South Africa

reasonsSouth Africa’s population is 51,770,560 [1], 30.1% of whom are under 15 [2] years old. South Africa’s birth rate is 19.32 per 1000. Based on an incidence of 2/1000 live births with clubfoot [3], more than 2000 babies are born with clubfoot per year in South Africa. South Africa is divided into nine administrative provinces. Patients are diagnosed and sent from smaller hospitals and clinics to referral hospitals, or specialist clubfoot clinics.

STEPS works in partnership with SAPOS (South African Paediatric Orthopaedic Society) to build capacity for more children to access Ponseti treatment.  We support and strengthen existing clubfoot clinics, and provide training and a set-up model for new clubfoot clinics. Our clubfoot clinic support programme provides parent education, data capturing, training, and is focused on improving the lives of children born with clubfoot, their families and community.

STEPS South African programme partner clinics are situated in Johannesburg, Soweto and Ga-Rankuwa (Gauteng), Cape Town, Bellville, Worcester, and George (Western Cape), Kimberley (Northern Cape), Bloemfontein and satellite clinics (Free State),  Acornhoek, Kabokweni (Mpumalanga), Mahikeng (North West) and Mqanduli (Eastern Cape). Four new clinic partnerships launched in Kwa-Zulu Natal in late 2016.

Because of the size of South Africa, and because most clinics are located in highly populated areas, the more rural and sparsely populated regions are often far from clubfoot clinics, and the patients have to travel far for treatment. This can cause patient default and compromise treatment outcomes.

Because of this, STEPS has identified a need for more training and the opening of new clinics, decentralising the treatment to all parts of South Africa.

An estimated total of 1,200 patients’ treatment will be supported between 1 July 2016  and 30 June 2017.

Contact us for information on clinic days for Ponseti providers around South Africa.

1. Census 2011 data from Statistics South Africa
2. Population Division of the Department of Economic and Social Affairs of the United Nations Secretariat, World Population Prospects: The 2010 Revision
3. (a) Incidence and Patterns of Congenital Talipes Equinovarus (Clubfoot) Deformity At Queen Elizabeth Central Hospital, Banter, Malawi. 1Kwandwire N.C., 2Kaunda E Cert. NMT.; (b) Common Birth Defects in South African Blacks. Kromberg JG, Jenkins T S Afr Med J 1982; 62: 599-602; (c) Congenital musculoskeletal malformations in South African blacks: a study on incidence. Pompe van Meerdervoort HF. S Afr Med J 1996; 50:1853-5.