The role of the physiotherapy department in Adina Foundation Uganda is to provide Physical Rehabilitationto Children with Physical disabilities through physiotherapy, provision of assistive devices and facilitating children to access lifesaving surgeries. Assessment of children to benefit from the services provided by AFU is done in the field, at outreach clinics and at AFU premises. Those that qualify to benefit from AFU are then admitted for treatment either as inpatients, outpatients or at the outreach clinics.
Most children treated as inpatients are those that have or are yet to undergo surgery. These undergo pre and post-surgical management which includes but is not limited to serial casting, wound management and Physiotherapy. The period of stay for such children varies between 3months to 6months on average. One of the main reasons why these children stay at the Rehabilitation Centre for inpatient services is to avoid relapses.
Outpatient service is meant for children that cannot be admitted at the Centre possibly because they are too young, the nature of their condition does not warrant that they stay at the Rehabilitation Centre or because they stay near to the Rehabilitation Centre and can afford to travel on the appointment days.
Because patients come from far and wide, AFU conducts outreach clinics in some sub counties of Lira and Alebtong districts. This is done in a bid to move services closer to the children with disabilities and their families. AFU works with established government structures in this case the Health Centre’s who host the outreach clinics. Apart from moving services closer to the communities, the clinic also serves as a point of referral for the Health Centre to AFU and post-surgical wound management for AFU patients. As AFU expands into other districts, the number of outreach clinics will increase.
The physiotherapy department also provides assistive devices such as tricycles, wheel chairs, crutches and walking frames to AFU clients to aid their mobility.
AFU works with two organizations to provide lifesaving surgeries to its clients. Children with hydrocephalus and spina bifida are facilitated to access surgeries from Cure children’s hospital in Mbale which is a specialized children’shospital. Orthopedic and plastic surgeries for children are conducted by Comprehensive Rehabilitation Services in Uganda (CoRSU) another specialist hospital in Kisubi-Entebbe.
Below, Social worker and child during counseling session at Lira Rehabilitation Centre