Namibia has 2 million inhabitants, 36.4% of which are under 14 years of age . The birth rate is 21.11/1000 of the population. Based on an incidence of 1/500 live births with clubfoot in southern Africa, it is estimated that around 90 babies are born with clubfoot per year in Namibia.
Namibia is made up of 13 regions and 121 constituencies. It has three large reference hospitals, two of which are in Windhoek, and one of which is in the north (Oshakati). Clubfoot babies are referred from the clinics to the larger state hospitals, and from these hospitals to Windhoek Central Hospital (WCH).
STEPS with the support of a grant from miraclefeet provided assistance for the launch of the new clubfoot clinic at WCH in April 2013, run by Dr Ernest Kombo, who attended the STEPS Botswana Ponseti training in June 2013.
The WCH clinic has developed well due to good leadership, hospital support and the supply of braces from STEPS.
STEPS, in partnership with WCH and the Namibian Ministry of Health, organised the first Namibia Ponseti training in November 2013, with 28 delegates from five regions: Khomas, Hardap, Oshikito, Kavango, and Oshana.
In November 2013, STEPS Namibia Clubfoot Programme (SNCP) was established as a registered section 21 (non-profit) company. A Namibian National Clubfoot Programme is supported by the Namibian Ministry of Health and the intention is to finalise the draft Memorandum of Understanding between STEPS and the Namibian government.
In April 2015, the 2nd Namibia Ponseti training was held at Keetmanshoop Hospital. A clubfoot clinic will be established for this region following the training.
A 2nd Namibian Ponseti clubfoot clinic has been established in Oshakati, so that patients from Northern Namibia can have treatment closer to where they live. The plan is to support the set up of a Ponseti clinic in Rundu, after the Ponseti training at Rundu Hospital scheduled for September 2015.
A refresher training was held at Windhoek Hospital in July 2015. A training will be held in September 2015 in Rundu.
1. Population Division of the Department of Economic and Social Affairs of the United Nations Secretariat, World Population Prospects: The 2010 Revision