PLAN Health Advocacy and Development Foundation Quarterly Partners Report for Q4 for OYPHCB - PLAN Health Advocacy and Development Foundation

Quarterly Partners Report

PLAN Health Advocacy and Development Foundation Quarterly Partners Report for Q4 for Oyo State Primary Health Care Board (OYPHCB)

REPORTING PERIOD: Q4/FY25
COUNTRY/REGION: NIGERIA/SOUTH-WEST
PREPARED BY: PLAN HEALTH ADVOCACY AND DEVELOPMENT FOUNDATION
SUBMISSION DATE: 24/07/2025

Executive Summary

PLAN Health Advocacy and Development Foundation, with support from MiracleFeet, are operating two clinics in Ogbomoso and Ibadan, the clinics provided clubfoot treatment care to children with clubfoot in the state. The Ogbomoso clinic is a private/missionary hospital and operates at the Orthopedic Clinic of Bowen University Teaching Hospital (BUTH), while the Ibadan clinic is located at Ring Road State Hospital, a government-owned facility.

To enhance the treatment quality being provided by the clinics, Advanced Ponseti training was conducted for 7 clinicians of which 6 persons completed the training. These clinics can now actively treat and manage older patients for the treatment of clubfoot.

To foster collaboration, PLAN Foundation partnered with PCDF, leveraging on their consultants to facilitate the training sessions.

However, challenges were encountered for enrollment patients due to preferences for traditional bone setters, and distance to where the clinics are located.
To address these issues, PLAN Foundation implemented targeted mitigation strategies:

1. Collaborated with focal persons for topical and neglected disease in the Primary Healthcare Centers across the 33 Local Government Area of the State to raise awareness about the cost-free treatment and management of clubfoot.

2. Engaged MiracleFeet for approval to saturate more clinics in the state to bring the service closer to the people.

[Q1/Q2/Q3/Q4 - Year]	List Key Achievements During The Quarter	List Main Challenges Faced	Actions Taken Or Proposed
Q4/FY25	1. Facilitated Advanced Ponseti training for 6 healthcare providers in the clubfoot clinic at the two clinics at Bowen University Teaching Hospital (BUTH), Ogbomoso, and Ring Road State Hospital, Ibadan. 2. Hosted a radio program in Ibadan and Ogbomoso to promote free clubfoot treatment funded by MiracleFeet.	1. Inadequate clinical equipment at Ring Road State Hospital, Ibadan, and Bowen University Teaching Hospital. 2. Inability to sign Memorandum of Understanding (MoU) with the management of Ring Road State Hospital, Ibadan	1. MF team has released funds and approval to purchase some clinical equipment like cast cutters which has been done. 2. Advocacy visits will continue until the MoU is signed. The visits will include some parents of children receiving treatment for clubfoot at Ring Road State Hospital Ibadan.

1. Program Performance and Indicators

Indicator	Annual Target	Quarterly Target	Quarterly Achievement
New Enrollments	60	21	26
Average # Casts	4-6	4-6	4-6
Tenotomy Rate	80%	80%	100%
Bracing Dropout Rate	20%	20%	0%
Casting Dropout Rate	10%	4.5%	4.8%
% New Patients ≤ 12 months	75%	75%	20%

1.1 Enrollment & Treatment Quality Analysis
• Since the establishment of two new clinics in Oyo State, a total of 62 children has been enrolled and are now receiving care. Thirty-two (32) patients are currently accessing services at Bowen University Teaching Hospital, Ogbomoso, while Thirty-One (30) are receiving care at Ring Road State Hospital, Ibadan.
• In order to treat older children with clubfoot Advanced Ponseti training was conducted for the service providers. The training was facilitated by Dr. James Adeniran and Mr. William Eboh who are both MiracleFeet trained trainers.
• To enhance treatment quality, weekly meetings are conducted with cast administrators and clinicians following clinic days to review and evaluate performance.
• These meetings also serve as a platform for generating suggestions to improve treatment quality, particularly in terms of patient enrollment and retention.

1.2 Community outreach/Awareness/Sensitization & Early Detection Referral (EDR)
Community outreach and Early Detection and Referral (EDR) training were conducted in Ibadan and Sabo quarters in Ogbomoso. Participants included Traditional Birth Attendants, community leaders from the Sabo quarters, healthcare workers, and selected community volunteers. We also have a WhatsApp group that has all focal persons in the department of topical and neglected disease from the Oyo State Primary Healthcare centers where we sensitize the healthcare workers about clubfoot. Activities during the commemoration of World Clubfoot Day was geared towards raising awareness about clubfoot and the free treatment being funded by MiracleFeet.

1.3 Technical Trainings, CAST trainings, Supportive Supervision visits this quarter (medical and lay training must be indicated if any)
The Advanced Ponseti Training was conducted on May 13th and 14th, 2025, at RAGARAY Hotel, Ogbomoso. The training was facilitated by Dr. James Adeniran and Mr. Williams, both MF-trained Ponseti Trainers. The training sessions included a team of four healthcare providers from each participating clinic. The participants included one orthopedic consultant, one orthopedic doctor, one house officer, 2 plaster technicians, one orthotist and one orthopedic nurse. Participants were trained on the Advanced Ponseti method of managing clubfoot especially in older children.

1.4. Capacity Building & Organizational Effectiveness
Our solar of1.0 KVA was upgraded to 3.5 KVA so as to reduce the cost of electricity tariff and increased productivity of the employees.

1.5. Braces (shipments, statistics, needs)
A total of 72 pair of shoes of different sizes and 66 pieces of bars were received from HANDS for the quarter.

1.6. Partnerships Formed or Strengthened this quarter
A robust partnership has been established with the PCDF and HANDS to facilitate training of clinicians for the Advanced Ponseti, during the Knowledge Exchange there is a collaboration with other partners through sharing of experiences. Also, strong collaborations have been strengthened with key stakeholders including
• Oyo State Ministry of Health
• Oyo State Hospital Management Board
• Ministry of Women Affairs and Social Inclusion
• Community Mobilizers in some LGAs in the state
• Oyo State Primary Healthcare Board

1.7. Child safeguarding reporting
At every clubfoot clinic day of both clinics, a volunteer and a staff of PLAN Foundation is always at the clinic to ensure child protection also at every meeting of the healthcare workers in the clubfoot clinic child safeguarding is part of the discussion. There has been no case of child safeguarding policy infringement.

1.8 Advocacy/Integration updates
Fact finding cum advocacy visit was conducted to Federal Medical Center, Abeokuta, Olabisi Onabanjo University Teaching Hospital, Sagamu and State General Hospital, Ota all in Ogun State. The visits were in preparation for the establishment of the new clubfoot clinic for FY26. The Chief Medical Director (CMD) of these Hospitals were excited to work with PLAN Foundation so as to provide free treatment for children with clubfoot. Fact finding cum advocacy visits was also made to General Hospital Igbo-ora and General Hospital, Oyo both in Oyo State. The visits yielded positive outcomes the CMDs of the hospitals pledged their support. Memorandum of Understanding (MoU) has been sent to these hospitals while follow up visits will continue until the MoUs were signed.

2. Challenges & Mitigations

Programmatic Area	Challenges	Mitigations Strategy	Support Required
Enrollment Challenges (Barriers to reaching target patient numbers, if any)	1. Cultural barrier. 2. Distance of the facility for some patients.	Creating more awareness for the free treatment of clubfoot through the electronic media and to also demystify myth about clubfoot. To bring the service closer to the people saturation of the state that we are working in has been approved for the next quarter and also to establish clubfoot clinics in a new state.	None
Treatment Quality Challenges (Issues affecting the quality of care, if any)	The quality of Plaster of Paris that we got through our supplier was of low grade. This makes the cast not to hold firmly after two days.	The doctors in the clinic have given us a sample of the Plaster of Paris to be buying of which we have started buying	None
Advocacy/Integration (Challenges in integrating clubfoot treatment into broader health or advocacy programs, if any)	None	None	None
Partnership (Issues with collaboration or partnerships, if any)	None	None	None
Child Safeguarding	None	None	None
Others	None	None	None

4. Next Steps, Future Plans and Recommendations

4.1. Priorities for the next quarter (Key goals, outreach, training, and awareness initiatives, child safeguarding)

• To increase enrollment and retention of clubfoot patients.
• To strengthen quality service delivery among healthcare providers through training.
• Community awareness targeting urban slums and rural communities in Oyo and Ogun States so as to create more awareness and provide quality and free treatment for children with clubfoot.
• Entry into 1 new state and saturation of the state we are presently working through the activation of 3 new clinics.
• To strengthen support group for parents of the children that are getting treatment for clubfoot.

4.2. Program Expansion (Plans to expand to new regions or communities, if applicable) PLAN Foundation will be expanding to the neighbouring Ogun State and will establish 2 new clinics in the new quarter.

4.3. Support Required (Additional resources required to scale or improve the program, if any)

PLAN Foundation would request approval for purchase of clinical equipment for the 6 new clinics.

4.4. Suggestions for Improving Program Performance