Para conectar a Ponseti Perú clic aquí. November 3, 2014 – Dr

Para conectar a Ponseti Perú clic aquí.
November 3, 2014 – Dr. Marco Ascacio, PIA visiting faculty, is facilitating Ponseti
casting technique training with Drs. Tito and Campano in Lima, Peru.
October 23, 2014 – A meeting was held with the director of the Hospital de Sulla, Dr.
Gerasimo Alvarez Ato. This photo was taken during a recent trip to Peru to help
manage and support the formation of clubfoot clinic units in the Hospital de Sullana and
Hospital San Juan de Dios in Piura. In this photo from left to right: Dr. Guillermo Tierno
(Brazil), Ovidio Suarez Vasquez (Chief of Surgical Specialties), Cesar Medina, Dr.
Gerasimo Alvarez Ato, and Dr. Julio Segura Perez (PIA Peru Champion).
October 23, 2014 – Dr. Tierno explains to Dr. Morillas and Dr. Lazo the placement of
plaster when casting.
October 24, 2014 – Dr. Tierno gives a presentation to pediatricians and
neonatologists at Hospital de Sullana about the Ponseti technique, historical
perspectives, and idiopathic clubfoot.
October 1, 2014 – Dr. Segura, Project champion and Marisa de Canaval, Project Field
Representative met with Dr. Juan Sierra, Medical Manager of Clinica San Juan de Dios,
Lima and Dr. Agustin Pecho to discuss establishing a clubfoot clinic at their hospital.
September 4-5, 2014 – Ponseti International Project "Walk Right in Your
Life" Arequipa Site visits and clubfoot awareness campaign
Dr. Segura, in-country champion, travelled to Arequipa. His accomplishments included:
• Give a Clubfoot Awareness Conference directed at doctors and other health
professionals.
• Raise the support for the formation of a Clubfoot Clinic in the Clinica San Juan de
Dios in Arequipa.
• Raise the support for the formation of a Clubfoot Office in Hospital III Yanahuara
de Essalud.
• Observe the care of patients with clubfoot in Hospital Paz Holandesa.
• Converse and interchange ideas about the treatment of particularly difficult cases
treated by doctors involved with the care of children with clubfoot.
Meeting at Hospital Paz Holandesa with Ms. Jodee Fortner, who is with Drs. Rivera and
Segura.
Rivera and Segura.
Meeting with the Director of Hospital
III Yanahuara de Essalud, Dr. Javier
Gutiérrez Morales, who is with Drs.
Meeting with the Clinic Manager of Hogar Clínica San Juan de Dios (HCSLDA) of
Arequipa, Dr. Pedro Emilio Alcázar Zuzunaga, who is with Drs. Rivera and Segura
9/5/14
• At Hospital III Yanahuara de EsSalud, Dr. Segura provided a lecture, “The
Importance of early diagnosis and treatment of Clubfoot” for pediatricians and
neonatologists, organized by medical professionals, directed and coordinated by
Dr. Mauricio Rivera Bendezu. Thirty-five participants in total expressed
enthusiasm and at the end of the conference Dr. Gutiérrez reiterated the
importance of a Clubfoot Office and that he personally would initiate the
formation of the program in EsSalud.
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Visiting Clubfoot Office in Hospital III Yanahuara de Essalud, to assist with the
placing of casts and treatment of patients with clubfoot, we also had the
presence of a doctor from Mollendo, medical residents, and Drs. Rivera and
Núñez.
Meeting with the Secretary of Scientific Action for the Arequipa Orthopedic and
Traumatology Society (SAOT). We discussed the importance of SAOT
recognizing that the treatment of Clubfoot using the Ponseti Method
was the treatment of choice for these patients. He has offered the project
the chance to speak with the President and said that they will issue the
corresponding letter shortly afterwards.
9/4/14
• Meeting with the Director of Hospital III Yanahuarade Essalud to discuss the
establishment and support needed for their clubfoot clinic.
• Meeting with the Clinic Manager of Hogar Clinica San Juan de Dios (HCSLDA) in
Arequipa to discuss the establishment and support needed for their clubfoot
clinic.
• Meeting with champion Dr. Rivera Bendezu and stakeholder Dr. Herbert Nunez.
• Meeting at Paz Holandesa Hospital with Ms. Jodee Fortner and Drs. Rivera and
Nunez. As a group, they determined that clubfoot patients would be referred to
HCSLDA or Hospital III Yanahuara de EsSalud for treatment; however, Ms.
Fortner may be able to assist low resource families with casting materials and
the brace.
Updates from USAID Trip – April 27-May 5, 2014
Dr. Adolfo Rocha traveled to Peru this spring to provide Ponseti Method training.
Dr. Rocha trained healthcare practitioners at Hospital del Niño in Lima and
Hospital Infantil Alianza Holandesa in Arequipa. The training was provided to enhance
the quality of technical issues such as casting, tenotomies, and bracing. During Dr.
Rocha’s time in Peru, 10 healthcare practitioners received training and 52 patients were
evaluated.
Although local doctors in Arequipa were utilizing surgical procedures in the
past, they seem interested in learning the technique. PIA hopes their hospitals and/or
institutions will facilitate this training for the benefit of their patients. Dr. Rocha took
advantage of the presence of the local doctors to review basic principles, treatment
steps, and tips to use during manipulations and castings.
Dr. Rocha also evaluated progress of the clubfoot project at these hospitals.
It is evident that this is a country with a high percentage of clubfoot cases and a
number of them have associated pathologies/syndromes. PIA will continue to train
doctors and assist the treatment of clubfoot in Peru using the Ponseti Method.
PIA and the Peru team plan to create educational brochures for parents
whose children are receiving care in Peru.
Updates from USAID Trip – March 10 – 14, 2014
Dr. Dalia Sepulveda, PIA visiting faculty from Chile traveled to Lima in March to
evaluate the clubfoot project at Hospital del Niño.
Major accomplishments of the trip:
• Two doctors, Dr. Olinda Torres and Dr. Juana Diaz, received Ponseti Training.
• Dr. Sepulveda met with brace manufacturer and they were very interested in
learning how to improve the function of the Ponseti bar and shoes.
• Dr. Sepulveda met with the board of Medical Doctors of Peru, where she was
able to provide an explanation of the Ponseti Method, the work of PIA, and the
aim of the Peru Project sponsored by USAID. The Board of Medical Doctors of
Peru expressed support for this project.
Updates from USAID Trip – March 3-7, 2014
Tomeka Petersen, Project Manager of USAID Grant, traveled to Lima in early March to
meet with Peru’s Field Representative, Marisa de Canaval and project champions at
Hospital del Nino. The purpose of the trip was to provide an orientation for the Field
Representative of Peru.
Major accomplishments of the trip include:
• Orientation of Field Representative included review of country plan, scope of
work, and the sub award budget; reporting requirements and other
administrative issues.
• Training of the International Clubfoot Registry (ICR) and practice in entering
patient data into the ICR.
• Delivery of laptop to the PIA Peru office.
Tomeka Petersen also met with Dr. Barriga (Peruvian Champion). Dr. Barriga suggested
him or another champion from Hospital del Niño travel to hospitals in different
provinces to explain the project and the Ponseti technique, in order to raise awareness
and to inquire which doctors would be interested in learning Ponseti Method.
Dr. Barriga identified that Hospital del Niño in Lima now has policy that Ponseti Method
is the only treatment for clubfoot, no surgery.
Updates from USAID Trip – February 18 – 21, 2014
Dr. Gilberto Rios, PIA visiting faculty from Mexico, was in Peru February 18 – 21, to
provide comprehensive Ponseti method clinical training in Lima and Cusco. During the
training, Dr. Rios provides teaching with the training participants during patient
consultations, casting, tenotomy procedures and bracing.
Participants of the training held at Hospital del Nino INSN-MINSA, Lima.
• Dr. Hersey Barriga, Dr. Alejandro Salas; and Dr. Julio Segura of Hospital del Nino
INSN-MINSA.
• Dr. Cesar Medina, Hospital de Apoyo II – 2 of Piura.
Participants of the training held at MINSA-Cusco
• Dr. Raul Salas, Dr. Carlos and Dr. Darwin of MINSA-Cusco.
During the training, over 50 patients were evaluated, and 7 tenotomies were
performed.
Dr. Gilberto gave a lecture to all orthopaedics staff at MINSA-Cusco to raise awareness
about Ponseti Method for treatment of Clubfoot.
Updates from USAID Trip – January 19 – 25, 2014
Dr. Erika Hernandez, PIA visiting professor traveled to Lima in mid-January to provide
comprehensive Ponseti Method clinical training. During the training, she observed
activities in the clinic and provided recommendations to improve Hospital del Niño
INSN-MINSA clubfoot clinic. The following doctors participated in the training: Dr.
Hersey Barriga, Dr. Alejandro Salas, Dr. Juana Díaz and Dr. Julio Segura.
Updates from USAID Trip December 2–8, 2013
Dr. Jose Morcuende (PIA Medical Director) visited Lima, Peru with Dr. Monica Nogueira
(PIA visiting professor from Brazil) in early December to provide Ponseti method
training.
This was the fourth training session at Hospital del Niño in Lima, and the first training
opportunity in Arequipa. Training was provided to clubfoot clinic staff at Hospital del
Niño in Lima, to four health professionals in Arequipa, and to one orthopedic surgeon
from El Carmen Hospital in Huancayo.
Many complex cases of clubfoot were treated while Dr. Morcuende and Dr. Nogueira
were in Peru.
Dr. Morcuende also met with newly elected MoH officials to provide an overview of the
clubfoot project objectives and its progress and activities to date. Dr. Morcuende
explained the importance of establishing a national clubfoot program. Dr. Barriga
(champion) shared his actions taken so far in working with the MoH officials to accept
and implement clubfoot guidelines. There was also discussion leading towards supplies
and braces necessary to provide clubfoot care being included in Peru’s national budget.
Additionally, Drs. Morcuende and Nogueira discussed long term sustainability of the
project and fundraising ideas with project champions and a local businesswoman. Dr.
Morcuende tentatively plans to return to Peru in March for more training and meet
again with the MoH.
Updates from USAID Trip – August 17-24, 2013
Dr. Jose Morcuende (PIA Medical Director), Tomeka Petersen, and Dr. Gilberto Rios
(PIA visiting faculty) of Mexico traveled to Lima in mid-August as part of the USAIDfunded project to promote Ponseti Method for treating clubfoot.
During the trip, a SWOT analysis was held with country champions and stakeholders to
determine the current status of clubfoot treatment in Peru and to determine the best
way to move forward in establishing a national program. Following the meetings, Drs.
Morcuende and Rios went to Hospital del Nino where they facilitated Ponseti method
training during clinic hours at Hospital del Nino. Trainees included many doctors from
Hospital del Nino plus 2 orthopedic surgeons from Cusco and one orthopedic surgeon
from Arequipa. Trainees also received training in the International Clubfoot Registry
(ICR) and in the use of web conferencing.
In addition, Dr. Morcuende and project champions met with USAID Representatives and
the Ministry of Health (MoH). The Ministry of Health official was interested in viewing
Hospital del Nino clubfoot guidelines. The Ministry of Health official verbalized her
commitment to work on the programmatic portion of the guidelines so they follow
Ministry of Health protocols.
Champion and Stakeholders Meeting
From left: Dr. Darwin Garcia Gonzales, Liliana Mayo, Tomeka Petersen, Dr. Hersey
Barriga, Dr. Gilberto Rios, Dr. Hector Velarde, and Dr. Alejandro Salas. In back: Dr. José
Morcuende, Dr. Carlos Alberto Camaro Jara. Kneeling in front: Chantal Fort d’ Auriol.
Meeting with Ministry of Health
From left: Dr. Carlos Alberto Caparo Jara, Dr. Hersey Barriga, Dr. Thomas, Dr. Cecelia
Lengua, Liliana Mayo PhD, Tomeka Petersen, Dr. Edgar Ramirez
Updates from USAID Trip – April 21-27, 2013
Dr. Gaston Terrazas, PIA visiting faculty (Chile), traveled to Peru to provide
comprehensive clinical training in the use of the Ponseti Method. Seven healthcare
providers from two Lima hospitals, Hospital del Nino INSN-MINSA and San Juan de Dios
Hospital, benefitted from the training.
A visiting professorship consists of on-site mentoring by an experienced provider at a
new clinical unit. The goal is to further refine new practitioner’s skills and to assure
that the Ponseti technique is being correctly applied and that the clubfoot clinic unit is
functioning satisfactorily. Training occurs during clinic hours with mentorship occurring
as patients are being treated during their clinic appointments.
More than forty clubfoot patients were seen throughout the week. Doctors reported
that there are more patients appearing in the clinic each week, and that awareness and
knowledge of treatment availability are spreading!
Monday, April 21, 2013
from left to right: Dr. Gaston Terrazas, PIA Visiting Faculty (Chile), Dr. Shimabuku,
Medical Director, Hospital del Niño, Lima and Dr. Barriga, Peru project champion and
Head of Orthopedics, Hospital del Niño, Lima.
Updates from USAID Trip – February 13-17, 2013
Dr. Jose Morcuende (PIA Medical Director) and Dr. Gaston Terrazas (PIA visiting
faculty) of Chile traveled to Peru increase understanding of the essential elements for
an effective clubfoot program in Peru.
Some major accomplishments of the trip include:
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Advanced staff training facilitated at Hospital del Nino and Hogar Clinica de San
Juan De Dios,
Local health administrators supporting the establishment of clubfoot clinics in
these two locations,
The USAID mission was briefed on the project,
Ministry of Health endorsing the program with initial steps for the development
of guidelines for future financial support within the Sistema Integrado de Salud
(SIS).
Initial discussions on how to institutionalize the program in the other two
healthcare delivery systems: Social Security (which covers employees in
government and public companies) and private insurance and institutions (which
covers the remaining population of approximately 10 million).

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