About Our Work
MiracleFeet’s Senegal program started in 2017 in partnership with DAHW, an international German relief organization established in 1957 to provide sustainable assistance to the sick and marginalized in developing countries. Active in Senegal for over 35 years, DAHW’s vision is a world in which no one suffers from poverty-related diseases. With a clear understanding of the devastating consequences of untreated clubfoot, DAWH Senegal, located in Dakar, is committed to increase access to treatment for this leading cause of physical disability.
Prior to MiracleFeet’s support, the majority of clubfoot cases in Senegal went either untreated or partially treated. Without proper equipment, supplies, training, or support, most clinicians were not equipped to fully treat patients using the Ponseti method. The treatment that was available generally involved surgery and was too expensive for most families to afford.
In partnership with DAHW, MiracleFeet plans to treat 70% of children born with clubfoot in Senegal with high-quality care. Strategies include: early detection and referral, parental education and engagement, family and community awareness, and provider training and support.
DAHW oversees advocacy efforts for integrating clubfoot into national policies and national health systems. Additionally, an elaborate community awareness strategy is currently in development which will involve a variety of stakeholders including providers, parent advocates, religious leaders, as well as media outlets. The plan will raise clubfoot awareness and educate and encourage parents to pursue treatment for their children.
Senegal is a hub of ACT trainings, the standard curriculum designed specifically for learning and applying Ponseti skills in low-resource settings, across the region. Additionally, providers use CAST, a mobile data management app that helps track and improve treatment quality and outcomes.
The clubfoot treatment program is implemented in government clinics with qualified clinicians (orthopedic surgeons, medical doctors, physiotherapists, and nurses) to ensure further integration and ownership. Currently, Mercyships and MiracleFeet are collaborating to train clinicians on all aspects of ACT (Basic, Advanced, and Train the Trainer).