THE SALVATION ARMY DUAKWA COMMUNITY REHABILITATION CENTRE ANNUAL REPORT DUAKWA C.R.P. 2015 CONTENTS History of the Centre………………………………………………………………………………1 Summary of 2015 Output………………….………………………………………………………2 Health Service Delivery…………………………………………………………………………...3 2015 Outpatient Outputs...………………………………………………………………………...6 Education Output…………………………………………………………………………………. 7 Care and Support for PLHIV…………………………………………………………………… 8 Human Resource for Health………………………………………………………………………10 Staff Capacity……………………………………………………………………………………..11 Health Financing…………………………………………………………………………………..12 Health Information………………………………………………………………………………..13 Health Technologies………………………………………………………………………………13 Community Ownership and Participation…………………………………………………………14 Partnership for Development………………………………………………………………………14 Research for Health………………………………………………………………………………..15 Successes…………………………………………………………………………………………..16 Challenges…………………………………………………………………………………………17 The Way Forward…………………………………………………………………………………18 Acknowledgment & Appreciation………………………………………………………………..18 Conclusion………………………………………………………………………………………..19 Appendix …………………………………………………………………………………………19 THE SALVATION ARMY DUAKWA COMMUNITY REHABILITATION CENTRE ANNUAL REPORT 2015 BRIEF HISTORY OF THE CENTRE Since 1922 “The Salvation Army” as an international movement has operated in Ghana and is involved in various sectors of the Social, Medical and Community services. The Rehabilitation Centre situated at Agona Duakwa was established since 1986 by the Salvation Army Ghana Territory through the effort of Major Margret Tucker, a British Missionary and an Officer of the Army as well as the people of Duakwa. The essence was to cater for the marginalized, deprived and more especially children and adults living with disability. Following the United Nations Convention on the Rights of Persons with Disability and the emphasis by the UN Secretary - General Ban Ki - moon calling on governments, civil societies and the global community to work alongside persons with disabilities and stating how crucial their participation is to achieve inclusive and sustainable development worldwide, (2nd December,2013 –Ban) the Duakwa Rehabilitation Project in the central region and its management in their quest to deepen its historical records as well as fulfilling these global standards decided, in line of its vision to include all people in the society. Currently, the project is under the direction of Major Heather Craig (Director of Medical, Social and Community Services) whiles Mr. Ato Hayford is the local Administrator (Manager) and is responsible for coordinating all the rehabilitation activities at Agona Duakwa and the Territory. THE SALVATION ARMY MISSION STATEMENT The Salvation Army, an international movement, is an evangelical part of the universal Christian church. Its message is based on the Bible. Its ministry is motivated by the love of God. Its mission is to preach the gospel of Jesus Christ and meet human needs in His name without discrimination. DUAKWA COMMUNITY REHABILITATION PROJECT MISSION STATEMENT To serve souls and serve suffering humanity by providing rehabilitation to children and young persons with disabilities in the name of the Lord Jesus Christ. This we do in fulfillment of the Salvation Army’s philosophy of One Army, One Mission, and One Message. LEADERSHIP & GOVERNANCE The Centre worked on the following goals in the year 2015: To facilitate the processes of community rehabilitation for children and young persons with disabilities in our catchment areas in Ghana To improve the integration of children with disabilities via the establishment of mother support group towards social inclusion To improve the level of independence in daily living skills of our clients through therapy, education and care from our staff To strengthen collaboration among major stakeholders and partners for better services to the community To improve evangelism through routine morning devotions for both staff and clients To improve access to appropriate education for children with cerebral palsy and intellectual disabilities through professional diagnosis and assessment SUMMARY OF 2015 OUTPUTS Forty nine (49) new inpatients and one thousand, one hundred and fifteen (1,115) new outpatients with disabilities in our catchment areas and communities were given professional rehabilitation services. Thirty two (32) in-patients were discharged and integrated into their various homes and families after rehabilitation. Fifteen (15) community outreach trips were made to rural communities within the year to improve access to rehabilitation services. These communities were mainly located in the Central, Ashanti and Eastern regions of Ghana. A total of one hundred and nineteen (119) inpatients children mostly less than eight years were provided with daily therapy resulting in improvement in their conditions. Thirty two (32) needy and orphaned children had access to formal basic education within the community. Ninety three (93) people living with HIV/AIDS were organized into a formidable support group. Twelve (12) Monthly meetings were held by the group of which sixty three (63) were actively involved. Nine five (95) mothers of cerebral palsy children and other related deformities were organized into four (4) support groups. Regular attendance at this meeting was between thirty five (35) to forty (40) members. The physically challenged mothers support group is currently made up of thirty (30) members. Out of this number, fifteen (15) to twenty (20) were regular at the monthly meeting. In all four hundred and forty one (441) young persons with various disabilities received rehabilitation services during the year 2015. HEALTH SERVICES DELIVERY (In patients with disabilities) - 2015 Outputs Duakwa C.R.P had an average of fifteen (15) admissions per month. Forty nine admissions were made and thirty two discharged during the year, 2015. One hundred and nineteen (119) children were provided with daily exercises via physiotherapy. Three hundred and sixty parents with children and other individuals with disabilities were given psycho-social counseling to reduce trauma and stigma. A cerebral palsy child in an adapted A Child with Club feet wearing Dennis chair on admission Brown Boots on admission Community Integration Thirty two (32) in- patients were discharged and integrated into their various homes, families and communities after rehabilitation. While at the Centre, the mothers were taken through the daily exercises so as to continue with the process at their various homes leading to total rehabilitation and independence. The mothers were also counseled and sensitized on how to take good care of their children. Special Events World HIV/AIDS Day - about one hundred and fifty (150) Basic School children, teachers, persons living with HIV, social workers from the Duakwa community rehabilitation project and the general community participated in world HIV Day celebration in Agona Nsaba. There was a route march with brass band and placards to raise awareness on stigma and discrimination among community members. World Disability Day- the day which fell on 3rd December, 2015, was not celebrated with its usual pageantry and street march. Rather, we did it on a low key note to the benefit of some school children in Duakwa community (Duakwa Methodist Basic). The occasion enabled the CRP staff to interact with the children on their view about disability and how to make way for inclusion of PWDs in schools and communities. Christmas Party – this happy occasion was held on 18th December, 2015, in the premises of the CRP for PLHIV, the orphaned and the vulnerable children and not forgetting the mother support groups. The patronage was very high as many clients came from far and near. The occasion wouldn’t have been complete without the presence of the Duakwa Salvation Army Band which dished out both local and foreign Christmas carols to the dancing feet of the mothers and the children. Motivational speeches were intermittently delivered by the staff of CRP and the mothers themselves. Also in attendance were three (3) Norway volunteers. Food and drinks were later served. At the end of the day, each attendee was given a package consisting of rice, cooking oil, canned fish and biscuits in addition to transport fares for their various destinations. Memorable footage from the Annual Christmas Party Evangelism and Church Activities Morning devotions played a vital role in the activities of Duakwa C.R.P. during the year under review. Some of the daily morning devotion activities included bible reading, prayers, singing, motivational and spiritual messages. Mothers on admission and clients also went through similar devotion before the start of the day’s activities at the Centre. 2015 OUT PATIENT’S OUTPUTS Three hundred and nineteen (319) new children had access to rehabilitation services due to well planned community awareness creation on disability issues. Some of the topics during the programme included: Possible causes of disabilities How to avoid some of the disabilities Early intervention strategies Discrimination and stigmatization Social inclusion of PWDs The potentials of PWDs The importance of mother support group and education on HIV The CRP carried out community outreach in the following communities: Wiamoase and its surroundings in the Ashanti Region. Ofoase, Banka, Ekorso/Akenteng and their catchment areas in the Eastern Region. Baah, Bobikuma and other communities in Agona East District in the Central Region.