3rd Annual PIA Training

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On His Path sponsored and organized the third Ponseti training in El Salvador held on August 30th – 31, 2014 at Circulo Militar in San Salvador facilitated by Dr. Martin Enrique Rosales and Dr. Mario Sequiera Somoza with the participation of doctors and therapists of five hospitals who work in the clubfoot clinics in order to help improve clinical skills.

Some aspects of the training: The first morning was focused on reviewing the techniques of Ponseti clubfoot management like manipulation, cast techniques, tenotomy, protocol, problems and relapse. The second part of the training was focused on the experience of clinics and statistics in El Salvador with Ponseti treatment.

Third, during the training, facilitators were able to evaluate 20 children with clubfoot and doctors practiced manipulation and casting under the supervision of the trainers who helped to guide the learning process as well as answer questions. The participant doctors gained more skills to effectively treat children with clubfoot in the clinics throughout El Salvador.

On His Path will continue to support the clinics by offering clinical training, providing the necessary materials and assistance with the promotion of the program in order to increase the number of children reached by the program.

Submitted by: Mayra de Arteaga

A Story of Transformation

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Cristian Alexander Ramirez was born in November 2011 with bilateral clubfeet. Cristan had his first visit to the Clubfoot Clinic in Santa Ana on January 24th, 2012. His mother Claudia Montes de Ramirez took him to the clinic with the expectation that this precious child receive a treatment for his condition. Cristian had his first cast that day and it was explained to her that he had to go through a series of casts. During that year he received several casts in order to correct his feet condition. Cristian tolerated the casts so well and after all of them, he finally had a tenotomy performed by Dr. Hernandez on January 10, 2013 (this took longer because mother did not take him every week, she took him every two weeks or more sometimes). When the last cast  was removed, he was fitted with his first braces on April 23, 2013 that he wore full time for three months. The braces have been adjusted in the follow-up visits as he grew, so he never had a problem with his compliance in wearing them. Cristian continues with the check-ups at Santa Ana Clinic with his last checkup on May 6, 2014 and his treatment continues to be a success. Cristian enjoys all the typical activities of two and a half year-old: running, jumping, playing soccer, etc. Cristian will not remember any of the discomfort during the process. For Cristian and his mother the Ponseti Method treatment, help and counseling received at On His Path clinic mean hope after the confusion and upset of knowing his condition at birth. Cristian’s mother is so thankful for the help received because for many parents in that same situation, it is not financially feasible to provide a treatment for their children. Ana Maria Marroquin – On His Path Counselor at Santa Ana Clinic comments: “We can say that we are thankful to God to see how Cristian’s family had the opportunity to see him walking. We know that Cristian Ramirez will be a normal kid and he will be able to take the opportunities ahead and he will have a great future.”

Cristian continues with the check-ups at Santa Ana Clinic with his last checkup on May 6, 2014 and his treatment continues to be a success. Cristian enjoys all the typical activities of two and a half year-old: running, jumping, playing soccer, etc. Cristian will not remember any of the discomfort during the process. For Cristian and his mother the Ponseti Method treatment, help and counseling received at On His Path clinic mean hope after the confusion and upset of knowing his condition at birth. Cristian’s mother is so thankful for the help received because for many parents in that same situation, it is not financially feasible to provide a treatment for their children. Ana Maria Marroquin – On His Path Counselor at Santa Ana Clinic comments: “We can say that we are thankful to God to see how Cristian’s family had the opportunity to see him walking. We know that Cristian Ramirez will be a normal kid and he will be able to take the opportunities ahead and he will have a great future.”

Submitted by: Mayra de Arteaga, On His Path – El Salvador

New Coordinator for El Salvador Clubfoot Clinics

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On His Path is pleased to announce Mayra de Arteaga, new Coordinator for On His Path’s five clubfoot clinics in El Salvador. Mayra was born and raised in San Salvador, El Salvador. She is married and mother of an 11 year-old boy and 7 year-old girl. In her teenage years she received the Lord as her savior and she was inspired since then to work with children and served in the church for 13 years as Sunday School Teacher. Mayra studied a Bachelor in English degree at Universidad Tecnologica de El Salvador and graduated in 1994. Before joining On His Path, Mayra worked since 1991 for World Vision, a recognized Christian organization committed to help children, families, and communities and worked there for 16 years in the Customer Relations Services Department where she got experience working with development projects an providing administrative support to Support Offices and Projects in the communities. Mayra also worked for Compassion International as External Translator since 2008. She served as volunteer for Amiga Agency supported by Tear fund that helped Garifunas in the coast of Honduras with construction of houses and translation of the New Testament to Garifuna dialect. Mayra developed a strong sense of devotion to work with nonprofit organizations which seek specially to improve the quality of life of children. In her spare time she enjoys cooking and watching design and decoration programs, she also likes spending time with her family and children. Mayra is so grateful for the opportunity to work with On His Path and make a difference in the lives of Salvadorian children through the Clubfoot Program.

El Salvador Clubfoot Program 2014 Annual Review

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On His Path has worked in El Salvador for three years with vulnerable children and families in the clubfoot program. The goal of the program is to give children the opportunity to live an active lifestyle and to play, run and kick a ball and be active members in their communities, as well as responding to Jesus’ example of healing the sick and his call to share the gospel.

On His Path is working for those whose physical disabilities can be corrected or alleviated through medical treatment. In our ve clinics around the country, we are providing training to doctors, the materials and braces for non-surgical treatment for children born with clubfoot by partnering with local public health care system so mothers and fathers do not worry that their children will never walk and give them the opportunity to celebrate their rst steps.

Highlights of Last year:

176 new children enrolled in treatment at On His Path clinics

571 casting visits

169 foot abduction braces distributed

539 follow-up visits in the ve clinics

A children’s book was created to encourage them to wear their braces at night which create the best results

More than 300 families received counseling and the opportunity to receive the good news of The Gospel

The Clubfoot Program was promoted in different spaces such as radio interviews in Agape Radio, Telemas TV, and in Health Units with Health Promoters to promote our work in the ve clinics

81 doctors trained at the Third Ponseti Training and Congress in San Miguel facilitated by Dr. Sequeira and Dr. Rosales

Video recordings of the Third Ponseti Training made available for doctors for training purposes as well as on YouTube

New print material created for parents to read explaining clubfoot treatment as well as the use and care of the clubfoot brace

Prayer Requests for El Salvador Clubfoot program:

• Additional health professionals trained

• Parent education and commitment to the treatment of children

• Patient data entered in a database

• Establish at least one more clinic to treat more children

• Persuade more doctors to adopt the Ponseti method to prevent disability caused by untreated clubfoot

In the year 2015, we want to trust God to ful ll his promise as stated in Isaiah 43:19: He will bless us with new opportunities, provision and direction in our organization as we continue looking for opportunities to expand our collaboration to make clubfoot treatment accessible to more children. Our goal is to help establish at least one more strategically located clinic across the country. This year, we will sponsor at least one medical training; our goal is to support the treatment of at least 175 children born this year with clubfoot in El Salvador.

We will continue working with responsibility and integrity of the Ponseti Method to serve more children with high quality care and reach as many children as possible with the promotion of the program.

We are immensely grateful to the Lord for allowing us to serve the little ones in our country and all the generous donors who make the program possible and for joining us in our dream to eradicate untreated clubfoot in El Salvador.

Submitted by Mayra Arteaga, On His Path Clinics