ORTHOPAEDIC TECHNOLOGIST

THOMAS GWEHONA

After the second world war in 1945; there was a need to rehabilitate African soldiers injured during the war. The colonial government then started  a centre for assistive devices at Kabete. Artisans were used by colonial experts  to  do  the fabrications.
In 1970:-Formal training for orthopaedic technology was started at Medical Training  College now KMTC Nairobi  with 8 enrolments.

In 1977 an Orthopedic Technology department was started at KakamegaPGH. AlupeOrthopedic dept. was established in 1952 to cater for leprosy cases. However the most formal Workshop was started in 1977 when the first technologists from KMTC were posted.
These services are available at NakuruPGH and Naivasha District hospital which is the most recent department yet to be fully equipped.
Here you will have access to specialized orthopedic technology solutions for persons with disability.

The following services are provided:

  • Assessment
  • Measurements taking
  • Fabrication (custom made)
  • Trial fitting
  • Training on appliance usage
  • Outreach mobile services for persons with disability   supported by partners
  • Participation  in surgical, neurological and orthopedic clinics
  • Handling referral cases from former RVP-done at PGH
  • Attends to Club foot Care for Kenya clients every Monday
  • Training of interns and students on attachment from KMTC

Functional Aids and Appliances;

Appliances are prescribed for five main purposes:
a)   Protection
b)   Lengthening/Compensation
c)   Splintage
d)   Stabilization
e)   Correction.

Among the many appliances provided and made a few are listed below:
Orthotic  –   Neck Collars, Spinal jackets/corsets;Footwear;Insoles;WalkingAids;Cruches
Light weight polyethylene drop foot splints or wrist braces
Prosthesis – Upper and lower limb prosthesis.
There are seven trained technologist and one volunteer offering these services in Nakuru County .

NUTRITION ACTIVITIES- NAKURU-COUNTY
1. Nutrition Sentinel Sites Surveillance carried out on a quarterly basis with the aim of:

—   Determining the prevalence of malnutrition (wasting, stunting and underweight) among children aged 6-59 months

—  Providing timely and appropriate information on nutritional status of the population surveyed so as to provide decision-makers with information to targeting the vulnerable population with appropriate interventions.

—  To identify children for enrolment in the supplementary feeding program

—  Community health workers are trained to take anthropometric measurements, identify and refer malnourished children as well as offer nutrition education and counselling.

2. Community nutrition advocacy in areas considered to be hotspots for malnutrition. The aim of these activities is:

  • To improve the nutritional status of the population particularly young children and women of reproductive age.
  • To assist the communities understand their nutritional problems and take appropriate action to address those problems.
  • To promote the use of locally available foods to provide an adequate diet for the family.

3. Integrated community outreach services to hard to reach, vulnerable communities. During these outreach activities the nutritionist is involved in community growth monitoring and promotion, identification of children with malnutrition, nutrition education and counselling as well as offering nutrition support.

4. Capacity building of health care providers including CHWs on nutrition issues including:

  • Maternal Infant and Young Child Nutrition
  • IMAM/ICCM
  • Nutrition and HIV
  • Nutrition and NCDs

5. Supervision and mentorship on a quarterly basis.

6.Taking part in health days such as-World breast feeding week, mother child-health weeks (malezi bora)T.B day, diabetes day, nutrition and food day among others.

Community Nutrition Advocacy session
A Community Health Worker taking MUAC measurements during a nutrition surveillance exercise