SEEPD

Socio Economic Empowerment Of People With Disabilities (SEEPD)

  • About Seepd
  • Areas Of Intervention
  • Projects
  • Seepd Phase 1,11 and 11
  • Cordination
  • Partners
  • Funder
  • Cameroon Club Foot Care Project
  • Child Protection

The Socio Economic Empowerment of Persons with Disabilities (SEEPD) is a development Program focusing on the well-being of Persons with Disabilities (PWD) in the North West Region of Cameroon. It ensures that they are socially and economically empowered. SEEPD was designed to facilitate the active participation of disability stakeholders in the Region in the improvement of quality of life of all PWDs. It started in 2009 and today has 24 implementing sub projects, 9 of which are Associations of Persons with Disabilities. The CBC Health Services is responsible for the overall coordination of the Program. The SEEPD Program is funded by the Australian Agency for International Development (AustralianAID) and Christian Blind Mission (CBM) Australia. It has as goal to contribute to development by breaking the vicious cycle of poverty and disability.
The Program covers 4 main domains of intervention which include; Medical and Rehabilitation Care, Education, Livelihood and Social Inclusion. All 4 domains are supported by an advocacy and a research component. The CBC Health Services’ projects include the CBR services, Orthopaedic, Ear, Nose and Throat (ENT), Physiotherapy, and Eye departments of the Mbingo and Banso Baptist Hospitals, the CBC Health Services Central Pharmacy in Mutengene, the Integrated School for the Deaf (ISFD) Mbingo and the Integrated School for the Blind (ISFB) Kumbo. The other major stakeholders are SAJOCAH Bafut, WINHEEDCAM Bamenda and the Center for Inclusion Studies (CIS), Bamenda.

MEDICAL SERVICES PROVISION
The medical component of the Program focuses on improving access to quality medical care at all levels. From 2009 to 2012, 212,037 persons accessed the program’s medical services both at institution and community level: Our medical partner projects provide Eye Care, ENT, Orthopedic, Low Vision, Physiotherapy, Procurement and Rehabilitation services.

  1. EYE CARE SERVICES

dffA wide range of high quality yet affordable eye care services are provided by competent ophthalmic personnel in the Banso and Mbingo Baptist Hospitals led by ophthalmologists. From 2009 to 2012, 141,837 persons accessed our eye care services for prevention, treatment and rehabilitation of sight. Services provided include:

  • Daily consultations
  • Varied Eye Surgeries including cataract, glaucoma, trachoma and other eye blinding conditions  
  • Community eye screening
  • Glass repairs and adjustments
  • Complete contact lens services

Besides generally provided services within eye care programs, specialized services include:

  • Uveitis Eye Care
  • Paediatric Eye Care
  • Retinal Eye Care


  The only Retinal care service provider in Cameroon operates within the CBC Health Services thanks to the SEEPD Program. This sub specialty takes care of the inflammation and detachment of the retina.

Staffing Situation
The Eye Care Services in the Mbingo and Banso Baptist Hospitals has a staff strength of 29 comprising of 3 Ophthalmologists, 5 Ophthalmic Medical Assistants, 3 Assistant Ophthalmic Medical Assistants, 2 Ophthalmic Nurses, 2 Low Vision Therapists, 4 Ophthalmic Auxiliaries, 3 Ward Auxiliaries, 2 Pharmacy Attendants, 2 Ophthalmic Technicians, 2 Statisticians, and 2 Drivers.

  1. ORTHOPAEDIC SERVICES

These services are provided by competent orthopaedic personnel in the Mbingo Baptist Hospital, Banso Baptist Hospital and SAJOCAH, Bafut led by an orthopaedic surgeon. From 2009 t0 2012, 20,780 persons accessed orthopaedic services to prevent, treat, and rehabilitate bones. Services provided include;

  1. Daily consultations
  2. Surgeries on trauma from falls, accidents, sports injuries, malformations like bow legs, knock knees, poorly positioned knees etc
  3. Physiotherapy
  4. Community sensitization through community Field workers and volunteers
  5. Provision of prosthesis or artificial limbs

Bone fractures (cracks or breaks in a bone) need protection from re-injury and infection during the process of healing. In some cases, a non-union may arise if a bone fracture or other bone trauma does not heal correctly. 
If infection occurs, the result may be a deformity and/or complete failure for the bone ends to mend. Treatment for these types of bone infections is highly specialized and must be tailored to address the problems inherent to each, individual wound and patient.
Staffing Situation
The orthopaedic services in the Mbingo Baptist Hospital has a staff strength of 21 comprising of 1 orthopaedic surgeon, 3  orthopaedic scrub nurses, 12 orthopaedic nurses, and 5 orthopaedic clinical officers .

  1. PHYSIOTHERAPY SERVICES

Comprehensive and efficient physiotherapy services are offered in Mbingo and Banso Baptist Hospitals and SAJOCAH, Bafut by competent physiotherapy personnel led by a Physiotherapist. From 2009 to 2012, 50,607 persons accessed our physiotherapy services for prevention, treatment and rehabilitation of physiotherapy complications. These services comprise;

  1. Daily consultations
  2. Treatment/Interventions
  3. Habilitation and rehabilitation,
  4. Health/Education talks,
  5. Community screening and visits
  6. Physiotherapy exercises

Although stroke is a disease of the brain, it can affect the entire body. The effects of a stroke range from mild to severe and can include paralysis, problems with thinking, problems with speaking, and emotional problems. Patients may also experience pain or numbness after a stroke
However, you need to recognize the symptoms of a stroke and get to a hospital quickly. Getting early treatment can prevent .

Staffing Situation
The Program PT partners have dynamic PT teams comprising of a total of 48 staff in SAJOCAH, MBH and BBH. (1 physiotherapist, 21 senior PT assistants, 13 PT assistants, 3 senior PT aids, and 10 prosthetic& orthopaedic technicians).

 

  1. EAR NOSE AND THROAT (ENT) SERVICES

Comprehensive ear nose and throat services led by an ENT surgeon are offered by competent ENT personnel in the Mbingo Baptist Hospital. From 2011 to 2012, 10,006 of people have accessed ENT services to prevent, treat, or rehabilitate people with ear, nose, and throat diseases.  These services consist of;

  1. Daily consultations
  2. Community ear screening
  3. Ear cleaning
  4. Removal of foreign bodies
  5. Hearing assessment and management
  6. Patient education
  7. Surgery, pre and post-operative care

Hearing loss results from problems with the ear canal, ear drum, or middle ear and its little bones (the malleus, incus, and stapes).
Hearing loss is also due to Malformation of outer ear, ear canal, or middle ear structure, fluid in the middle ear from colds, ear infection, allergies, perforated eardrum, impacted earwax, infection in the ear canal, foreign body in the ear
Irrespective of the above causes, hearing loss or deafness can be prevented by seeking early medical intervention. Ear problems can either be treated with medicine or through surgery, depending on the disease process.

 

Staffing Situation
The ENT department in Mbingo Baptist Hospital started in September 2010 with one surgeon following the increasing number of patients in need of ear, nose and throat services. The Staff strength is presently five (one Surgeon and 4 ENT Nurse Specialists), with two consultation rooms, a treatment room and a sound proof room.

The Cameroon Baptist Convention (CBC) has been offering services to people with various disabilities (SPD) for over 25 years now. The first service was agricultural rehabilitation of a few persons with visual impairments in the 80s. These services evolved over time from just agricultural rehabilitation to include the following:

  • Integrated School for the Blind (ISFB) in Kumbo, North West Province
  • Integrated School for the Deaf (ISFD) in Mbingo, North West Province
  • Community Based Rehabilitation (CBR) project in Mbingo
  • Eye care services in all CBC Health Board hospitals and some Integrated Health Centers (aimed at preventing avoidable blindness).
  • Orthopaedics
  • Physiotherapy

Projects
1. CBC Integrated School for the Blind (ISFB), Kumbo
The ISFB started in 1983 with four visually impaired pupils in a temporary classroom at the Kumbo mainstream CBC Primary School and moved into its own building upon completion in 1984. This education program for children with visual impairments runs three sub-components:
An early intervention component in which children with visual impairments are identified in communities by resource teachers, CBR field workers and volunteers, and referred to the Eye Care services. During this process, identified cases whose sight can no longer be restored are enrolled into the early intervention plan, which seeks to give children basic education and daily living skills.
There is also a 4-year center-based pre-integration component. At this level the children are taught Braille, which is the main learning tool for people with visual impairment. The children also go through the mainstream education curriculum, which covers the first 3 years of primary education. As such, upon integration into mainstream schools, the children begin from the 3rd and 4th grades depending on their levels of performance and development of learning abilities.
The third component is the mainstream integration component. ISFB has mapped out 4 integration zones in the North Wet Province to ensure primary and post-primary education for pupils and students with visual impairments. In these integration zones (Kumbo, Ndu, Oku and Ndop), resource teachers work alongside teachers of mainstream schools to ensure effective and efficient studies for the pupils and students. Brailing of textbooks and exams are some of the services provided by the resource teachers From 4 visually impaired pupils in 1983, ISFB today has an enrollment 63 pupils and students at all 3 levels of the program. The institution has a staff strength of 15, which includes teaching, auxiliary and support staff.
Many more people today visit the resource center to see the children read, write, bathe, do craft works and gardening, clean their environment and play music. This especially as the doubts initially expressed by the public on the children's ability to study along with sighted pupils in mainstream schools have been dispelled by their performances and activities.
The Cameroon Baptist Convention Health Board has since the 1980s partnered with CBM in the education of persons with visual impairments. Christian communities and the Kumbo, Oku and Nkambe Councils have equally provided assistance for the initiative. In February 2006 the school received support from the government through the Ministry of Social Affairs from the Heavily Indebted Poor Countries’ Initiative (HIPC) funds to subsidize feeding cost for the children at the resource center.
Meanwhile, in September 2005, the ISFB received its first volunteer (Ursula Becker) from Germany. During her 9-month stay with ISFB, she provided significant expertise to staff of the institution in various domains and introduced the early intervention.


2. Integrated School for the Deaf (ISFD), Mbingo
This institution went operational on October 10, 2000. The intention of the Cameroon Baptist Convention Health Board (CBCHB) in creating ISFD was to provide formal basic education and appropriate vocational training to hearing-impaired children in Cameroon, as well as share the love of Christ with them so that they may come to His saving knowledge. The school thus works towards integrating children with hearing impairments into mainstream formal education in Cameroon thereby giving them equal opportunities with other children and making them useful to themselves, their families, their communities and the nation at large.
Located within the Mbingo Baptist Hospital premises, ISFD operates as a boarding school and admits pupils of both sexes aged 6-13 from all over the country. Its permanent site is still under construction. Admission process into the school is like in any other formal education establishment wherein a pupil completes an application form available at the school. After primary school, most pupils get further education at the Baptist Comprehensive High School (BCHS) Njinikijem located 11 km from Mbingo itself where two teachers with good skills in American Sign Language Interpretation are permanently placed to help interpret lessons for the students.
The enrollment of ISFD has over the years evolved from its initial 22 pupils in the 2000/2001 academic year to 179 in the 2006/2007 academic year. In 2007, enrollment at the secondary level stood at 17. ISFD graduated its pioneer batch of 10 pupils in June 2006 with a 100% success rate at the Cameroon primary school certificate exams (First School Leaving Certificate (FSLC)). The institution has 10 teaching and 7 support staff.
Several international partners have been supportive of the CBC’s initiative in offering education to children with hearing impairments. In 2007, a 60-bed girls’ dormitory was completed and put into use with funding from the Dordrecht-Bamenda Foundation in Holland. Currently, Hearts for the Deaf USA is assisting the CBC in the construction of permanent classrooms for the institution. The Liliane Foundation in Holland and CBM provide funding to subsidize the fees of some children. In spite of generous support from partners and well-wishers, ISFD still has some pressing needs which hinder it from functioning in its full capacity as would have been expected. Some of these needs include the following:

  • Development of the post-primary integration component at Baptist Comprehensive High School (BCHS) Njinikijem where 44 of its about 300 students are those with hearing impairments.
  • Kitchen facilities, dining hall and furniture
  • Additional funding to complete the permanent classrooms of the school.

Meeting these needs will be assisting persons with hearing impairments study effectively and efficiently.


3. Community-Based Rehabilitation (CBR) Project, Mbingo
The Community-Based Rehabilitation Services is a community outreach project of the Cameroon Baptist Convention Health Board (CBCHB). The CBR started in 1983 as an Agricultural center for the Rehabilitation of the Blind (ARB). In 1991, it grew to Community-Based Rehabilitation to re-establish people with other disabilities besides visual impairments to enable them incorporate themselves into their communities with ease.
The purpose of the project is to offer services to people with various disabilities and help them get full integration into their communities, and help others prevent disabilities through Primary Health Care and health education. The project accomplishes these tasks through field workers and volunteers who serve as catalysts in their communities with the help of parents and community members. The project staff also share the love of Christ with people in communities where they work so that people may come to His saving knowledge.
The CBR intervenes basically in three domains: Prevention of disabilities, Referral for Treatment and Vocational Rehabilitation at both center and community levels for daily living skills.
Target groups are people with visual impairments, mobility and other physical disabilities, hearing impairments, epilepsy, Hansen’s Disease, cerebral palsy, etc.
CBR is located within the Mbingo Baptist Hospital premises in Boyo Division of the North West Province. The project’s area of operation covers 4 of the 7 Divisions of the Province and hopefully will soon be extended to the other divisions. Since inception, it has reached over 13,000 persons with disabilities and given health talks to more than 100,000 people on the prevention of disabilities in several communities.
The program offers vocational rehabilitation training, which can either be community-based or center-based, in various fields as follows:

  • Crafts (weaving baskets, fiber bags, cane chairs and cupboards)
  • Agriculture (bee farming, gardening, crop production – cereals and tubers)
  • Animal and poultry farming (chicken, pigs, goats and rabbits)
  • Paid open apprenticeship training in communities for trainers who in the long run train other disabled people for free.

4 .Eye-Care Services
Eye care services in the Cameroon Baptist Convention Health Board (CHCHB) started at Banso Baptist Hospital in 1981. Today comprehensive eye-care services are offered in all CBCHB hospitals and 5 of its Health Centers. Beginning with a few patients consulting for various eye problems in the early 1980s, Eye Care services have expanded to consulting over 30,000 patients at both base hospital and outreach visits, providing surgery for various eye problems to some 1,500 patients and dispensing over 3,000 glasses in 2007.
The Mbingo Baptist Hospital Eye Department grew out of a partnership with the Eye Department of the Presbyterian Mission Hospital in Acha-Tugi, Momo Division of the North West Province. The first resident Ophthalmologist took up office at Mbingo Baptist Hospital (MBH) in April 1999. Since 2000, eye surgery has consistently been done in all CBCHB hospitals. Services provided by the Eye-care Department in CBCHB institutions include the following:

  • Outpatient consultations from Mondays to Saturdays.
  • Special outpatient services including
  • Prescription and fitting of medical glasses,
  • Diode Laser surgery for prevention of blindness from diabetic eye diseases and complications from high blood pressure,
  • YAG laser surgery to prevent scarring vision after cataract surgery,
  • Fundus photography for assessment and management of retina (black of the eye) diseases.
  • Eye surgery for various eye conditions, most especially cataract and glaucoma.
  • Primary Eye Care through a Community Outreach program to promote good eye health, treat common eye conditions, and refer serious cases to the nearest hospitals providing eye care services.

Former SEEPD-Programme Manager, Ezekiel-Benuh-presenting progress-of-SEEPD I & 2

Overall Objective of SEEPD I 
The overall objective of the program is to improve the quality of life of people with disabilities (PWDs) in the region. Its purpose is to ensure that people with disabilities are socially and economically empowered.
Empowerment of PWDs in this program is understood as increasing authority to PWDs by giving them a voice and by strengthening their confidence in various ways. The program reflects the shift in the understandings of disability and community based rehabilitation from a medical to a social/ integrated model as promoted by the World Health Organization and the International Classification of Functioning, Disability and Health (WHO, 2001).
The Program Focuses On the Following Areas

  • The establishment and management of a network of existing actors in disability, rehabilitation, and development with a central coordination. This network will provide a firm platform for advocacy efforts by PWDs and their families. Representatives from the Ministry of Health and Social Affairs will be part of the network and planning process.
  • Capacity development of leaders with a disability.
  • Capacity development efforts within the CBC-HB through the following activities:
  • Amalgamation of previously isolated projects (4) under the CBC umbrella structure and the creation of an integrated disability program to ensure complementary and comprehensive
  • services aiming at increasing the QOL of PWDs
  • Establishment of a national procurement structure to allow effective and efficient service provision for PWDs in materials, equipment and consumables
  • Promotion and development strategies to ensure equal opportunities for PWDs through capacity development of beneficiaries and their families (economic empowerment, advocacy)
  • Research to support the goals of the program will be carried out in collaboration with the Bamenda Coordinating Centre for Studies in Disability and Rehabilitation

Cross Cutting Issues in The Program

  • Inclusion of PWDs at all stages of the program, including community involvement, advocacy and networking.
  • Improved accessibility: the program will make services more accessible and affordable to PWDs both at institutional and community levels, through advocacy, infrastructure and service adjustments.
  • Activities to educate and sensitize PWDs on their rights and also for communities to include PWDs in mainstream initiatives.
  • Gender Focus on ensuring that women are included and that services for women with disabilities are improved.
  • Child Protection a child protection policy will be developed by CBCHB. The program will assist all stakeholders in developing policies to protect children.

Expected Program Results

  • The scope and utilization of the various medical and rehabilitation services increases. 
  • The participation and success rates of children with disabilities in schools increases.
  • More PWDs are integrated into the local economy.
  • Research is effectively contributing to development and implementation of the project.
  • Improved communication increases the effect of mainstream campaigns on PWDs and increases the sensitivity of government services to the needs of PWDs.

SEEPDII Purpose
To empower persons with disabilities to exploit their full potentials in inclusive settings.
Phase II Achievements

  • 385,783 people with/at risk of acquiring disabilities accessed different medical services to treat, prevent or rehabilitate disabilities.
  • 627,188 people were sensitized on existing services.
  • 148,785 people sensitized on the importance of education of CWDs.
  • 478 teachers trained and implementing inclusive education in 17 pilot schools.
  • 3,540 CWDs enrolled in mainstream schools with 69%recording improvements in their performances in end of course exams.
  • 4 local councils are supporting the education of 50 CWDs from their municipalities who are enrolled in special schools. Two of these councils have made it policy.
  • 1,456 PWDs are involved in income generating activities including loans for business, vocational training and formal employment.
  • Research has continued to support Program implementation with the completion of 7 Program development studies.
  • Networks are being developed to ensure optimum safeguarding and protection of children with disabilities from risk of abuse and from abuse respectively.

Challenges
Disability inclusion in mainstream development actors policies and practices is still largely inadequate.
Lessons Learnt
Empowerment and elimination of attitudinal and physical barriers to opportunities will enhance PWDs’ inclusion and optimum participation in national and global development engagements.

Conclusion
The improvement of the quality of life of persons with disabilities is our collective responsibility.Lets all think about and involve persons with disabilities in all our activities.


 

SOCIO ECONOMIC EMPOWERMENT OF PERSONS WITH DISABILITIES (SEEPD) PHASE III
Introduction


SEEPD III starts on January 2, 2015 and will end on December 31, 2018. The activities of this phase align with the initial goal of empowerment and inclusion of PWDs. Three components (Gender, Programme Management and Child Protection) though cross cutting have been established to facilitate optimum participation and ensure sustainability.
Purpose
Development actors are effectively mainstreaming disabilities in their engagements.
Results

  • Communities incorporate PWDs in their development plans
  • Communities and other key education stakeholders take up and promote inclusive education
  • Many more PWDs access inclusive livelihood opportunities.
  • Many more communities participate in the prevention and rehabilitation of PWDs
  • Child safety is ensured at all levels of programme implementations.
  • Improved management, documentation and visibility of programme targeting PWDs.

Conclusion
Persons with disabilities continue to endure limited access to quality healthcare services, education and livelihood opportunities in Cameroon. Through the SEEPD Programme, the CBCHS is making commendable efforts to close access gaps in these critical areas and putting smiles on the faces of PWDs. SEEPD Phase III sets out to achieve more.To be part of our efforts, login to: www.cbchealthservices.org and learn more about us!

Program Coordination
The management structure of the SEEPD Program consists of a Program Director who is the representative of the partner organization and is responsible for the overall functioning of the Program.The day to day management of the Program is ensured by the Program Manager who is responsible to ensure that all the Program results are attained. He is assisted by a Monitoring and Evaluation Officer who ensures that all Program activities and reporting is done on time and properly. The Gender and Child Protection Officer ensures that child’s rights are respected at all levels and that all program activities take on board gender in both planning and implementation. A Communication Officer ensures that the Program has proper visibility in the Project area and country as a whole and that people with disabilities are properly informed of Program activities. The Administrative Assistant is responsible for organizing all logistics for Program work and visits. The Finance Officer ensures the proper and efficient management of Program finances and ensures that management is informed of all financial trends, implications and opportunities for informed decision taking. The Education Advisor plays a key role in advocacy for inclusive education and training of Teachers for inclusive teaching.

Prof. Tih Pius Muffih Program Director

Mr. Awa Jacques Chirac, Program Manager

 

M&E Officer

Mrs. Ndong Irene Finance Officer

 

Centre for Empowerment of Females with Disabilities (CEFED) 
99879370    cefedwomen@yahoo.com 
Education of CWDs, and empowerment of females with disabilities
Santa 
Comfort the Blind (CoBlind) 
7441 4830
Craft & self help and advocacy
Belo 
Fight Against Disability (FADIG) 
78499956 
Craft, advocacy and economic empowerment
Njinikom
Keafon Association of Persons with Disabilities (KEAFON) 
77964982 
Advocacy and self support
Kumbo 
Special Needs Entrepreneur Group (SNEG) 
Craft, economic empowerment
Small Mankon Bamenda 
Coordinating Unit of Associations of Persons with Disabilities (CUAPWD) 
7738 7731 cuapwd2008@yahoo.com
Advocacy and coordination of member Associations
Savana Street, Bamenda
Solidarity Association of Person with Disabilities (SDPGN) 
7738 7731
Create awareness on disability issues
Ndu
Mbengwi Union for Person with Disabilities (MUDAP) 
74853584/93230980
Promote solidarity and fight against poverty
Mbengwi

Kongni Association of Persons with Disabilities (KONGNI) 
93559062 
Self-help and advocacy
Ntumbaw 
Bamunka Urban Association of Persons with Disabilities (BUAPWD)
75206532
Self help and social support

Bamunka Ndop
Weh Association of Persons with Disabilities (WAPWD) 
Self help group with an advocacy element 
Weh
KIMAR Association of Person with Disabilities (KIMAR) 
74570199
Advocating for wellbeing and empowerment
Jakiri

SPD’s major partners are:
ChristoffelBlinden Mission (CBM)
Dordrecht Bamenda Foundation
Canadian Working Group on HIV and Rehabilitation (CWGHR)
International Centre for Disability and Rehabilitation (ICDR)
Lilian Foundation, The Netherlands
HEARTS for the DEAF, USA

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