Occupational therapy

We pride in Occupational therapy at Child Destiny Foundation. Our Occupational therapists (OTs) observe and evaluate how children perform in everyday contexts before engaging in intervention services. Occupational Therapy is done primarily to help the children develop skills such as activities of daily living which include eating, grooming and toiling. Treatments focus on helping the children regain or develop skills these skills which are necessary for daily living and can help them live a near independent life. The OTs engage the children in exercises and task-related activities that are disguised as play. At our rehabilitation clinic, we train Fine motor skills, Visual-motor skills, Visual perceptual skills, and engage in activities that improve sensory integration, Oral-motor skills and Daily living skills.


Physical therapy

At Child Destiny, we provide a wide range of physical therapy services for children with varied neurodevelopmental impairments and physical impairments such as cerebral palsy, polio, amputees and those with severe burns. We begin by evaluating a child's physical movement and functioning, then create a treatment plan to improve physical abilities, fitness, and overall wellness. The physical therapist may also recommend splinting and casting, bracing/orthotics, wheelchair and seating, and adaptive equipment. Each step of physical therapy helps children improve in areas ​including: Muscle strength and flexibility, Postural stability, Endurance, Joint mobility, Coordination and balance. 


Speech therapy
Speech-language pathologists’ evaluate and treat children with communication disorders. They also offer services for feeding and swallowing disorders. Services include: Oral-motor feeding evaluations, Oral-motor feeding and swallowing therapy, Caregiver training, Augmentative/alternative communication systems and Play therapy.
At Child Destiny, special children are encouraged to express themselves, through play, all the things they may have difficulty saying or contextualizing into words. As a consequence of this primary focus, play therapy has expanded to include most of the expressive art forms including drawing, painting, music and movement. So while the foundation of play therapy is still the playroom with its selection of symbolic toys, the play therapist has greatly expanded the medium for nonverbal and verbal expressions.

Home and community care support (home-based care)
Due to challenges in mobility that face families of children with special needs, it is difficult for them to attend therapy sessions at the clinic as required. Child Destiny foundation organizes home visits to offer home-based therapy services and help caregivers, who in most cases are persons other than the parents but individuals left to take care of the children while their parents go about striving to make a living in their daily endeavors. Amongst other activities, these may include feeding and bathing.

Nutrition
Child destiny foundation provides a food basket program to special needs children and poor families living in the slums of Kibera.Their exist a thin line between malnutrition in slums and disability given the high number of rickets related cases that Cdf receives on a regular basis. Majorly the enriched porridge formula is purchased from the millers and distributed to up to 15 families every two weeks.

Awareness campaigns and Advocacy
Child destiny foundation also provides community awareness campaigns, advocacy and distribution of IEC materials to the local community in Kibera.It is also working with local churches and immediate neighbors who share plots/building with families whose children fall under the category of special needs which targets 100-150 individual families.


Primary Health
The existence of a community based health facility offers primary health care in the line of curative and extensive outreach in public health awareness creation of communicable diseases such as; waterborne diseases, airborne, hygiene, contagious diseases, sexually transmitted infections and life style diseases such as diabetes and hypertension.


Maternal, Newborn and Child Health
Healthy women are the foundation of a strong community, and healthy newborns are the future. Yet each year, nearly 300,000 women die from complications of pregnancy and childbirth, and an estimated three million newborns die within the first month of life. Although these numbers have declined, there are still too many avoidable deaths and birth related complications, and the vast majority occur in developing countries and the slums, where adequate health services are often unavailable or inaccessible-leading many women to give birth in facilities without adequate equipment and staff, or at home without skilled providers. Child Destiny Foundation has been working to bring such life-saving measures to mothers and newborns.

What CDf Is Doing in MNH
Currently, CDf has maternal and newborn health programs in Dagoreti South Constituency. Through these ongoing efforts, we partner with ministry of health and local private maternity health providers to address the barriers to use of high-quality maternal and newborn health care from the household to hospital. Our collaborations focus on an expanding range of critical technical interventions—drawing on our clinical expertise, midwifery and newborn health—to increase access to skilled providers who, utilizing a framework of respectful maternity care, can deliver evidence-based interventions including: Focused antenatal care, a platform for integrating a broad range of services for improving maternal and newborn outcomes, including prevention and treatment of malaria in pregnancy and prevention of mother-to-child transmission of HIV
Increased capacity of skilled providers (doctors, midwives and nurses) to provide essential obstetric and newborn care to support normal labor and birth including presence of a companion, food and fluids, and use of desired positions for labor and birth
Increased access to and use of basic and comprehensive emergency obstetric and newborn care, helping to ensure that the approximately 15% of births that develop complications are promptly identified and managed. This includes identification and management of pre-eclampsia and eclampsia, prevention and treatment of obstructed labor (a major cause of obstetric fistula), postpartum hemorrhage and newborn asphyxia—some of the most common causes of maternal and newborn morbidity and mortality
Provision of family planning information and services during the antenatal and postpartum periods, another lifesaving intervention that has the potential to reach over 90% of women of reproductive age in high-fertility settings
Improved quality of services and infection prevention practices that help reduce postpartum and newborn infections. CDf  also recognizes the need to accelerate the development, delivery and impact at scale of new approaches to priority global health problems. These innovations will help in earlier diagnosis of pre-eclampsia and eclampsia, in identification of abnormalities during labor, and in prevention of postpartum hemorrhage for women without access to skilled providers.

Infection Prevention and Control
CDf has been a leader in advocating for and implementing evidence-based standards for infection prevention (IP) practices that protect the client and health care worker.

By systematically integrating IP into health care initiatives such as family planning, reproductive health, maternal and newborn health, and HIV/AIDS prevention programs, Health facilities may:

Reduce the spread of infectious diseases
Promote the use of effective waste management
Minimize environmental pollution
Reduce the perceived risk of HIV infection for health care providers

Changing perceptions about risks related to infection prevention helps to reduce health care worker attrition and increases the likelihood that sufficient numbers of students will continue to complete basic education to become physicians, nurses, midwives and other types of health personnel.


Urban Health and Communities
The world is urbanizing at an increasingly rapid pace. As the trend continues, many will have no alternative but to move to informal settlements, commonly called slums. UN-HABITAT estimates that, of all urban residents worldwide, sub-Saharan Africa currently has the largest proportion of urbanites living in slums (nearly 72%)1.

Cdf Medical has implemented two programs in the slums of Nairobi, Kenya in the past and has a collaborative effort designed to demonstrate the variety of interventions that must be addressed to foster sustainable improvements to health in urban slums has created a sustainable model that links empowered communities with strengthened health facilities.

Examples of sustainable successes spearheaded by CDf medical are:

Youth as Peer Educators:
Young people have been trained by Cdf to counsel their peers on safe sex practices. This has empowered them with knowledge regarding HIV, dispelled myths and has increased the community’s respect for people living with HIV and their families.

HIV/AIDS Prevention, Care and Treatment
The United Nations sixth Millennium Development Goal (MDG) called for the halting and reversal of the spread of HIV by 2015, and the achievement of universal access to HIV/AIDS treatment by 2010. Although progress has been made, the epidemic continues to devastate countless lives. This is especially true in developing countries, where HIV/AIDS has placed enormous burden on already strained health care systems and a dwindling health workforce, and where more than 90% of the world’s HIV-infected population lives. Women and children are among the hardest hit, with women 15 years of age and older making up half of the world’s HIV-infected population, and an estimated 2.1 million children living with HIV/AIDS as of 2007.

What CDf Is Doing
Counseling and testing (CT) for HIV, considered the gateway to comprehensive HIV prevention, care and treatment for people who test positive, as well as reinforced prevention for those who test negative.

A HTC counseling session:

Counselor assisting a client interprets test result.
Prevention of mother-to-child transmission of HIV (PMTCT), addressing the main mode of HIV infection in children
Male circumcision (MC), shown to reduce the risk of female-to-male HIV transmission by 60%
Prevention of medical transmission of HIV and other infectious diseases through simple infection prevention practices, as well as post-exposure prophylaxis for HIV
Provision of adult and pediatric antiretroviral therapy (ART), treatment for opportunistic infections and palliative care, from the facility to the community level
Integration of HIV/AIDS services with tuberculosis (TB), cervical cancer, malaria in pregnancy, family planning and maternal and child health services, to address the problem of co-infection among HIV/AIDS patients and to reach as many people as possible

Stay alive creates a platform for pupils to communicate with their peers.
Stay alive session in Riruta Satellite primary school.
Provision of nutritional support to OVCs and Special Needs Children:

Orphans and vulnerable children (OVC) are at risk of poverty, stigma, malnutrition, poor health and nutrition, limited education and vocational opportunities, and inadequate social and emotional support.
CHW (community health worker) at the child welfare nutritional clinic.

Youth and women empowerment
Alongside other partners Cdf have worked together on many projects to address the growing needs of the local community through empowerment and sustainability measures. The CDf team is dedicated to creating tangible changes to the lives of people living in poverty

Educators, youth workers, parents, and community members often share a common goal—they want to help young people succeed.

Facilitation of goals through training and professional development. CDf also works directly with young people to help them grow as individuals and leaders.

Youth on motorcycle taxi.
Alongside other partners Cdf have worked together on many projects to address the growing needs of the local community through empowerment and sustainability measures. The CDf team is dedicated to creating tangible changes to the lives of people living in poverty

Educators, youth workers, parents, and community members often share a common goal—they want to help young people succeed.

 Facilitation of goals through training and professional development. CDf also works directly with young people to help them grow as individuals and leaders.


Day care services

Advocacy (Nutrition,HIVand Disability)
Child destiny foundation provides a food basket program to special needs children and poor families living in the slums of Kibera.  Their exist a thin line between malnutrition in slums and disability given the high number of rickets related cases that Cdf receives on a regular basis. Majorly the enriched porridge formula is purchased from the millers and distributed to up to 15 families every two weeks.
Bead work training for women at the cdf centre.
Program for young girls with hearing impairment: (Mashilingi initiative)


Child Destiny Foundation: Kenya