An estimated 1.5 million people in Peru have a disability and, due to insufficient health insurance, lack of transportation, lack of protection of rights, and a lack of rehabilitation services and facilities, among other factors, face significant hurdles accessing timely quality care and treatment. Since 2010, the Child Orthopedics and Traumatology Service of the National Institute of Child Health has led the treatment of clubfoot and report that 85% of Peruvian patients have trouble accessing proper clubfoot care.
MiracleFeet’s partner in Peru, Center for the Empowerment of People with Disabilities (CEMPDIS), is a civil organization focused on addressing the needs of children with disabilities. CEMPDIS’ efforts are driven by the fundamental principles developed by the movement for the rights of people with disabilities in Peru. Its mission is to contribute to the development of an inclusive culture which guarantees social, cultural, economic, political, and educational conditions for the inclusion of people with disabilities.
MiracleFeet is dedicated to ensuring that children born with clubfoot have access to quality and timely treatment by providing organizational, technical, and financial support to its partners while helping to ensure that clubfoot is integrated into the national public health system.
In partnership with CEMPDIS and other stakeholders, MiracleFeet aims to: enhance clubfoot early detection and referral pathways; increase treatment coverage for children born with clubfoot in Peru; facilitate training, mentoring, and capacity-building services to ensure the health workforce is equipped to consistently provide high-quality treatment; and provide other forms of support to ensure that clinics continually deliver quality care.
Partner activities in the country include advocacy campaigns, education for parents and community health agents, and strengthen the workforce through clinical and program training to provide quality clubfoot treatment and facilitate early detection and referral pathways by frontline health workers. CEMPDIS will also coordinate with the disability program of the Ministry of Health to conduct early detection and referral convenings with key stakeholders such as community leaders and health centers. In addition, it plans to work to integrate clubfoot treatment into medical school curriculums so that students learn about the Ponseti method and can advise community health centers on the importance of early detection and referral.
Dr. Julio Segura, a champion of the Pontesi method, is the program’s medical advisor who will support by using culturally friendly approaches through training, mentorship, and supportive supervision to ensure high treatment quality The program currently supports two clubfoot clinics in Lima with expansion plans in cooperation with the Ministry of Health and other key stakeholders.