING 2009
Sales crafts and furniture € 700,000
CBM € 450,000
USAID –Wheelchair services € 200,000 Ministry of Health personnel €
100,000 Kindernothilfe €
100,000 Latter Day Saints Charities € 200,000Other Wheelchair sales/sponsors € 300,000 Various other int. & local donors € 240,000Rental income Nairobi € 50,000Total €
2,340,000
The APDK services
Bombolulu Handicraft CentreEstablished in 1971Jewellery, Textiles, Woodcarvings,
LeatherCultural Centre140 employeesExporting to 20 countries
Employment bureau
Established in August 2009 in Nairobi Lobby private and public sector to employ
persons with disabilities in line with Disability Act Collects and disseminates CVs from qualified
and interested persons with disabilities seeking formal employment
Training, counselling and follow up of persons with disabilities who secure employment
APDK Appropriate wheelchair
services
Wheelchair Services NairobiYear Wheelchairs Trikes
Sports wheelchair. Total
1999 68 18 86
2000 161 26 187
2001 218 95 313
2002 333 100 433
2003 342 320 662
2004 415 381 796
2005 420 540 960
2006 240 360 600
2007 801 1106 1907
2008 787 1806 90 2593
August 2009 1492 1327 26 2845
Proj. 2009 2000 1950 50 4000
Proj. 2010 4000 3000 100 7100
USAID Support2005: $ 50,000
Funding of wheelchairs, testing and research2006: $ 200,000
Construction of wheelchair workshop, machines, training, capacity building
2007/8: $ 422,000 Showroom, machines, stock of materials, training,
research, national stakeholders conference, special seating departments, micro finance
2009/11 $ 600,000 Capacity building, national distribution network 22
hospitals , outsourcing, research, product development
KAIZEN RESTRUCTURING
Lean manufacturing based on Toyota model of constant
improvement Improve manpower productivity and skills Increase quality and reduce wastage
Result: Production increased from 100 to 300
wheelchairs and trikes per month
Partnership with Latter Day Saints Charities
USA
Lobbied representative at WHO Bangalore conference in November 2006
Signed MOU for funding of 1200 appropriate wheelchairs in 2007
increased to 1800 per month in 2008 Reduced to 1000 in 2009/2010
Customers of APDK HANDICAP INTERNATIONAL
Kenya (Refugee camps) Sudan Democratic Republic of Congo Latter Day Saints Charities Sudan ICRC CCBRT Dar Es Salaam and Moshi Kenyatta National Hospital Nairobi MADE Uganda DISACARE Zambia AIC Cure Kijabe LOREWO Namibia and Zimbabwe Medical care development international Rumbek
Southern Sudan Sudan Evangelical missions
Tenwek Hospital PCEA Kikuyu Hospital NAD Ustratuna Juba Sudan Sierra Leone MAP (Malawi against polio) GYDA Guru Uganda Techno Relief services Médecins san frontieres GTZ Care International Katalemwa Cheshire Home Uganda Eritrea Several government hospitals in Kenya
Prospects: HI Rwanda and Burundi, CORSU Uganda
EU Funding CCBRT and APDK
Reducing the prevalence of disability and mitigate the effects of impairments by increased community awareness, strengthening maternal and newborn care and providing comprehensive early intervention services.
Research Setting up Research department in APDK Undertake global research to identify most
appropriate high quality low cost technologies Organizing consensus workshops to develop
most appropriate P&O products and wheelchairs for East Africa
Standardize technologies, materials and products
Field and lab testing Central souring, warehousing and regional
distribution
Sustainability Strategy
Integrate services into Government hospitals funded by Ministry of Medical Services for sustainability
Lobby National Hospital Insurance fund for funding of rehabilitation services
Lobby National Disability Fund for funding of wheelchairs and appliances
Develop social business model as global distributor of appropriate appliances and wheelchairs