Based on the birth rates and Seychelles population number of about 88 000 – 90 000, an estimated three children are born annually with clubfoot. However, there are many more neglected cases, relapses and disabled people living in this area because of failed treatment.
Ninety percent of the Seychellois live on the island of Mahe, the largest island of the Seychelles, and most of the rest live on Praslin and La Digue, with the remaining population living on smaller islands that are sparsely populated.
Seychelles is divided into 25 administrative regions that comprise all of the inner islands. The Seychelles has hospitals on the islands of Mahe, Praslin, and La Digue. The Seychelles Hospital is the national referral hospital, and is located in Victoria, the capital of the Seychelles, on the island of Mahe.
In July 2013, STEPS SA met with the Director of Rehabilitation Services of the Seychelles Ministry of Health (MoH) to discuss starting a Ponseti clubfoot clinic programme.
STEPS, in partnership with miraclefeet, and the MoH collaborated to arrange a Ponseti training workshop at Seychelles Victoria Hospital, Mahe in April 2014. 16 delegates attended this training, which was the first held in the Indian Ocean Islands.
Until the training was held, clubfoot patients were receiving serial casting, followed by surgery by visiting surgeons. Many others were considered failed cases. This training gives the people of the Seychelles the means to manage an effective clubfoot treatment programme.