SOCIALIZATION OF PROJECT NO.

513 "COMMUNITY MENTAL HEALTH BILL/ LAW"

by Ayninakuna Bolivia | Oct 24, 2023 | Wawaspaq Program |

During Friday, October 13, 2023, an important socialisation event of the Community
Mental Health was carried out. This activity was organised by the Chamber of Deputies,
the Bolivian Psychiatric Society, the Wawaspaq Community Mental Health Program, CBM
Global, and the NGO Ayninakuna.
During the day, representatives from the respective entities in the area analysed the
different chapters, which were discussed at tables with the aim of contributing, reaching a
consensus to improve the Mental Health Law. The law's focus on rights and community
prioritises addressing the promotion, prevention, rehabilitation, and restoration with quality,
of the mental health, disorder, or illness of all individuals.

For this purpose, the Bill emphasises timely care at the various levels of the healthcare
system in Bolivia, starting from the primary healthcare level. This is because frontline
professionals will have the knowledge to identify psychosocial risks and mental
pathologies in the population on time, using different specific tools, in order to provide a
relevant, accessible, and timely intervention.
The day concluded by compiling the contributions and adjustments generously provided by
various national authorities, representatives from the Health Departments (SEDES) of the
9 departments, civil organisations, universities, organisations representing individuals with
psychosocial, mental, intellectual, and cognitive disabilities, as well as national and
international cooperation. Everyone is committed to mental health to continue to support
the legal processes that the bill will go through until its promulgation, regulation, and
enforcement, to ensure the mental health and overall well-being of all Bolivians.

TRAINING OF FACILITATORS IN THE MANAGEMENT OF mhGAP DEVELOPED BY

THE WAWASPAQ PROGRAM
by Ayninakuna Bolivia | Sep 15, 2023 |

The NGO AYNINAKUNA, with support from CBM GLOBAL in coordination with the Pan
American Health Organization (PAHO), conducted mhGAP facilitator training through the
Wawaspaq Community Mental Health Program. This training involves 45 professionals,
including short-term healthcare personnel, authorities, and the national Wawaspaq
program team. The event took place from September 12th to 15th in La Paz. Likewise,
complementary topics were facilitated, such as attention to violence and human rights,
presented by PAHO advisors from the Washington office. Professionals will complete the
training with the commitment to replicate the tool in their care services.

WHAT IS CLUBFOOT?
by Ayninakuna Bolivia | Sep 11, 2023 | Step by Step |

THEATRE FESTIVAL PROMOTING GOOD TREATMENT AT SAN XAVIER “A”

SCHOOL
by Ayninakuna Bolivia | Sep 4, 2023 | Wawaspaq Program |
The NGO Ayninakuna, through the WAWASPAQ Community Mental Health Program
financed by CBM GLOBAL, in coordination with the school administration, the teaching
staff, and the teachers leading in promoting good treatment, Basilia and Leopoldo Valda,
responded to the needs expressed by the children leaders of the San Xavier “A” school by
organising the "Promoviendo el Buen Trato" theatre festival.

The primary( ELEMENTARY) -level students of this school presented their sociodramas,
such as "The Forest of Friendship," "An Encounter at Recess," "Respect for Differences,"
"Living in Violence," "The Value of the Heart," "Decree to Be Happy," among other themes.
These presentations were part of the school violence prevention program. The children
presented a total of 12 plays adapted to the theme of violence, which they are often
familiar with. The plays emphasised messages that promote the values and principles of
good treatment, encouraging respect among peers.
The performances presented at the festival are the result of the training, information, and
awareness-raising on good treatment, which has been conducted throughout the
academic year in partnership with the school through the WAWASPAQ Community Mental
Health Program. During this time, the children demonstrated their knowledge and
commitment to the prevention of any form of violence within the school.

"An education with warmth always needs good treatment."

"An education with warmth always needs good treatment."

PSYCHOSOCIAL INTERVENTION SESSION OF THE WAWASPAQ COMMUNITY

MENTAL HEALTH PROGRAM
by Ayninakuna Bolivia | Sep 4, 2023 | Wawaspaq Program |

The Wawaspaq Community Mental Health Program of the NGO Ayninakuna, financed by
CBM Global, held the last psychosocial intervention session with the students of the
Sagrada Familia school this past day. This activity was designed with the purpose of
carrying out a psychosocial intervention aimed at improving emotional behaviour, reducing
hyperactivity, fostering the development of social skills, promoting the recognition of
emotions, and personal care for children, while considering their context analysis.

Throughout the academic year, a total of eight sessions were held. In these sessions,
actions were developed aimed at implementing support to children facing situations of risk,
and identifying the specific needs of each child for timely intervention.

HOUSING AND HOME GARDENS DELIVERY TO THE CBR POROMA PROJECT

BENEFICIARIES
by Ayninakuna Bolivia | Sep 1, 2023 | CBR Poroma |

The provisional delivery of 10 houses and home gardens was carried out through the
Community-Based Rehabilitation project in Poroma. This complementary community
development project was implemented with the aim of providing the neediest families a
safe haven and access to healthy food to improve the nutrition of children with disabilities
who have limited access to a variety of foods, thereby preventing malnutrition.
The delivery ceremony was attended by the main authorities, including Mr. Felipe Mamani
Villca, the mayor of the municipality of Poroma, and the entire council, alongside other
authorities. (Mr. Felipe Mamaní Villca, the Mayor of the municipality of Poroma, and
the entire council, along with other officials, were among the main authorities
present at the delivery ceremony.) They expressed their gratitude to KNH Kinder Not
Hilfe and to the NGO Ayninakuna for their work in support of people with disabilities and
their families, who are located in remote areas far from the town centre of the municipality
of Poroma.

THE STEP BY STEP PROJECT REACTIVATES THE ATTENTION TO CHILDREN WITH

CLUBFOOT
by Ayninakuna Bolivia | Aug 24, 2023 | Step by Step |

The Clubfoot project implemented by AYNINAKUNA NGO is reactivated in partnership

with ACAI and the financing of MIRACLEFEET in the departments of Chuquisaca and
Santa Cruz. On January 2, 2023, the agreement was signed to continue providing benefits
to ALL CHILDREN WITH CLUBFOOT in Bolivia. Currently, the following clinics are
operational:

SUCRE
Children's Hospital “Sor Teresa Huarte Tama”
Address: Lajastambo Zone in Sucre

Specialized Traumatology and Orthopedics Centre of the South -CETOS

Address: Barbados Street No 279 between Libertadores Ave.

SANTA CRUZ
French Municipal Hospital
Address: Santos Dumont Ave. two blocks before reaching the 7th ring. Paititi
Urbanization 129 in Santa Cruz
A BENEFICIARY OF THE CLUBFOOT PROJECT.

THE CBR POROMA PROJECT IN COORDINATION WITH THE ASSOCIATION OF

PEOPLE WITH DISABILITIES PARTICIPATES IN THE CULTURAL FESTIVAL SUB
CENTRALIA OF POROMA
by Ayninakuna Bolivia | Aug 13, 2023 | CBR Poroma |

The Association of People with Disabilities in the municipality of Poroma, in coordination

with the Community-Based Rehabilitation Project of AYNINAKUNA NGO and UMADIS,
participated in the Sub Centralia Cultural Festival of Poroma. This was done with the aim
of raising awareness and sensitising the population, promoting a more inclusive society in
the municipality.
CULTURAL FESTIVAL ORGANIZED BY AUTHORITIES OF SUB-CENTRAL POROMA.

TYPICAL DANCE OF THE MUNICIPALITY OF POROMA

This activity was developed by the Poroma sub-centralia, where 12 communities that
belong to the centralia participated. Thanks to the organising authorities of this event, the
participation of the members of the Association of People with Disabilities was promoted.
In this event, they demonstrated and expressed their abilities through cultural dance.
People with different types of disabilities who live in the municipality of Poroma
participated in this presentation.

ASSOCIATION OF PEOPLE WITH DISABILITIES PARTICIPATING IN THE POROMA

CULTURAL FESTIVAL

SIGNING OF INTERINSTITUTIONAL AGREEMENT BETWEEN PRIVATE UNIVERSITY

DOMINGO SAVIO AND NGO AYNINAKUNA
by Ayninakuna Bolivia | Aug 13, 2023 | Work in Networks |

Sucre, July 3, 2023

The NGO Centre for Diagnosis and Comprehensive Support for People with Disabilities
AYNINKUNA signed a memorandum of inter institutional cooperation with the private
university Domingo Savio Regional Chuquisaca to strengthen partnerships in academic
training and develop actions that promote a rights-based and community-oriented
approach with the active participation of students, professors, and university authorities
who are the key actors of this institution of higher learning.

The incorporation of future professionals who carry out university internships, as well as
the participation of graduates in forms such as internships, degree projects, theses, and
other methods of graduation, aims to contribute practical knowledge to enhance the quality
of life for vulnerable populations through the programs and projects implemented by the
NGO AYNINAKUNA.

Signing of a memorandum of inter institutional cooperation with the private university

Domingo Savio Regional Chuquisaca.

STEP BY STEP (PASITO A PASITO) PROJECT
by Ayninakuna Bolivia | Aug 5, 2023 | Step by Step |

TRAINING WORKSHOP ON TIMELY DETECTION AND TREATMENT OF CLUBFOOT,

TARGETING HEALTH PERSONNEL FROM RED 1
by Ayninakuna Bolivia | Jul 31, 2023 | Step by Step |

The NGO Ayninakuna, through the Step by Step project and with the financial support of
Miraclefeet, conducted a workshop for healthcare personnel from different centres within
Health RED1 of SEDES Chuquisaca. The training aimed to improve the early detection
and treatment of children born with Clubfoot in the department.
WORKSHOP WITH HEALTH PERSONNEL FROM HEALTH RED 1 - SUCRE
https://www.facebook.com/100077635362320/posts/
pfbid02V3DudpGaGy1CVe68SUJo2DTiFUUoYK6ui3gVqUTVAEN6i4oD6Z8UBf8LA5PaZ85el/?
sfnsn=mo&mibextid=VhDh1V

CONSULTANCY: FINAL EVALUATION OF THE WAWASPAQ COMMUNITY MENTAL

HEALTH PROGRAM 2020 – 2023
by Ayninakuna Bolivia | Jul 20, 2023 | Wawaspaq Program |

https://drive.google.com/drive/folders/1-90DpOEoRHmyzC4dpHpbXFQA_wnP2uvT?usp=sharing

THE WAWASPAQ COMMUNITY MENTAL HEALTH PROGRAM OF THE AYNINAKUNA

NGO CARRIED OUT ACTIVITIES TO ENCOURAGE GOOD TREATMENT AT THE
SAGRADA FAMILIA EDUCATIONAL SCHOOL
by Ayninakuna Bolivia | Jun 23, 2023| Wawaspaq Program|

Students from the Sagrada Familia school promote good treatment within the school
(Together against violence).

The WAWASPAQ Community Mental Health Program of the Ayninakuna NGO, in

coordination with the teachers of the Sagrada Familia school, carried out an activity on
May 8th at the institution. This activity, prepared by the teachers and children's leaders of
Good Treatment, was focused on the theme of good treatment, emphasising the theme of
empathy as a principle of good treatment and non-violence in the educational field. The
main goal was to promote the prevention of violence within the school through the
dissemination of messages.

"No to violence, yes to affection!"

All students participated in this event, where they created murals, socio-dramas, and
poems. They also engaged in reflection and learning activities to prevent all types of
violence. The activity concluded with the exhibition of murals displaying messages about
good treatment on the walls of the Educational Institution. Parents also participated in this
activity, supporting their children's work and emphasising the importance of reflecting on
the topics addressed.

Presentation of mural paintings with messages on the promotion of good treatment and
violence prevention made by students leaders of good treatment.

THE WAWASPAQ COMMUNITY MENTAL HEALTH PROGRAM CONDUCTED A

TRAINING WORKSHOP ON THE MANAGEMENT OF THE MhGAP GUIDE ON
MENTAL HEALTH
by Ayninakuna Bolivia | Jun 23, 2023 | Wawaspaq Program |
The Ayninakuna NGO, through its WAWASPAQ Community Mental Health Program,
conducted a workshop for healthcare personnel at the first level of the RED1 de SALUD in
the municipality of Sucre.
The AYNINAKUNA NGO, through the Wawaspaq Community Mental Health Program, with
the funding support of CBM GLOBAL, in coordination with the Departmental Health
Service SEDES Chuquisaca, and with the assistance of PAHO, conducted a training
workshop on the management of the MhGAP Mental Health Guide. This workshop, aimed
at healthcare personnel at the primary level of the RED1 SALUD in the Sucre-Chuquisaca
municipality, will enable the identification of mental health issues at the primary healthcare
level and provide appropriate response and guidance to the population in need. The
workshop took place on March 28th and 29th, with the participation of 15 healthcare
professionals. This guide is a technical tool developed by the WHO for the implementation
of the mhGAP Program.

SIGNING OF A COOPERATION AGREEMENT BETWEEN THE "AYNINAKUNA"

CENTRE FOR DIAGNOSIS AND COMPREHENSIVE SUPPORT FOR PERSONS WITH
DISABILITIES AND THE MUNICIPALITY OF SACABA.
by Ayninakuna Bolivia | Jun 19, 2023 | Step by Step |
https://fb.watch/lg8LBr7odX/?mibextid=RUbZ1f
COCHABAMBA
SOLOMON KLEIN SACABA HOSPITAL:
CONTACT: DR. ERWIN TORRICO = 76491105
ASSISTANT: B. ALEJANDRA CRESPO = 70381669

SUCRE
CHILDREN'S HOSPITAL - SOR TERESA HUARTE TAMA
CONTACT: DR. JUAN JOSÉ VILDOZO = 73468973
ASSISTANT: DR. EVELYN RHAYSSA VALDA = 73198699
SPECIALIZED TRAUMATOLOGY AND ORTHOPEDICS CENTRE OF THE SOUTH -
C.E.T.O.S
CONTACT: DR. AHMED ABUTAHA = 70846864
ASSISTANT: B. PAOLA AVERANGA = 67892342

SANTA CRUZ
FRENCH MUNICIPAL HOSPITAL HOSPITAL
CONTACT: DR. WALTER CUETO = 77655552
DR. LUIS ALBERTO COIMBRA = 71073314
DR. MOISES FLORES = 70886850
DR. VICTOR ROSADO = 71000653
ASSISTANT: B. PATRICIA ZEBALLOS = 6083884

The clinics are currently in operation with the support of MIRACLEFEET.

COMMEMORATING JUNE 3RD, WORLD CLUBFOOT DAY: Testimony of a Success
Story from the Step by Step Project
by Ayninakuna Bolivia | Jun 3, 2023 |Step by Step |
https://drive.google.com/file/d/17VzAeX1ijX7uBANy5aLbC-ptT-Xfn0Xv/view?usp=sharing

Your child is perfect; we just need to straighten their little feet.

ELIAN FLORES Picture (see video at the link)

WORLD CLUBFOOT DAY - JUNE 3rd.

by Ayninakuna Bolivia | Jun 3, 2023 | Step by Step |

June 3rd is World Clubfoot Day.

High-quality no-cost or low-cost Clubfoot treatment is available

SUCRE, June 3, 2023 – World Clubfoot Varus Day is June 3. It is a day to raise
awareness about clubfoot, a condition that affects millions of people worldwide, and an
opportunity to emphasise the importance of early detection, referral, and timely treatment.
Furthermore, this day celebrates the successes of those who have received and provided
treatment.
Clubfoot is one of the most common congenital defects and one of the leading causes of
physical disability worldwide. Most cases are diagnosed at birth and occur in otherwise
healthy infants. Clubfoot is easily identifiable by the inward and upward turning of the feet.
If it is left untreated, this disability could make walking extremely difficult and painful.
However, the position of their feet is the only medical barrier preventing the majority of
children with Clubfoot from living productive and fully functional lives.

Currently, there are 9.8 million people who were born with Clubfoot, and out of those, 7.8
million live with a disability due to the lack of access to proper treatment. Annually,
approximately 200 000 children (or 1 in every 700 births) worldwide are born with Clubfoot.
With appropriate treatment, over 95% can achieve complete correction and mobility.
Without treatment, children live with a severe disability and endure a lifetime of negative
health, societal, and economic consequences.

MiracleFeet is the world's largest organisation dedicated exclusively to the treatment of

Clubfoot. In BOLIVIA, 584 children are born with Clubfoot each year. The NGO "Centre for
Diagnosis and Comprehensive Support for People with Disabilities AYNINAKUNA" is
MiracleFeet's partner responsible for collaborating with local healthcare providers in
BOLIVIA to provide high-quality and cost-free care for Clubfoot. The goal is to eventually
integrate the treatment into the public healthcare system.

Clubfoot is correctable with the Ponseti method - an innovative and highly effective
medical intervention that results in complete correction of clubfoot, and full functionality in
nearly all cases. The treatment involves a series of weekly castings to gently reposition the
feet and a simple outpatient procedure to release the Achilles tendon, followed by the use
of an abduction brace for the foot, worn during sleep for 4-5 years to maintain correction
and reduce the risk of relapse. When it is initiated during infancy, the foot position is
typically corrected in six to eight weeks.

About MiracleFeet
MiracleFeet empowers local medical professionals with training and resources to provide
free or low-cost treatment for Clubfoot in 35 countries worldwide across over 300 clinics.
For more information, please visit www.miraclefeet.org.

About the Partner

CENTRE FOR DIAGNOSIS AND COMPREHENSIVE SUPPORT FOR PEOPLE WITH
DISABILITIES AYNUNAKUNA NGO

AYNUNAKUNA promotes the commitment of healthcare staff in Bolivia for early

identification, timely referral, and appropriate care using the Ponseti method for children
born with Clubfoot in seven public health facilities. They also motivate parents to complete
the treatment successfully with their children.
Visit www.ayninakunabolivia.org

VISIT OF KINDERNOTHILFE (KNH) FINANCIAL INSTITUTION TO THE COMMUNITY-

BASED REHABILITATION PROJECT IN POROMA
by Ayninakuna Bolivia | May 8, 2023 | CBR Poroma |
Meeting of the Interinstitutional Network for the Inclusion of Persons with Disabilities,
Municipal Authorities, and Kindernothilfe - KNH Financial Institution.

During the past week, the Community-Based Rehabilitation Project in the Municipality of
Poroma, implemented by the NGO Ayninakuna, received a monitoring visit from the
funding organisation Kindernothilfe - KNH Bolivia and Germany.

The agenda was successfully fulfilled, starting with an informative meeting with the
authorities responsible for the rights of the entire municipality, who are members of the
interinstitutional network for the inclusion of persons with disabilities in Poroma.
Mayor Felipe Mamani highlighted and expressed gratitude for all the support that
the Municipality receives to "assist this vulnerable population that, as authorities,
we often don't know how to address their needs, but now with the Community-
Based Rehabilitation project in Poroma, we understand our responsibilities.
Therefore, I called for continued collaboration towards the real inclusion of our
brothers and sisters with disabilities."

Words of appreciation from Mr. Felipe Mamani Villca, municipal mayor of Poroma.
Field visits to families with children and teenagers with disabilities, along with the progress
achieved in providing them with basic home-based rehabilitation knowledge, improving
their nutrition, and ensuring accessibility and safety in their homes, contribute to the
comprehensive development of all family members. These measures also serve as a
direct way to prevent developmental delays, deficiencies, and disabilities. The
complementary community development project, through the construction of family
gardens, helps them value the importance of good nutrition and generate economic
resources for other needs. The improvements in their homes provide security and greater
stability.

In addition, productive ventures with teenagers and young people with disabilities, who
have received significant support from the CBR project have been visited, as there are few
opportunities for them in the municipality. Within this context, some innovative initiatives
have been generated that are currently in operation and in the process of strengthening
with promising projections.

Visit to a family garden in the Colapucara community, a complementary project of

community development implemented by KINDERNOTHILFE-KNH.

Visit to the community of Colapucara with educational follow-up to a user of the community-
based rehabilitation project of Poroma.
From the NGO AYNINAKUNA, we are extremely grateful to KINDERNOTHILFE - KNH
Bolivia and Germany for the opportunity and trust in implementing the CBR project in the
Municipality of Poroma. We reiterate our institutional commitment to continue working with
dedication under the principles of the rights-based approach for children and teenagers
with disabilities.

A follow-up to a beneficiary of the project with productive entrepreneurship in the

community of Poroma.

MESSAGE FROM THE PROGRAM DIRECTOR OF MIRACLEFEET

by Ayninakuna Bolivia | May 8, 2023 | Step by Step |

Respectively, on the left, students learn casting techniques with Dr. Agustín Valcarce; on the right,
students learn with Dr. Enrique Rosales.
As we approach the end of the fiscal year, I want to express my gratitude for all the hard
work and dedication that has brought us this far. In March, we reached 1,243 new
patients, 100.5% of our annual target to date. This is a testament to the tireless efforts
of our 39 partners in the 36 countries we support. Your commitment to providing high-
quality treatment for Clubfoot and integrating it into public health systems is making a
profound difference in the lives of children born with this condition.

I have confidence that with our model of local partnership, strong systems and tools, and
the unwavering commitment of parents and providers, we will achieve our goal of 12,810
for this fiscal year. The success of your collaboration with the Ministries of Health and
other strategic allies in designing and implementing the program has been instrumental to
our achievements. Through national and regional training, clinic visits, community outreach
campaigns, parent engagement, supportive supervision, home visits, and the
establishment of new clinics and partnerships, you have made significant strides in
deepening the impact of our collective work.

We are particularly proud that several countries - Bangladesh, Liberia, Nicaragua,

Paraguay, Sri Lanka, Zimbabwe, and Tanzania - have already reached over 50% of the
estimated new cases, and we will continue working with all of you to further expand these
successes. We are also excited about the contributions of the new countries that have
joined us in this vital mission.

Looking ahead, we remain committed to reaching at least 70% of children born with
Clubfoot in the early months of life, while expanding our innovations to achieve effective
early detection and integrated referral pathways within community-led engagement
initiatives driven by partners. Thank you for your unwavering dedication to this vital work.
Together, we can continue to change the lives of children born with Clubfoot.

Emmanuel Otoo
Director of programs at MiracleFeet

Activities in Latin America

Mexico
APAC, our new partner in Mexico, organised a Basic ACT training in February with Dr
Enrique Rosales, Dr Agustín Valcarce, and Dr Daniela Ayala as instructors who trained ten
doctors in the Ponseti method for correcting Clubfoot. The program has enrolled new
patients and launched a social media campaign to raise awareness and identify cases of
Clubfoot deformities. Before the end of the fiscal year, two new clinics will be opened,
allowing us to reach more children born with this congenital defect.

Respectively, on the left, students learn casting techniques with Dr. Agustín Valcarce; on the right,
students learn with Dr. Enrique Rosales.

Activities in East Africa

Uganda
In April, the Uganda Ministry of Health organised a stakeholder meeting with 30
participants from various departments of the Ministry of Health, academic institutions, and
non-governmental agencies. The objective of the meeting was to develop a roadmap for
the integration of Clubfoot care. This will be reviewed and verified by the Government to
become a fully adopted national document for implementation by the Ministry of Health
with the support of MiracleFeet.
Clubfoot Integration Stakeholders Meeting participants.

The Clubfoot program in Uganda is expanding its reach by forming strategic partnerships
to help more children. Makerere University - Johns Hopkins (MU-JHU) has been
conducting a congenital defects surveillance program and referring cases to one of the
hospitals we support in Uganda. Under the guidance of Salimah Walani, MiracleFeet
Global Advisor, and the leadership of our CEO, Daphne Sorensen, and Director of
Programs, Emmanuel Otoo, a meeting was held with MU-JHU to collaborate more closely
on the Uganda integration roadmap and in the implementation of the national Clubfoot
program. MU-JHU has agreed to host a consultant who will support the performance of the
final roadmap in collaboration with the Ministry of Health. This is just one of the efforts
underway to develop national roadmaps, with similar initiatives in progress in Madagascar
and the Philippines.

Tanzania
The Tanzania Clubfoot Care Organization (TCCO) is dedicated to reaching children born
with Clubfoot everywhere, and is working on creating a clubfoot support clinic in the Nduta
and Nyarugusu refugee camps. According to the United Nations Refugee Agency
(UNHCR), as of March 31, 2023, there are 131,811 individuals in the Nyarugusu refugee
camp and 76,716 in the Nduta camp in Tanzania.
Source: https://data.unhcr.org/en/country/tza
TCCO is also committed to supporting the training of healthcare workers in the
countryside.

Activities in West and Central Africa

Sierra Leone
The filming of the video commissioned by MiracleFeet in Sierra Leone resulted in a short
film titled "Jonathan's Miracle Feet", which has been selected among over 780 entries as a
contender for the "Universal Health Coverage" category at the 4th Health for All Film
Festival by WHO.

Congo
Over 200 nursing students from the Paramedical School of Dolisie, participated in early
detection and referral training in April 2023. The Director of Studies and the Director of
Practice emphasised this activity's importance in integrating Clubfoot treatment into
national healthcare systems

QUE ES EDR???????

African College of Surgeons Conference, Togo, March 20-23

Our medical advisor and technical consultant from TSCF, Dr. Peace Amaraegbulam,
presented a review titled "The Impact of Ponseti Workshops on Healthcare Providers in
the Treatment of Clubfoot in the West African Subregion: The Nigerian Experience." This
served as an opportunity for the promotion and advertisement of our partner among the
surgical community, including orthopaedic surgeons from across West Africa, where best
practices are shared to enhance treatment quality in the region. Dr. Peace Amaraegbulam
also visited Programme des Incapacités Traumatisme et Réadaptation, MiracleFeet's new
partner in Togo, to exchange knowledge.

Activities in East Asia and the Pacific

Philippines
As part of their commitment to increase awareness of the Philippine National Clubfoot
Program, PNGOC participated in the Ugnayang Panlungsod press conference facilitated
by the City Information Office of Baguio. PNGOC's Executive Director, Mrs. Chi Vallido,
spoke about the support of MiracleFeet and the Philippine National Clubfoot Program with
the media, including Bombo Radyo and Bicol Net TV.

Ugnayang Panlungsod press conference in Baguio City facilitated by the City Information Office of
Baguio (left); PNGOC's Executive Director, Chi Vallido, speaking about the Philippine National
Clubfoot Program on Bicol NetTV (right).

Activities in South Asia

Nepal
In April, MiracleFeet's Co-founder and Strategic Advisor, Chesca Colloredo-Mansfeld and
a donor family visited the Hospital for Rehabilitation and Disabled Children (HRDC) in
Nepal as part of a fundraising campaign. During the visit, HRDC provided a tour of the
facilities and an update on the quality services they provide to children born with clubfoot
and other physical disabilities.
The HRDC family led by Dr. Bibek and Dr. Ashok Banskota extended a warm welcome to
MiracleFeet's donors.

Activities in the Middle East and North Africa

Morocco
MiracleFeet's partner, Premier Pas, met with the Department of Population at the Ministry
of Health (MdS) in Morocco to draft a 5-year memorandum of understanding with MdS to
strengthen the Clubfoot treatment program, primarily focusing on early detection and
referral pathways Endpoint Detection and Response (EDR). In March, Premier Pas
conducted a series of workshops on early detection and referral at the maternity ward of
CHU Marrakech and two other important public institutions in the city - Hospital Mnara and
Hospital Youssoufia - to strengthen the referral mechanism and enrol more children born
with clubfoot for treatment.

Training
The Regional LATAM Instructor Training (TTT) took place from January 29th to February
3rd, 2023. Dr. Gibran Mancheno, Dr. Telmo Tapia, and Dr. María Dolores Delgado trained
26 participants from Ecuador, Paraguay, Peru, Nicaragua, and Guatemala.
TTT participants

In February, MiracleFeet hosted the CAST Trainer Training (CAST ToT), hosted by TCCO,
in Tanzania. ToT). The participants were mainly physiotherapists and program
coordinators from Uganda, Somalia, South Sudan, and of course, Tanzania, who play a
supportive, supervisory, and mentoring role. The goal was to build capacity in the country
to provide CAST support. Paraguay will host the LATAM CAST ToT in the last week of
June 2023 to build national capacity in Latin America regarding the CAST app and provide
a platform for country coordinators to share knowledge and experience on best practices
in program coordination.

New partnerships
MiracleFeet is pleased to announce the launch of four new programs – APAC, IAP
Asociación Pro Personas Con Paralysis Cerebral, in Mexico; ACAI, in Bolivia; Program
des Incapacités Traumatisme et Réadaptation (PITR), in Togo; and Paraplegic Centre
Peshawar, in Pakistan. We have also expanded our program in Indonesia with a new
partner, DoctorShare.
In the first quarter of 2023, Bolivia, through its partners, ONG AYNINAKUNA and ACAI,
successfully treated 19 new children with clubfoot using the Ponseti method in four clinics
located in the departments of Chuquisaca-Sucre, Santa Cruz, and La Paz, all with the
technical and financial support of MIRACLEFEET.

WAWASPAQ COMMUNITY MENTAL HEALTH PROGRAM ORGANISED A SPORTS

DAY AT THE SAN XAVIER "A" SCHOOL
by Ayninakuna Bolivia | Apr 6, 2023 | Wawaspaq Program |
During the day, the Ayninakuna NGO's Wawaspaq Community Mental Health Program
organised a championship at the San Xavier A school, with the participation of parents
who were willing to take part in this sports activity. This initiative was organised by
teachers, young leaders, the teaching staff, and parents, all of them focused on the socio-
productive project as a strategy to prevent violence and promote good treatment.

PARENTS PROMOTE VIOLENCE PREVENTION.

DELIVERY OF MATERIALS TO CBR POROMA PROJECT USERS, BENEFICIARIES
OF HOUSING AND FAMILY GARDENS.
by Ayninakuna Bolivia | Apr 6, 2023 | CBR Poroma |

In the facilities of the municipal complex, the Autonomous Government of Poroma, in

partnership with the NGO Ayninakuna through the Poroma Community-Based
Rehabilitation Project (complementary project), delivered materials for the implementation
of family gardens and the construction of houses for ten users with disabilities.

The NGO Ayninakuna and Municipal Mayor Mr. Felipe Mamani with his technical team in the
delivery of materials.
This complementary project aims to improve the living conditions of children, teenagers
with disabilities, and their families in the municipality of Poroma. It focuses on providing
better housing, reducing malnutrition, and preventing disabilities.

MARCH 3 WORLD BIRTH DEFECTS DAY

by Ayninakuna Bolivia | Mar 3, 2023 |Step by Step |
Today, March 3rd, "World Birth Defects Day" is commemorated with the aim of raising
awareness among the population and promoting prevention from diagnosis to timely
treatment.

Ponseti clinics operate for free of charge in the detailed hospitals.

Ponseti clinics operate free of charge in the following hospitals:

  Children's Hospital “Sor Teresa Huarte Tama”- Open on Thursdays
Address: Lajastambo Zone in Sucre

 Specialized Traumatology and Orthopedics Centre of the South - CETOS -

Open on Thursdays
Address: Barbados Street No. 279, between Libertadores Ave. in Sucre

 French Municipal Hospital - Open on Wednesdays and Thursdays

Address: Santos Dumont Ave., two blocks before reaching 7th ring. Paititi
Urbanization in Santa Cruz

 Daniel Bracamonte Hospital - Open on Tuesdays and Thursdays

Address: Final Italia Street, Potosí

 San Juan de Dios Hospital - Open on Fridays

Address: 6 de Octubre Ave., between San Felipe and Arce, Oruro

 Bolivian Japanese Maternal and Child Hospital - in Trinidad Beni - Open on

Wednesdays

 Japanese Hospital - in Santa Cruz - Open on Wednesdays

Address: Lucas Saucedo Ave., 3rd ring

REACTIVATION OF THE CLUBFOOT PROJECT IMPLEMENTED BY THE NGO

AYNINAKUNA IN PARTNERSHIP WITH ACAI, FUNDED BY MIRACLEFEET
by Ayninakuna Bolivia | Feb 17, 2023 |Step by Step |

The Clubfoot project implemented by AYNINAKUNA NGO is reactivated in partnership

with ACAI and the financing of MIRACLEFEET in the departments of Chuquisaca and
Santa Cruz. On January 2, 2023, the agreement was signed to continue providing benefits
to ALL CHILDREN WITH CLUBFOOT in Bolivia. Currently, the following clinics are
operational:
SUCRE
Children's Hospital “Sor Teresa Huarte Tama”
Address: Lajastambo Zone in Sucre

Specialized Traumatology and Orthopedics Centre of the South -CETOS

Address: Barbados Street No 279 between Libertadores Ave.

SANTA CRUZ
French Municipal Hospital
Address: Santos Dumont Ave. two blocks before reaching the 7th ring. Paititi
Urbanization 129 in Santa Cruz
A BENEFICIARY OF THE CLUBFOOT PROJECT.

THE NGO AYNINAKUNA, THROUGH THE CBR POROMA PROJECT, PARTICIPATES

IN THE 1ST EDUCATION COUNCIL OF 2023 IN THE MUNICIPALITY OF POROMA.
by Ayninakuna Bolivia | Feb 13, 2023 | CBR Poroma |

District director together with municipal authorities of Poroma.

At the start of the 2023 school year, during the first week of February in the municipality of
Poroma, Chuquisaca department, the technical council of directors was held. It involved
the participation of municipal authorities, 11 directors from educational centres,
responsible for boarding schools, and other staff members. The council's objective was to
provide reports on results and educational activity planning for the year.
CBR Poroma project report on children and teenagers with disabilities included in
educational institutions during the year 2022

The NGO Ayninakuna, through the CBR Poroma project, participated in this event where
the work carried out in previous management was reflected, promoting the inclusion of
children and teenagers in regular schools. At the same time, the observation of
registrations was highlighted, aiming for children and teenagers with disabilities to be able
to access schools in different communities of the municipality

In this way, the coordinated work between the district education department of the
municipality of Poroma and the community-based rehabilitation project continues, allowing
more children and teenagers with disabilities to exercise their right to education.
Demonstration of Accessibility for Children and Adolescents with Disabilities in Educational
Institutions.