DEVELOPING COMPREHENSIVE SUSTAINABLE SERVICES IN

KENYA

THE ASSOCIATION FOR THE PHYSICALLY DISABLED OF KENYA

Amman – Jordan 8th to 11th of December 2009

Kenya

East Africa – Capital Nairobi Population 39 Mio. 52% population live below 1$ per day 4.7% prevalence of disability (1.8 Mio.) 38% physical disability Disability Act passed in 2003 Ratified UN Convention May 2008 Rehab services very limited in Government –

largely NGOs and faith based organisations

1958 – 2008 50 YEARS

OF EMPOWERING PERSONS WITH DIFFERENT ABILITIES

The APDK VisionAn inclusive society where

persons with different abilities enjoy equal rightsand have access

to comprehensive quality rehabilitation services

The Mission

To enable persons with disability

to overcome their physical limitations and empower them

socially and economically

to become self reliant and fully integrated members of their

communities.

APDKEstablished in 1958 as an NGODeveloped 7 branches in the 1970th

1992 – NORAD withdrew – 5 branches closedNairobi branch survived due to rental incomeCoast Branch developed 5 programs – 330

employees2002-2006 revived upcountry branches

integrated in Government hospitals funded by

CIDA and BMZ ( CBM Co-funding )

Network of nine main branches in largest towns in Kenya integrated in Government hospitals

15 satellite branchesExtensive CBR programs in slums of

Nairobi and Mombasa330 Mobile outreach clinic stations440 employees (221 persons with

disabilities)54 Government attached Therapists and

Technologists

Impact in 2009:Reached 56,000 people with disabilities in

the country through various servicesUndertook 1,650 orthopaedic surgeriesCorrected 820 clubfeet –PONSETTI-Produced 15,400 orthopaedic appliancesProduced 4,600 appropraite wheelchairsCollaboration with 220 CBOs with 4,400

memerbs for economic empowerment (2,800 received loans)

Rights based model through twin track

APDK FUNDING 2009

Sales crafts and furniture € 700,000

CBM € 450,000

USAID –Wheelchair services € 200,000 Ministry of Health personnel €

100,000 Kindernothilfe €

100,000 Latter Day Saints Charities € 200,000Other Wheelchair sales/sponsors € 300,000 Various other int. & local donors € 240,000Rental income Nairobi € 50,000Total €

2,340,000

The APDK services

Bombolulu Handicraft CentreEstablished in 1971Jewellery, Textiles, Woodcarvings,

LeatherCultural Centre140 employeesExporting to 20 countries

Employment bureau

Established in August 2009 in Nairobi Lobby private and public sector to employ

persons with disabilities in line with Disability Act Collects and disseminates CVs from qualified

and interested persons with disabilities seeking formal employment

Training, counselling and follow up of persons with disabilities who secure employment

APDK Appropriate wheelchair

services

Wheelchair Services NairobiYear Wheelchairs Trikes

Sports wheelchair. Total

1999 68 18   86  

2000 161 26   187

2001 218 95   313

2002 333 100   433

2003 342 320   662

2004 415 381   796

2005 420 540   960

2006 240 360   600

2007 801 1106   1907

2008 787 1806 90 2593

August 2009 1492 1327 26 2845

Proj. 2009 2000 1950 50 4000

Proj. 2010 4000 3000 100 7100  

USAID Support2005: $ 50,000

Funding of wheelchairs, testing and research2006: $ 200,000

Construction of wheelchair workshop, machines, training, capacity building

2007/8: $ 422,000 Showroom, machines, stock of materials, training,

research, national stakeholders conference, special seating departments, micro finance

2009/11 $ 600,000 Capacity building, national distribution network 22

hospitals , outsourcing, research, product development

KAIZEN RESTRUCTURING

Lean manufacturing based on Toyota model of constant

improvement Improve manpower productivity and skills Increase quality and reduce wastage

Result: Production increased from 100 to 300

wheelchairs and trikes per month

Partnership with Latter Day Saints Charities

USA

Lobbied representative at WHO Bangalore conference in November 2006

Signed MOU for funding of 1200 appropriate wheelchairs in 2007

increased to 1800 per month in 2008 Reduced to 1000 in 2009/2010

Customers of APDK HANDICAP INTERNATIONAL

Kenya (Refugee camps) Sudan Democratic Republic of Congo Latter Day Saints Charities Sudan ICRC CCBRT Dar Es Salaam and Moshi Kenyatta National Hospital Nairobi MADE Uganda DISACARE Zambia AIC Cure Kijabe LOREWO Namibia and Zimbabwe Medical care development international Rumbek

Southern Sudan Sudan Evangelical missions

Tenwek Hospital PCEA Kikuyu Hospital NAD Ustratuna Juba Sudan Sierra Leone MAP (Malawi against polio) GYDA Guru Uganda Techno Relief services Médecins san frontieres GTZ Care International Katalemwa Cheshire Home Uganda Eritrea Several government hospitals in Kenya

Prospects: HI Rwanda and Burundi, CORSU Uganda

EU Funding CCBRT and APDK

Reducing the prevalence of disability and mitigate the effects of impairments by increased community awareness, strengthening maternal and newborn care and providing comprehensive early intervention services.

Research Setting up Research department in APDK Undertake global research to identify most

appropriate high quality low cost technologies Organizing consensus workshops to develop

most appropriate P&O products and wheelchairs for East Africa

Standardize technologies, materials and products

Field and lab testing Central souring, warehousing and regional

distribution

Sustainability Strategy

Integrate services into Government hospitals funded by Ministry of Medical Services for sustainability

Lobby National Hospital Insurance fund for funding of rehabilitation services

Lobby National Disability Fund for funding of wheelchairs and appliances

Develop social business model as global distributor of appropriate appliances and wheelchairs