Child’s Tenotomy

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Luis Alas was born on December 29, 2014, with unilateral clubfoot; he is the second child to his parents. His parents were able to find the treatment for him when he was three months old in San Juan de Dios Hospital, Santa Ana. On April 21, 2015, he started his first cast. Luis’ treatment included 8 casts and the tenotomy which was done on September 17th, 2015. The day of the tenotomy, Luis’ mother Wendy was so worried, weeping and fearful about the surgery. An On His Path Counselor had the opportunity to encourage and pray for her and Luis’s surgery. Wendy says “It makes me feel better that the counselor will be in the surgery with us.” Counselors have been in the surgeries lately to give support to the families and praying for them which make a special bond with the patients and their families and witness the physical and spiritual healing that takes place. Due to Luis’ progress, his mother is so happy with On His Path and the treatment her son is receiving. Luis will wear his first braces soon and hopefully he will have great results. On His Path helps children and parents for free and offers them love and care; we do this to proclaim the name of Jesus and follow His model for helping sick people.

Submitted by: Mayra Arteaga, El Salvador Clinic Coordinator

Children’s Day Celebration

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Lhe General Assembly of the United Nations recommended in 1954 that all countries institute a Universal Children’s Day to be observed as a day of worldwide fraternity and understanding between children. It recommended that the Day was to be observed also as a day of activity devoted to promoting the ideals and the welfare of the children of the world. Children’s Day is celebrated in El Salvador every year on October 1st and On His Path organized a small celebration for all the children in the five clinics to bring smiles and happiness to them. On His Path purchased bags, balloons, chocolates, cookies, candies, etc, as small gifts for the kids. All the children were so happy to receive their bags and parents were thankful for On His Path’s funding for this special gift. As On His Path we are so excited to promote the wellbeing of Salvadorian children and seeing the Kingdom of God at work in their lives and give them the opportunity to have a normal life and be able to walk and run.

Submitted by: Mayra Arteaga, El Salvador Clinic Coordinator

Update from El Salvador Clinic

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Successful Training, El Salvador Clubfoot Program

The 4th Annual Ponseti Training in El Salvador was held in San Salvador on July 25, 2015 in partnership with Ponseti International Association. The two trainers were Dr. Martin Rosales with Mexican Clubfoot Foundation and Dr. Mario Sequeira with Miracle Feet Nicaragua. Along with these two reputable Ponseti method trainers, 7 doctors and two physiotherapists attended the training where they gained additional skills to effectively treat children with clubfoot throughout El Salvador.

During the training, we had the chance to present the statistics of clinics by Dr. Gomez (San Miguel clinic), and the main problems to give follow-up to Ponseti Method in El Salvador by Dr. Castillo (Benjamin Bloom Hospital), the tips of Ponseti casting and importance of keeping a database. As part of the training, 20 children with clubfoot were assessed and some of them casted. They are already under treatment in the five clinics of the program supported by On His Path.

On His Path will continue to support this clubfoot program by offering clinical training, abductions braces, pads, plaster casts, counseling and the promotion of the program within the healthcare system and to the public to increase the number of children reached. Our goal is to eradicate clubfoot as a disability in El Salvador.

Submitted by: Mayra Arteaga, El Salvador Clinic Coordinator

On His Path Commemorates World Clubfoot Day in El Salvador

World Clubfoot Day, which takes place annually on June 3rd to honor the work of Dr. Ponseti, pioneer of the non-surgical technique for clubfoot treatment, was a special time of celebration in our five clinics in El Salvador with patients, parents, nurses and doctors. We celebrated the hard work of the doctors and collaborators in the program; we also wanted to honor parents who make many sacrifices to take their children to the clinics for the treatment. We celebrated it with snacks, balloons, candies, as well the distribution of bookmarkers, informative materials to raise awareness of clubfoot and the Ponseti Method; the TV Telemas channel broadcasted a note of the celebration in the Dr. Villacorta Mazzini clinic in Sonsonate. Indeed promoting awareness of clubfoot to others and through media can bring a meaningful transformation in the lives of children. Global Clubfoot Initiative requested to all the organizations around the world that work with clubfoot to submit a photo that captures a highlight of the past year of work or what the organization stands for. Thankfully, the photo submitted by On His Path was chosen as the most representative of the hope that we all must have to see a world free of disability caused by clubfoot. It was certainly a special day to celebrate!

Submitted by: Mayra Arteaga, El Salvador Clinic Coordinator

 

El Salvador Clubfoot Program 2014 Annual Review

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“Behold, I will do a new thing; now it shall spring forth; shall ye not know it? I will even make a way in the wilderness, and rivers in the desert.” Isaiah 43:19

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 five 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 first 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 five 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 five 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 fulfill 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

Josue’s Story

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Josue Abraham Sánchez Guzmán 

San Juan de Dios Hospital in San Miguel In Guatajiagua town, Morazán, 110 kilometers away from the capital city of El Salvador, Rosa Angelica Guzman was filled with excitement as the due date for her firstborn child approached. Rosa’s joy turned to sorrow when she knew that her child was born with bilateral clubfoot on January 4th, 2010. Rosa named her baby Josue Abraham. Rosa tried to find treatment for her baby boy right away. Rosa says, “Josue was born with his feet turned inward and I went to the clinic and they referred us to San Miguel Hospital where Josue started therapies, but I had no hope in the therapies. Fortunately, I had the opportunity to know about the Ponseti treatment with Dr. Gomez who has been working with On His Path program in San Juan de Dios Hospital in San Miguel and Dr. Gomez started to treat Josue. Josue was 9 months old when he started the Ponseti treatment with Dr. Gomez; Josue underwent with the casts and he had the tenotomy on November 26th, 2010. Rosa was so excited to know that Josue was receiving a treatment and see his once twisted feet straightened. Josue started to wear the foot abduction braces and Josue got used to them and continued with the checkups every three months. Now, Josue is able to walk and run as a normal boy.” Rosa says, “It has been a great happiness for me to see Josue get well; I thank God and Dr. Gomez for the help and effort. I am so grateful that I found out about the treatment. It was a miracle of God in my son’s life.”

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.