Kwale District Eye Centre - Kenya

Half-year Report - January to June 2008


1 - Highlights

Blinded by Vitamin A deficiency, Rashid beats all odds

2008 Safaricom Diani Rules proceeds break all time record.

Standard Chartered Bank Nairobi supports children like Umazi.

Glaucoma detection is rising; people reach care earlier.

Rashid beats all odds
Safaricom Diani Rules break all time record.
Standard Chartered Bank helps children like Umazi
Glaucoma detection is rising

2 - Community Based Programme

Kwale District Eye Centre’s community based programme experienced a rather slow start at the beginning of the year, but this did not dampen our efforts to serve the community.

Awareness creation proved fruitful, as patients, for the first time, attended our field screenings and came for cataract surgery during the rainy season.

The picture below left shows a Field Supervisor talking to a women’s group on different eye diseases. This is the result of awareness creation.

The next picture shows a lady (a member of the group) who could not hide the joy she felt to be able to see again after years of being in the dark.

Schools screenings with the emphasis of detecting uncorrected refractive errors is on-going. The impact of this is being felt with adults coming up for surgery as evident in the statistics. Children with congenital cataracts identified and referred on for cataract surgery while those of school-going age integrated into mainstream primary education.

Patients from the field are able to see again following cataract surgery, thanks to support from different sources.

Early glaucoma detection is being done in the field. This is attributed to the intense awareness creation in the community and enhanced by the acquisition of a portable ‘icare’ machine that allows measurement of eye pressure.

Field Supervisor talking to a women's group on eye diseases

This lady could not hide the joy of seeing again.

Umazi with her mother on a follow-up visit after surgery.

Beneficiaries of a camp sponsored by Fleet Rotary Club (UK)

Field Supervisor talking to a women's group

Field Supervisor talks to a woman's group

Umazi with her mother on a follow-up visit after surgery

Beneficiaries of a camp sponsored by Fleet Rotary Club (UK)


3 - Low Vision and Education

Being the low vision referral centre for the Coast province, the demand for this much needed service is on the increase. The need has been expressed by various community members from different areas but KDEC resources are limited, at this stage, to offer the community based services to Kwale district community.

Our Vision Therapist is also called upon to offer technical advice and assessment to children identified by vision support teachers posted by Kenya Institute of Special Education (KISE) in various schools within the province.


4 - Rehabilitation

 

The current caseload for the rehabilitation programme reached 425, all getting the services of KDEC. Most are due to glaucoma which did not reach help early to save sight.

The picture on the right shows Mzee Chigunda on a money identification session - a factor to be considered for his goat-rearing business.

Mzee Chigunda

Rashid, irreversibly blinded by Vitamin A Deficiency makes a milestone.

Rashid was first identified in 1998 when he was a healthy 2 year-old. He had not been vaccinated and as a result, caught measles when he was six months old. Although he cheated death, his body used up all its supply of Vitamin A, causing his blindness. We could not save his sight then, but tried to get him to school when he reached the school going age. The parents refused, but this didn't deter the determination of our community based worker (CBW).

After years of hard work, the CBW was able to convince the parents to send Rashid to school. We sourced a Braille machine and papers when he started school. A contact teacher from the school was trained in basic Braille skills so that he could help him. Braille text books to allow him to join in class were also found. Because there are no desks or chairs in the classroom, the Braille machine has to be used on the sandy floor.

Rashid, now 12, actively participates in class and has lots of friends. All the community know him and he wants to be a lawyer when he grows up. The parents are amazed, they say ‘miracles still happen, if blind children can go to school and learn’.

Right: The picture shows Rashid with his classmates - no chairs or desks but he has a Braille machine and paper.

 

Rashid and his Braille machine


5 - Deaf Blind

Twenty-nine clients identified under the deaf-blind programme were assessed to determine the degree of hearing impairment. Those that would benefit from hearing aids were told how these could be obtained and funded.

Agreement was made with an ENT specialist in Mombasa for assessment and provision of hearing aid to be done.

The challenge the programme is still facing is having a place where regular physiotherapy services can be offered.

Nyota’s deafness being assessed by a visiting ENT specialist at KDEC.

Nyota's deafness being assessed


6 - Eye Camps

Remote safaris continue as part of KDEC’s services to the under-served in the country. Happy to get services brought nearer, patients were transported by truck (the only means of transport ) to get to the screening venue.

Medical and Educational Aid to Kenya (MEAK) assisted, as in the previous years, enabling us restore sight to over 200 people.

Other similar camps have been planned for the year and we hope to continue offering these much needed services in area where there are no eye service providers.

Patients coming for screening.

Patients coming for screening.


7 - Staff & Training

Staff

  • Two Patient Attendants recruited while one moved to be a receptionist.
  • Rehema Suleiman recruited as the Human Resource & Administration Manager.

 

Training

KDEC’s services are not only concentrated in service delivery. Training is a big part of our work, both at clinically and community work.

  • Dr. Joseph Nyamori, a registrar from the University of Nairobi spent 2 months at KDEC for practical attachment. Dr. Gideon Nderi joined in June for his 2-months.
  • Kenya Institute of Special Education (KISE) and Kenyatta University’s special needs programme has recognised the services offered by KDEC’s low vision programme and we now have students on attachment.
    KDEC is evidently getting to the direction of training as the requests are getting bigger and bigger.
  • The Mombasa Polytechnic University College’s community development studies students are benefiting from KDEC community based programme for their practical experience in community work

Rehema (far right) taking the staff through the reports.

Rehema taking staff through reports

Dr. Gideon Nderi, an ophthalmologist student examining patients in the clinic

Dr. Gideon Nderi, an ophthalmologist student examining patients in the clinic

Vision Support teacher assessing a child with the supervision of the Vision Therapist


8 - Infrastructure

  • A new Oertli phaco machine acquired
  • Security wall built around the ‘makuti’ camp of the KDEC plot
  • Auto refractor replaced in the outpatients department
    The field services have been expanded with the acquisition of a portable Sure Screener (auto-refractor). Patients in the field can now be screened for uncorrected refractive errors and those needing glasses advised accordingly
  • New operating table makes patients comfortable while undergoing surgery
  • Boundary wall built around the KDEC extension plot for security. The plot is envisaged to house a training centre for community based workers and students attending KDEC for practical attachment.

Our vision therapist refracting a client in using the portable auto-refractor

Vision therapist refracting a client using the new machine.


9 - Visitors to the Project

 
  • Dr. A. Baradia
  • Ms. A. Epstein – Diani Beach
  • Dr. Zaheer Bagha – District MOH
  • Ms. E. von Kummer
  • Mr. S. Makai
  • Ms. I. Cottini—Switzerland
  • Mr. S. Shah
  • Mr. & Mrs Alois Vonlanthen
  • Diani/Ukunda Epilepsy clinic staff
  • Mr. M. Abdillahi—Mombasa Hearing Centre
  • Denis & Eileen Clarkson
  • Mr & Mrs Jurgen Boening
  • Mr & Mrs Zemmouchi & Max Prins – Nairobi
  • Mr & Mrs Robbe & Martina Wackerhagen - Germany
  • Mr. R. Kalama – District Lands Officer – Kwale District
  • Mr. R Frick – Germany
  • Mr. W. Maina – African Braille Centre
  • Ms. M. Muturi, C. Cross. P. Haore – Sight Savers International Kenya & UK offices
  • Ms. Sameer Hassan –Toyota E.A Limited
  • Braeburn International School Mombasa Year 5 class on a learning visit
  • Ms. E. Greave – Sense International (UK)
  • Mr. G. Atieli – Sense International (EA) - Nairobi
  • Ms. B. Mbogo, Moira & Trudie—Verkaat Development Trust
  • Mr. B. Miller (UK)
  • Dr. R. Humphry (EFEA UK Honorary Consultant)
  • Fr. (Dr.) J. Luis Orpella—Garissa

Dr. Thiel visiting from Germany

Dr. Thiel visiting from Germany


10 - Fundraising & Publicity

Safaricom Diani Rules 2008

Our annual beach sports event on the weekend of 1st June raised a record Ksh1.7 million ($26,154) for eye care, look at www.dianirules.com

Charity Shop and Awareness Centre in Diani

We say goodbye and thank you to Jan King, who is responsible for the success of our charity shop.

Eye Give

Our thanks to all those generous people who have chosen a gift this way through our website


Teams battling it out in the obstacles race during this year’s Diani Rules sports event

Teams battling it out in the obstacles race


11 - Future Events

World Sight Day 9th October at KDEC. This year’s continues schools awareness.

Liaison Eye Go Fishing competition —17th & 18th November on the North Coast.


12 - Statistics January to June 2008

Activity

2008 Target

Achieved
(as at
30 June 2008)

Eye Care

 

 

Patients seen at KDEC

9,100

5,096

Operations:

1,840

1,084

- of which how many were cataracts

1,500

860

- of which how many were blind in both eyes

500

219

Glaucoma Operations

40

68

Community Work

 

 

Awareness Creation Meetings

240 reaching 20,000 clients

118 reaching 13,951 people

Training of Rural Health Workers

25

0

Women's Groups

20 reaching 300 people

8 reaching 121 people

Village Health Committees

30 reaching 450 people

14 reaching 211 people

Community Workshops

12 reaching 300 people

6 reaching 145 people

Outreach clinics

130 reaching 9,100

91 reaching 8,185 people

School Awareness Meetings

16 schools

3 reaching 1,318 pupils

Low Vision / Education

 

 

New Cases found

55

50

Integrated into mainstream education
i.e. pre-primary, primary & secondary

50

31

Primary schools visited

25 reaching 200 teachers

3 reaching 30 teachers

Community meetings held

40 reaching 2,000 people

19 reaching 715 people

Follow-up low-vision cases

100

78

Rehabilitation

 

 

New Cases found

55

31

Assessed (initial)

55

27

No. followed-up

100

63

Given home based training

55

13

Rehab training for irreversibly blind persons and carers

80

79

Community meetings held

50 reaching 2,500 people

13 reaching 1,107 people

Deaf Blind

   

New cases

10

12

Assessed

10

29

Provided with Rehab services

25

6

Training of Deaf/Blind families

25

9


Return to Top of Page


About us
The Clinic
News
Reports
Donations
Shop
Contact us
Send email to Eyes for East Africa

web design
Catalyst Systems
 
WebSTAT - Free Web Statistics