KCH uses the CBR approach to take its services closer to the community, including parents and children in the rehabilitation process as well as using locally available resources to improve the conditions of the children in the communities. With this approach, KCH conducts community outreach clinics, home based care visits in the various parts of the country. CWDs are provided with on spot therapy, medication, appliance measurements, training parents in therapeutically activities, and make appropriate referrals. The CBR approach enables Katalemwa to implement and promote more inclusive systems of health and rehabilitative care.

Home Based Care

Teams of KCH staff regularly travel to clients’ homes as a means following up on CWDs and their families to monitor progress, utilization and viability of the rehabilitation interventions. This provides an opportunity for KCH to adapt services to suit specific needs of individual CWDs in their home environments and involve all family members in the rehabilitation process.

In the course of the home based care visits, the team provides various services including assessment of CWDs, occupational therapy, physiotherapy, counselling, measurement and fitting of assistive devices, construction of therapy equipment at home using locally available raw materials and empowering caregivers with basic rehabilitation skills. The team also meets with community leaders to create awareness about disabilities and their management.

Community Outreach Clinics 

KCH regularly sends health workers to rural areas to perform community outreach clinics. Community outreaches enable KCH to implement and promote more inclusive systems of health and rehabilitative care. Through these outreaches, children in the community benefit from assessment and screening, on-the-spot rehabilitative care, measurement and fitting for assistive devices.

As a means of ensuring a comprehensive service, the outreach program is executed by a professional multi-skilled team comprising of physiotherapists, nurses, occupational therapists, social workers and orthopaedic technologists. During the community outreaches, children are assessed and provided with on spot therapy or referred to nearby health centres. The team collaborates with the medical personnel in the communities for continuity purposes.

Those with complicated conditions are referred to KCH for intensive rehabilitation, medical care and specialized services including surgeries. These outreaches would not be possible without the support of HealthyWorld Foundation and International Federation for Spina Bifida and Hydrocephalus (IF).