Annual Report

2018

Our Vision An Inclusive society where Persons with Disabilities are empowered

Mission To strengthen rehabilitation services and mainstream disability for empowering of Persons with Disabilities.

MottoEmpowering Persons with Disabilities

Our Strategic Goal Promote an inclusive society where Persons with Disabilities have access to affordable quality rehabilitation services and become self-reliant.

H.E Hon. Uhuru Kenyatta, C.G.H., President of the Republic of Kenya and C.I.C of the Defence Forces tries APDK's wheelchair during our 60th Anniversary Celebrations held on 23rd August 2018 at APDK, Nairobi.

Products made by APDK’s Likoni Quality Furniture Workshop that provides employment to 30 Persons with Disabilities

ContentsOur Vision 2Mission 2Motto 2Our Strategic Goal 2ACRONYMNS 4LIST OF BOARD MEMBERS 5NATIONAL CHAIRMAN’S REPORT 6INTRODUCTION 8Area of coverage 101.0 HEALTH ............................................................................................................ 11

1.1 Health Promotion and Prevention ............................................................. 111.2 Medical Care ............................................................................................ 111.3 Rehabilitation services ...............................................................................131.4 Club Foot Care Clinic ..................................................................................161.4 Surgical Intervention and Post-Operative Follow Up ..................................... 181.5 Assistive devices and Mobility Devices ......................................................... 19

2.0 EDUCATION ....................................................................................................223.0 LIVELIHOOD ....................................................................................................234.0 SOCIAL ............................................................................................................ 255.0 EMPOWERMENT ...............................................................................................25List of Donors, Counties, Corporates and stakeholder 26APDK Human Resource Data 2018 27CONSOLIDATED INCOME AND EXPENDITURE ACCOUNT 28CONSOLIDATED STATEMENT OF FINANCIAL POSITION 29CONSOLIDATED STATEMENT OF CHANGES IN FUNDS 30CONSOLIDATED STATEMENT OF CASH FLOWS 31PICTORIAL - APDK's 60th Anniversary Celebrations 32

3

ACRONYMNSAPDK – Association for the Physically Disabled of Kenya

ADDA – Agency for Disability and Development in Africa

ACCESS – Accelerating Core Competencies for Effective Wheelchair Service

CBM – Christofell Blind Mission

CCBR – Comprehensive Community based Rehabilitation Services

CTEV – Congenital Tallipes Equino Varus

CSR – Corporate Social Responsibility

CWD – Children with Disabilities

EARC – Education Assessment Resource Centre

KNH – Kindernothilfe

CDSK – Cheshire Disability Services Kenya

MOH – Ministry of Health

NCPWD – National Council for Persons with Disabilities

PWDs – Persons with Disabilities

WSTP – Wheelchair Services Training Package

WHO – World Health Organization

LDS – Latter Days Saints

ACT – African Clubfoot Training Manual for Health Workers

Members of Jugend Club during a visit to APDK Rehab Clinic in Port Reitz Mombasa

4

LIST OF BOARD MEMBERS

Trustees:• Hon. Dr. A.A. Moody Awori EBS, EGHS• Mr. H. S. Hafidh• Dr. Edward Odundo• Madam Bright Oywayo

Patron:Hon Dr. Moody Awori EBS, EGH

Board of Directors1. Mr. Fred Owako

National Chairman

2. Dr. Lumbi wa M’Nabea 1st Vice Chairman

3. Mr. Peter Kathambara 2nd Vice Chairman/Embu Branch Chairman

4. Ms. Jane Essendi Misse Hon. Treasurer

5. Mr. Isaac Kotut Assistant Hon. Treasurer

6. Mrs Margaret Kiburi CHT, Member, MOH

7. Mr. Alex Kisyanga Member, MOH

8. Ms. Treazar Ogumbo Member, MOH

9. Dr. Joseph Theuri Member, AIC Cure International Hospital

10. Mr. David Ogundo Member, Ministry of f Labour, Gender & Social Development

11. Ms. Mary Kiptui Member

12. Ms. Rose Onsando Nairobi Branch Chairman

13. Prof. Paul Mbugua Member, Kenyatta University

14. Mr. Sospeter Kioko Member

15. Mr Collins Omondi Member

16. Dr. Melchzedeck Osore Member/Coast Branch Chairperson

17. Mr. Oscar Mori Member

Senior staff: 1. Mr. Gideon Muga

APDK National Director

2. Mr. Benson Kiptum National Programs Manager

3. Ms. Joyce Munyua Chief Accountant

Auditors: Menya and Associates

Contacts Association for the Physically Disabled of Kenya

P O BOX 46746 – 00100, Nairobi - Kenya. Telephone: 0722334677 / 0734590497 / 0721584699. Website: www.apdk.org Email address: info@apdk.org

Bankers • Barclays Bank of Kenya• Commercial Bank of Kenya• Middle East Bank

5

NATIONAL CHAIRMAN’S REPORT

The year 2018, will remain a memorable year for APDK, as we were privileged and honored to host the H.E. Hon. Uhuru Kenyatta, C.G.H., the President

of the Republic of Kenya and Chief of the Defense Forces during our 60th Anniversary Celebrations on 23rd August 2018 at APDK Rehabilitation Centre, Nairobi with the Theme “60 Years of Promoting Disability Inclusiveness towards Sustainable Development”.

The President in his speech’s during our 60th Anniversary, stated that the estimation of data of Persons with Disability has been difficult to establish as it ranges between 5% and 15%. He noted that these disparities pose a major challenge that needed to be resolved urgently. He stated that the government will ensure that the Kenya Housing and Population census (KHPC) 2019, accurately and authoritatively determines the population of persons with

disability with specifics to the particular disability being registered

As part of the key milestones to note, the Board of Directors reviewed and developed various policies to activate an enabling environment for effective and efficient service delivery to Persons with Disabilities. Secondly, the Board activated Research & Innovation and the Resource Mobilization committees to ensure that evidence based support services are provided to the communities.

As part of implementing our Strategic Plan 2017 – 2020, the Board initiated new partnerships with British High Commission, Chinese Embassy, French Embassy, AMPARO from Berlin among other partners in scaling up service provision.

Following the devastating flooding that we experienced in our country from the month of March 2018, APDK in collaboration with Christoffel Blinden Mission (CBM) and Kenya Red Cross Society (KRCS) undertook a 6-months' Emergency Response Project that targeted Inclusive Humanitarian Assistance to 1,302 households in Marigat Baringo South Baringo County.

It gives me pleasure to report that Eldoret Branch with support from Global Civic Sharing was able to construct and equip an Orthopedic Workshop within Uasin Gishu County Hospital.

In spite of difficult economic times being felt globally, APDK remained afloat due to support from our development partners and well-wishers who remained committed in our vision. We are indeed indebted to Kindernothilfe, CBM and Polio Hilfe among other partners and individuals who have over the years enabled us accomplish what you will read in this report.

I take this opportunity to appreciate organizations that responded positively to our appeal during our 60th Anniversary among them being Embassy of the People's Republic of China in Kenya, Kengen, Nairobi Stock Exchange (NSE), Lotto Premiere Betting, Coke Cola Bottling Limited and Sir Henry’s.

Fred OwakoNational Chairman

Fred OwakoNational Chairman

6

ACTING NATIONAL DIRECTOR’S REMARKS

It has been stated that a journey of a thousand miles begins with a single step. We are indeed indebted to the visionaries of APDK, special regards go to our

Patron, Hon. Dr. A.A. Moody Awori who nurtured the APDK vision and therefore enabling us to celebrate 60 years of empowering and transforming lives of Persons with Disabilities this year.We were privileged to be part of the Technical Advisors of the planning committee of the Kenya Housing and Population Census (KHPC) and of the National Technical Working Groups. We anticipate that the strong contribution of technical advisors will contribute to accurate and reliable data especially for Persons with Disabilities for Planning and Policy direction. We were also privileged to have been invited to the Global Disability Summit Reception on 12th July 2019, hosted by the British High Commissioner’s. Some of our beneficiaries, mainly Children with Disabilities were given

a chance to share their experience on disability and access to education. In the course of the year, we had the pleasure of hosting Kindernothilfe team from Germany from the department of Fundraising, Monitoring and Communication team who did a documentary of APDK Rehab Clinic, Coast Branch. During the year APDK managed to reach a total of 72,581 Persons with Disabilities nationally through Community Outreach Clinics, CBR and Static Clinics. A total number of 17,987 assistive devices were issued to Persons with Disabilities in the 5 regional hubs. 333 persons with different conditions were supported through surgical intervention and 6,185 children with clubfoot supported in the year. We sincerely appreciate the support of our partners and stakeholders in the region. As part of experience and knowledge sharing, APDK was supported by CBM to participate in the 6th Community Based Rehabilitation Conference that took place in Lusaka, Zambia from 7th to 11th May 2019APDK was among the stakeholders who participated in the marking of the International Museum Week that was held from 14th to 18th May 2018 at National Museum of Kenya. This gave us an opportunity to demonstrate the diverse services and products for persons with disabilities We participated in the Global ISO/ TC 173 Workshop organized by the Kenya Bureau of Standards (KEBs) and Ministry of Health held at Crown Plaza Nairobi in May 2018 to share global experiences on standards of devices, promotion of Quality Assistive Products for persons with disabilities and Innovation. I am pleased to report that Busia Branch received recognition from the Busia County for its livelihood program and was appointed the Financial Intermediary in the management of the Busia County DPEC funds. Kisumu Branch collaborate with Plan International, Kenya Red Cross Society and Volunteer Services Overseas on intervention and provision of appliances for Children with Disabilities in Seme, Homa Bay, Muhoroni and Bondo. Kisii Branch responded to a call for proposal that was advertised by the National Council for Persons with Disabilities (NCPWD) and was successfully supported with Kshs. 1 million for service provision. I appeal to you to join the international and local donors in supporting APDK transform the lives of Persons with Disabilities either through financial support, gifts in kind or volunteering your expertise.

Benson KiptumActing National Director

Benson Kiptum Acting National Director

7

INTRODUCTION

Founded in 1958 and hence celebrating 60 year of existence, APDK has remained focused on its vision of promoting an inclusive society where Persons with Disabilities enjoy equal rights and have access to affordable rehabilitation services as stipulated in

the United Nations Convention on the Rights of Persons with Disabilities (UNCRPD).

Our service delivery which is based on philanthropy, continues to rely on support from the donor community, corporates, the government, communities and individuals on service delivery and strengthening of rehabilitation services in government hospitals. Our tribute goes to among others;

Christoffel Blinden Mission (CBM) for continued support to our physical rehabilitation programs which are community based for the last 4 decades and also at one point seconded one of their staff, Mr Hubert Seifert who served APDK for 3 decades as our Coast Branch Manager and later as our National Director before being recalled back to serve as their Global Livelihood Advisor. Through support from CBM, APDK was able to secure funding for the Construction of a 7000 sqft. Rehabilitation Centre with modern therapy facilities and hence moving its operations from the city center to Westlands. Roachling Foundation through CBM constructed a Rehabilitation Clinic and an Orthopaedic Workshop in Siaya County Referral Hospital for our Siaya Branch- Tumaini/Hope Rehab Clinic.

Kindernothilfe’s (KNH) support made it possible for us to implement a Comprehensive Community Based (CCBR)program using the World Health Organization (WHO) CBR matrix in the informal settlement areas of Mukuru and Pumwani of Nairobi, for the last 2 decades. The CCBR was introduced to complement our mobile clinic services and to mainstream disability issues within the community. KNH also supports our rehabilitation service which include surgical intervention in our APDK Rehab Clinic located in Mombasa.

Polio Hilfe and Prof. Heiss’s family through the efforts of Mr Hubert Seifert enabled us to construct and equip Orthopaedic workshops within the government district hospitals in Embu, Kisii, Nakuru, Kisumu and a rehabilitation clinic in Busia. They have also continued to support our APDK Rehab Clinic in Mombasa.

USAID supported us in building and equipping our wheelchair workshop in Nairobi and offered training on WHO Wheelchair Guidelines. Through these partnerships with USAID, APDK became the first local organization to offer trainings and wheelchair services using the WHO Wheelchair Guidelines. These locally manufactured wheelchairs are tailored-made to enhance the mobility of persons with wheelchair while taking into consideration the medical condition and environmental needs of the users.

Standard Chartered Bank has continued to collaborate with us in ensuring that Persons with Disabilities are not left behind in sports by allowing their participation in the Annual Standard Chartered Marathon.

8

Our appeal goes out to you to join our developmental partners and individuals in supporting our mission of transforming lives of Persons with Disabilities while promoting an inclusive society where persons with disability can exercise their rights. Your support can either be through funding, donation in kind or volunteering your expertise in our rehabilitation clinics, governance, surgical intervention programs or purchasing products available in our Fair Trade Shop in Nairobi, Likoni Quality Furniture and Bombolulu Workshops and Culture Centre.

Programs Services offeredRehabilitation Health Care Services

Institutionalized Clinics: Occupational Therapy, Physiotherapy, Fabrication and production of prosthetics, orthotics, and mobility aids, clubfoot clinics, Nutrition clinics, HIV testing and Counselling Services, parent support groups, Quarterly Surgeons Clinics

Comprehensive Community Based Rehabilitation(CCBR)

Outreach Mobile Clinics and related services

Production and fabrication of appliances

Education Functional Assessments through EARCs

Mainstreaming disability in schools through school inclusion

Early Childhood Development - Day Care Centers

Vocational training

Livelihood Poverty alleviation program

Advocating for Employment of PWDs in the formal and informal sectors

Skills development through training artisans, community health volunteers and caregivers on disability

Social protection

Social Counseling provided for clients and their families

Personal assistance and social support

Sports, Recreation and Leisure

Empowerment Awareness creation through social mobilization

Formation and capacity building of self-help and support groups

Capacity building of Disabled people’s organization and community support groups

Business Development

Production and sale of Mobility and Assistive devices

Trade Fair Shop(Nairobi)

Bombolulu Handicraft center

Likoni Quality Furniture

Capacity Development

Equipment’s and tools Support

Policy Review and Development

System development and SOPs

Trainings and Workshops

Representation at the 6th CBR Africa Conference held on 7th -11th

May 2018 in Lusaka Zambia.

Left; Joyce Munyua APDK Chief Accountant at the center with Marjolein Meande, Advisor Community Based Inclusive

Development CBM EA & Nerea Thigo, Project Office, CBM KCO

Right; Joyce Munyua with Prof. Mbugua APDK Board Member

9

Area of Coverage

Branch Locations

Area of coverage

• Nairobi Region Hub: Nairobi and Machakos branches○ Nairobi Branch covers Nairobi its environs( Kajiado , Kiambu and Muranga Counties)○ Machakos Branch covers Machakos, Kitui and Makueni counties

• Coast Regional Hub; Coast branch covering ○ Five counties Mombasa, Kilifi, Taita Taveta, Kwale and Tana River.

• Upper Eastern Regional Hub; Comprise of Embu Branch Covering Nyeri, Kirinyaga, Isiolo, Meru, Taraka Nithi and Embu and Marsabit. Coordinated from APDK Embu Branch.

• North Rift Regional Hub; Comprises of Eldoret and Nakuru Branches Eldoret branch covers the expansive North rift region comprising of Uasin Gishu, Nandi, Trans-Nzoia, West Pokot, Keiyo-Marakwet and Turkana counties

• Western Region Hub; comprises of Kisii, Busia, Kisumu and Siaya○ KISII BRANCH serves 5 counties; Kisii, Nyamira, Homa Bay, Migori and parts of Bomet

County.○ Kisumu branch ○ Busia Branch serves 4 counties; Busia, Bungoma Kakamega and parts of Vihiga county-

Siaya Branch serves six sub counties namely; Alego, Gem, Ugenya, Ugunja, Bondo and Rarieda

10

1.0 HEALTH In 2018, APDK, CBM and Red Cross joined hands to offer an Inclusive Humanitarian Assistance to Persons with Disabilities affected by the devastating floods that began in the month of March and continued to June. The Emergency Response project which was a 6-months project from June to December 2019, targeted inclusive humanitarian assistance for 1,302 households in Marigat, Baringo South. The project was implemented by our Nakuru Branch and assessment carried out in Sidian Camp-42 clients, Illingua Health center-46 and Salabani Camp-50). Project partners had inception and debrief meeting after each clinic to share lessons learnt/challenges experienced during planning and implementation of the clinics and plan for the next outreach. These open assessments encouraged parents with children with disability not to hide their children and the community was trained on Humanitarian Hands on Tools (HHOT).

Challenges encountered in Emergency Response Project included lack of information, negligence, poor infrastructure, stigma, lack of Specialized services, lack of representation, vulnerability to attacks and difficulty in mobility. Disability needs on the ground are enormous. Thus there is need to strengthen partnerships and collaboration with ALL partners for more impact.

1.1 Health Promotion and Prevention

APDK collaborated with the Ministry of Health(MOH) in the National Polio Immunization campaigns in Nairobi Regional Hub and Upper Eastern regional hubs reaching a total of over 3,568 children among them were 1,292 Children with Disabilities. This is in line with the Health Strategy of Early Identification and Intervention of Disabilities.

We also participated in the MOH Awareness Events which included; National Immunization Days, World Occupational Therapy Day, Global Hand Washing Day, National Calendar events (Day of African Child, International Day for PWDs among others) to strengthen awareness on PWDs rights and Inclusion.

1.2 Medical Care

APDK organized several activities as built-up activities for our 60th Anniversary among them was a 2-day Medical Camp at Ambira Sub County Hospital organized by Friends of Ugenya, where the Branch fully participated in provision of disability/ rehabilitation services including fitting of 6 mobility aid to needy clients. The total client turnout was 44 people. Coast Branch held a Medical Camp in collaboration with the county government and ‘Help a Child Face Tomorrow and KPNA. Nairobi Branch organized a Free Medical Camp in collaboration with NCPWD.

11

A Total of 363 clients were attended to;

• NCPWD Disability Registration 288• Prescription of Appliances 71 • General Medical check-up75

Assessment and registration of Persons with Disabilities through Mobile Clinic in Mpeketoni – Lamu County

NCPWD disability registration

Prescription of appliances

General medical care

17%

16%

67%

Nairobi Branch Medical Camp held in collaboration with NCPWD

12

1.3 Rehabilitation services

APDK through its network of 10 branches reached a total of 72,581 clients; this was made possible through APDK's Static Clinics, CBR and Community Outreach Clinics, with support from development partners, National and County Governments who have continued to second Rehabilitation Health Workers, Counsellors, Nutritionists and Nurses who assist in both facilities based service delivery.

APDK in partnership with A.I.C CURE International Children Hospital – Kijabe and Bethany Kids Hospital, managed to provide specialized Orthopedic and Neurosurgeon services to a total of 4,673 clients. The partnership has greatly provided a decentralized specialized services to Persons with Disabilities. This signifies a 14 % decline due to reduction of funding for Mobile Outreach Clinics by development partners and the exit in Mukuru in Nairobi. However, the Organization is moving towards targeted impact programming focusing on intervention approach.

APDK participated in the National World Day of Remembrance for Road Accident Victims held in Nakuru at Sachangwany along Nakuru Eldoret Highway that was organized by the National Transport and Safety Authority (NTSA). This is a partnership between National Council for Persons with Disabilities (NCPWDs), CBM, County Government of Nakuru and APDK. The activity was graced by the Deputy Governor Nakuru County Dr. Korir among other dignitaries.

Survivors of Road Accident during the National World Day of Remembrance, Nakuru

Comparison of National clients’ attendances

Year 2017 Year 2018

84,269 72,581

13

The National Museum of Kenya invited us to join them in marking the International Museum week that was held from 14th to 18th May 2018. This gave us an opportunity of exhibiting our products at the National Museum of Kenya for a whole month.

In the course of the year, we had the pleasure of hosting Kindernothilfe’s Finance, Monitoring and Communication team who did a documentary of our Coast Branch program.

National Fund for Disabled Board of Trustees members Mrs. W. Kristina

Kenyatta Pratt, E.B.S, C.B.S and Hon. Prof. Julia Ojiambo, PHD, E.B.S, C.B.S

at our National Museum Stand

Kindernothilfe Communication Team visiting APDK Coast Rehab Clinic

OUTREACH MOBILE CLINIC

30,384

22,423

19,774

CBR STATIC

Attendance in different programs year 2018

14

Eldoret Branch through the support of Global Civic Sharing, constructed new rehabilitation block at a cost of 1.3m with an additional funding for 3 trainings for the technical staff.

This year, we were privileged to host the pre -Annual KOTA Conference activities in November 2018 held in Busia. A total of 187 clients benefited from therapy, splinting, and other Occupational Therapy Services during demonstrations at the conference.

Annual KOTA Conference, splinting training session in APDK Busia Rehab Centre

Home therapy using improvised parallel bars in Busia County

1.4 Club Foot Care Clinic

APDK through its network of 10 Branches and in collaboration with County Government and A.I.C CURE International Hospital Kijabe has continued to provide decentralized services to infant children born with Congenital Tallipes Equino Varus (CTEV) and their families. Our Club Foot Care Clinic continued to grow, with Siaya Branch being the latest branch to be enrolled after two rehabilitation personnel were trained on new Ponsetti Club Foot Management Technique in September 2018. This has improved clubfoot management at Siaya county Referral Hospital with cases being handled faster and promptly.

APDK Western Hub conducted a basic Club Foot Training for a total of 29 Rehabilitation Health Workers using upgraded African Clubfoot Training (ACT) Manual for Health Workers for Busia, Siaya, Kisumu, Homa Bay, Kisii and Migori counties respectively. The training was facilitated by the trained T.O.T Trainer who is the Western Hub Coordinator.

Children with Club foot with various services year 2018

Total clients 6,182

1,302`

849

793

3,238

New clients

Full correction

Tenotomy

Follow up services

16

Clubfoot can be cured a Case Study of Tataiana Nyaboke with Bilateral Idiopathic CTEV Tatiana was born on 9th November 2017, to Ruth Kerubo & Osca Orisi both parents were students at Kisii University. They hail from Nyamira County.

When Tatiana was born the parents were very shocked and scared when they noticed that their new Angel's feet were twisted inwards a condition they later learnt was clubfoot (bilateral idiopathic CTEV).

Tatiana was brought to APDK Clinic when she was two weeks old. This was after one of their friends referred them to APDK Clinic in Kisii Branch for treatment. She was assessed and enrolled in the Club Foot Care Clinic. Both parents were taken through a counselling session and treatment on the child commenced. Tatiana received serial casting every week.

After the third cast, the parents were very encouraged to see their child responding well to the treatment and were relieved to learn that their child will not have to live with a disability. Four months later in February 2018, a minor procedure referred to as Tenotomy was performed on Tatiana before being put on abduction Braces (FAB) to maintain the corrected foot.

Currently, Tatiana’s Feet are fully corrected, only applying night splints (Abduction Braces) for 12 hours to prevent the corrected foot from recurrence which may occur when the child is still below 4 years of age. Her parents are very grateful and they have gone back to school which they had stopped after Tatiana was born. They are happy with the progress and they say, “Long live APDK”.

Baby Tatiana at 2 weeks at APDK Kisii Club foot Clinic

Above, Baby Tatiana at 4 months with her mother at APDK Kisii Club foot Clinic

17

1.4 Surgical Intervention and Post-Operative Follow Up

We continued to offer surgical interventions to Persons with Disabilities in need of orthopedic and reconstructive surgeries. This continued to be done in partnership with the Ministry of Health, A.I.C Cure International Hospital Kijabe, Dreamland Hospital, St Mary’s Mumias, Busia County Referral Hospital, Nyabondo Hospital, Kimilili Hospital and Bethany Kids’ Kijabe.

Kapsowar Mission Hospital is now partnering with our Eldoret Branch in identifying, screening and referring patients for surgeries. In General, we listed 857 clients for surgical intervention,

Surgical Intervention 2018

Awaiting surgical intervention 524

Operated cases 333

Listed for surgery 857

18

333 were able to receive successful surgical intervention leaving a balance of 524 still awaiting surgery. "We appeal to well-wishers to support 524 children with disability awaiting surgical intervention".

Our Coast Branch Rehab Clinic with support from Port Reitz Sub-County Hospital, managed to revive the NHIF program which had stalled. Out of the 311 clients listed for surgeries, a total of 120 clients received various surgical support courtesy of CBM support, KNH among other stakeholders and partners. Through the Bethany Kids, Mr Pierre the Director of Child Help International supported our Coast Branch Rehab clinic through surgery program on children with neurological condition in partnership with Coast Provincial General hospital. They also trained one occupational Therapist and a Nurse in Mwanza in CIC

Bomu Chief Executive Officer receiving a token from our APDK Rehab Programs Manager and our Coast Branch Manager as an appreciation after signing a three year Memorandum of Understanding for Surgical

Intervention. The token was manufactured by our Likoni Quality Furniture Workshop.

1.5 Assistive devices and Mobility Devices

During the reporting period, we received increased support for assistive devices from Local partners, Individuals, County Governments and National Council for Persons with Disabilities (NCPWDs). This led to an increased awareness among communities on assistive and mobility devices as an accelerator to Disability Inclusive Development. A total of 17,987 appliances

19

were prescribed out of which 13,056 were fabricated and fitted to the clients. APDK as a National producer and manufacturer of local wheelchairs in Kenya produced a total of 2,894 mobility (1,187 Wheelchairs, 1,084 Tricycles and 623 Special seats) devices both in Nairobi and Mombasa production workshops. These devices are produced locally and designed to fit to the local terrains.

0

Special Seatings

Tricycles

Wheelchairs Issued

200 400 600 800 1,000 1,200

Assistive and mobility devices supported

Assistive and mobility devices supported

NCPWD 697

CBM 543

KNH 789

Chinese Embassy

135

An Orthopaedic Technologist fabricating an artificial limb at our Siaya Tumaini Clinic

APDK Machakos County through the Post Access implemented by our Machakos Branch. The branch was recognized as relevant stakeholders and joined the IDPWD Celebrations Planning Committee, Machakos County.

Through our Kisumu Branch, we entered into partnership with various organizations on intervention for Children with Disabilities as follows;

• Plan International to attended to 42 CWDs in Seme and Homa Bay

• Voluntary Services Overseas (VSO) attended to 28 CWDs in Muhoroni and Bondo sub counties.

• Leonard Cheshire assessed 55 CWDS in Homa Bay, Migori and Kuria.

APDK Nairobi, Nakuru and Machakos continued to offer services through the Post ACCESS Project which came to an end in June 2017. A total of 456 clients were done re-assessment for Possible Provision of Appropriate wheelchairs. 176 clients were fitted with Wheelchairs and 83 were referred.

We appeal for your support to assist us provide appliance to a total number of 2,942 persons with Disabilities as per our diagram below;

Comparison of appliances prescribed and issued for the last two years

12,631

10,114

17,987

13,056

Year 2017 Year 2018

Appliances prescribed Appliances issued

20

CASE STUDY OF DIANA AKINYI.Diana Akinyi,16 years old was identified after a referral by the local administration during the end of CBM project evaluation in Siaya County Hospital in July 2018. Diana hails from Ukwala Sub County and is an orphan who lives with her grandmother. Diana had unconfirmed severe back pains which were managed traditionally using herbs in a nearby village. The family believed that the girl had a bad omen. The type of treatment offered to her only worsen her condition.

After assessment at APDK Clinic, Diana was diagnosed With Spinal Cord Injury (Lumbar 2) with paralysis of the Lower limb. Her main challenge was how to get to school and also back problems (ambulation challenges). Her mode of transport to school was on motorbikes at a cost of Ksh 80 per day, which the family often could not afford leading to her missing out on learning at Sigweng ka ruoth primary school in Busia.

Diana had been promised wheelchairs several times by various people including politicians and none of those promises were met.

After assessment APDK Rehab Team prescribed Diana a Standard Tricycle due to the good function of her hands. Through CBM Support we were able to provide Diana with an appropriate tricycle in October 2018 which enabled her to wheel herself to school every day. The tricycle has also helped her to exercise and strengthened upper limbs. With this mobility appliance her attendance in school and social life has greatly improved in third term.

Diana's Class Teacher appreciated APDK Busia Branch. Thank God you are here to help my pupil Diana Akinyi who has always

been having difficulty coming to school, walking around, and participating in school activities .

Capacity building

• In 2018, APDK members of staff were involved in various conferences and workshops both International and National as follows ISO TC -132 hosted by KEBs,

• APDK had 3 representations in the CAN Conference that was held in Lusaka, Zambia on 11th May 201

• Mini Disability Summit for information sharing and cross learning Implementing

• POST ACCESS Project. 4 staff attended a 2-day workshop on product familiarization

• Nairobi Branch Technical Staff attended a 3-day Innovation Summit (26th-28th November 2018)

21

APDK's National Chairman, Mr Fred Owako seated at the centre and on his left is Hon

Josephat Kimemia, Director in Department of Youth, Cultural, Gender, Sports and Social

Services, Nakuru County Government and APDK Management Staff during the Annual Review

Meeting held in Nakuru County

Members of staff being trained on Child Protection

2.0 EDUCATION

APDK at the British High Commissioner Residence in Muthaiga on 12th July 2018 ahead of

the Global Disability summit in London.

Children continue with learning as they recuperate at APDK Rehab Clinic Mombasa.

In the 2018 APDK through its 10 Branches in partnership with Ministry of Education EARCs Offices and Special Needs Education department were able to identify, assess and placed 3,432 children in a school, integrated Unit, special school or vocational training.

Nairobi Branch hosted Westlands Sub County EARCs Office this has greatly ensured that the Children and Youth with Disabilities access relevant education and training. The Branch mooted collaboration with the EARC team to boost their Static clinics services. The branch together with the EARC team now, conducts weekly school assessments and placement every Wednesdays. A total of 234 children with disability assessed, 147 were listed for placement and 96 were placed in special units and vocational placement this happened with the help of NCPWDs who supported them with scholarships but the gap is still wide.

22

3. LIVELIHOOD

APDK Coordinator addressing livelihood program members during the DPEC meeting

APDK through the livelihood program provides entrepreneurship skills to Persons with Disabilities and guardians of Children with Disabilities. These skills include training on table banking, savings, loan management, groups dynamics, record keeping and leadership. This has enabled them to take part in the community development agendas and improve their livelihood as well as act as decision makers in their community projects.

A total of 112 groups with 2,847 members nationally participated in empowerment programs both from County Government and APDK. This involved training on Entrepreneurship skills and soft skills on leadership, Governance and access to Government opportunities.

In Busia APDK’s Livelihood Program received recognition from the Busia County which saw the Branch being appointed the Financial Intermediary in the management of the Busia County DPEC funds 2018. This opened more doors of collaboration with the line ministries; Ministry of Labour and Social Protection and the community. A total number of 35 groups benefitted from DPEC

The Twaweza SHG in Embu continued to engage in business expansion and this year they procured a larger photocopier and a scanner to expand their business through the funding of Kshs 100,000 from NCPWD.

Global Civic Sharing partnered with APDK in Eldoret and trained a total of 642 Persons with Disabilities on basic entrepreneurial skill, book keeping and general rehabilitation skills selected from 30 wards of Uasin Gishu County. 15 Persons with Disabilities were also being trained in tailoring through the Branch’s partnership with the Embassy of Slovakia.

23

Case study Hezron OmondiHezron was born 40 years ago in Oriang, Homa Bay County. He was diagnosed with LLD (Lower Limb Discrepancy) secondary to Mild Post-Polio Paralysis. His parents did not understand his condition early, so Hezron did not join school at the right age like his peers because of his inability to walk independently. He began his physical therapy at Kitera Hospital. This Therapy helped him a lot because he was able to walk but with some difficulties. Omondi dropped out of school after Class 8 due to his parent’s inability to finance his high school education. He was enrolled at a Vocational Training Centre and later learnt carpentry at his uncle’s workshop. He was identified at APDK’s Livelihood meeting at Oriang Disabled Group by our Field Officer. He became an active member of the group where he received basic training on entrepreneurship and start saving. He was able to save Ksh.10, 000 and requested a loan of 30,000. He then moved from his uncle’s workshop and opened his workshop.

Omondi makes good furniture which he sells to the local community and people at Oriang Center and Homa Bay County. After paying his loan within 7 months Hezron applied for another loan of Ksh 60,000 to boost his Business, his business has improved greatly. Omondi is not only an entrepreneur but a family man married with one wife and 2 kids. He is happy at how APDK has transformed his life through rehabilitation and Empowerment. He says, “Long live APDK”

Omondi in his workshop Omondi with some of the furniture ready for sale

Livelihood training conducted by Nakuru Branch

24

4. SOCIAL

APDK continued to support inclusion in Sports through the 2018 Standard Charted Marathon (SCB) ‘seeing is believing’ which was held at Railways Club/Uhuru Park. This year’s marathon was presided over by the Governor of Nairobi County, Hon. Mike Sonko. The SCB Wheelchair race was for 21km, 43 Persons with Disabilities were registered and 32 were flagged off. APDK was a Technical Partner in the Wheelchair category.

The National Chairman together with the First Vice Chairman of APDK Mr Fred Owako and Dr. Lumbi

respectively awarding the winners of the Annual Standard Chartered Marathon, Wheelchair category

Race held in Nairobi

5. EMPOWERMENT APDK joined the international community in celebrating the United Nations Day for Persons with Disabilities. Our National Chairman Mr. Owako was the guest speaker

in National UN Day celebration which was attended by Over 500 PWDs at Siaya. The stakeholders were drawn from disability organizations, county government, departments and ministries. Pwds were sensitized on need to have strong DPOs for lobbying on disability issues.

APDK Kisumu Branch attended the Kisumu Disability Stakeholder’s Workshop, sharing ideas which culminated in formation of UN Disability Day Task Force. We also partnered with Red Cross on disaster intervention on disability in Kisumu and issued appliances for same during the National UN day for Persons with Disability celebrated in Kisumu.

United Nations Day for Persons with Disabilities

procession

Children with Disabilities performing a cultural dance at APDK Rehab Clinic as they continue to

recuperate after surgery

25

Counties, Corporates and stakeholder INTERNATIONAL DONORS• The Global Civic sharing GCSK. • Red Cross Society of Kenya • Plan International • VSO• World Vision • Embassy of Slovakia, Catholic • Polio Hilfe • Kindernothilfe (KNH) • Prof. Heiss • Embassy of China• CBMLOCAL DONORS• Homabay and Migori counties • Kisumu county Government• Ministry of Labour and Social Service • Ministry of Health both at National Level • Kisii - Line ministries • Ministry of Health both at County Level • Siaya - Line ministries, DPOs • Special Olympic Kenya• Busia – EARC, Line ministries

• Lions Club of Eldoret • Naivas Supermarkets• Bena Patel for provision of milk and

biscuits every Thursday for our Nairobi Rehab Clinic

• Quick Budget Stores

• Jonca Investments – monthly Eggs donation

• A-One supermarket and Tusker Mattresses for allowing us place donation tins in their premises

• EARC • Kizingo butchery – minced meat weekly• Velji P. Shah – weekly voucher • Crystal Face co.— tea leaves• Jihan Freighters – Milk and vegetable

support• Hussein Bakery—weekly bread donation

• Kyoga Hauliers – feeding program & milk support, Ligav Co. Ltd. – milk support

• Latin Saints—Drilling of a borehole

• Tradecon Co. Ltd support towards children functions

• Mash E. Africa—provision of transport for in-patients outings and foodstuff

• NCPWD

CBM team touring Coast Branch Rehab Clinic

27

26

Hum

an R

esou

rce

Dat

a 20

18N

O.

Brna

ches

and

M

anag

ers

Mid

dle

leve

l M

anag

ers

Wor

ker

Casu

als

Trai

nees

Cont

ract

sVo

lunt

eers

Gov

t. s

taff

Tota

l

New

Staff who

Proj

ects

pwd

non-

pwd

pwd

non-

pwd

pwd

non-

pwd

pwd

non-

pwd

pwd

non-

pwd

pwd

non-

pwd

pwd

non-

pwd

pwd

non-

pwd

pwd

non-

pwd

Staff

Left

MF

MF

TM

FM

FT

MF

MF

TM

FM

FT

MF

MF

TM

FM

FT

MF

MF

TM

FM

FT

MF

MF

T

Coas

t Bra

nch

00

00

1Bo

mbo

lulu

00

01

12

01

25

1011

107

3816

411

233

00

11

20

10

23

00

00

00

00

00

2816

2315

820

3

2Re

hab.

Clin

ic0

20

02

11

01

32

013

1025

23

00

50

010

1525

38

00

110

01

34

05

00

53

121

2954

62

3Li

koni

Fur

nitu

re W

/S0

01

01

20

21

57

12

010

200

190

392

03

05

00

30

30

00

00

00

00

029

127

158

00

4M

obili

ty A

id W

/s0

01

01

20

00

22

01

03

00

10

10

00

00

00

00

00

00

00

00

00

04

03

07

00

5IG

P”Fa

ida”

01

00

10

01

01

00

00

00

00

00

00

00

00

00

00

00

00

00

00

00

01

10

20

0

6Ex

ecut

ive

offic

e0

02

02

00

01

10

12

14

00

00

00

00

00

01

00

10

00

00

00

00

00

24

28

11

7N

airo

bi B

ranc

h0

01

23

00

53

88

16

419

00

00

00

01

12

72

132

242

02

15

00

01

117

328

1462

0

8Ki

sii B

ranc

h0

01

10

00

11

00

31

40

01

01

00

22

40

00

00

00

10

10

07

29

00

136

191

1

9N

akur

u Br

anch

00

10

10

01

12

00

11

20

00

00

00

00

00

00

00

00

10

10

010

212

00

144

180

4

10ki

sum

u Br

anch

00

00

00

01

10

21

14

00

00

00

20

02

00

00

01

01

02

20

82

120

00

00

0

11Bu

sia

Bran

ch0

00

11

00

21

30

00

00

01

10

20

00

00

00

00

00

00

00

00

157

220

118

928

11

12M

acha

kos

Bran

ch0

01

01

00

01

10

12

03

00

00

00

00

00

00

00

00

02

24

21

2110

342

226

1343

00

13Em

bu B

ranc

h0

01

01

00

01

10

21

03

00

00

00

00

00

00

00

00

02

24

00

11

20

25

411

11

14El

dore

t Bra

nch

00

11

20

00

00

00

11

20

00

00

00

00

00

00

00

00

83

110

010

515

00

00

00

15Si

aya

Bran

ch0

00

00

00

00

00

00

11

00

02

20

00

00

00

00

00

02

02

00

107

170

012

1022

21

16N

atio

nal O

ffice

11

20

40

12

36

03

20

50

00

00

00

00

00

00

00

00

00

00

00

00

14

63

141

1

17To

tals

14

125

227

215

1640

2922

4527

123

388

334

832

217

1940

1012

164

423

020

1134

46

8237

129

8433

201

110

428

1315

27

CONSOLIDATED INCOME AND EXPENDITURE ACCOUNT

2018 2017Shs Shs

Revenue 248,089,353 260,106,005Direct costs (91,724,507) (91,135,716)Gross surplus 156,364,846 168,970,289Rehabilitation expenses (8,239,771) (9,943,345)Administrative expenses (111,434,291) (100,385,588)Establishment expenses (22,910,689) (27,577,632)Access program expenses - (9,029,852)CBMI program expenses (29,418,842) (35,498,689)Kindernothlife program expenses (13,524,006) (16,950,152)Selling and distribution expenses (2,210,654) (2,352,847)Surplus/(deficit) for the year (31,373,407) (32,767,816)

Association for the Physically Disabled of Kenya

Consolidated Annual Financial Report and Accounts for The Year Ended 31st December 2018

28

CONSOLIDATED STATEMENT OF FINANCIAL POSITION2018 2017

Shs ShsFUNDSAccumulated fund 230,869,131 261,968,948Revolving fund 8,118,775 8,118,775Non-current liabilitiesCapital fund 10,134,996 11,538,099Designated Funds 7,985,154 9,358,100

257,108,056 290,983,922REPRESENTED BYNon-current assetsProperty, plant and equipment 159,427,754 161 ,071,319Financial investments 72,513,306 94,633,950

231,941,060 255,705,270Current assetsInventories 30,259,132 41,675,400Trade and other receivables 64,169,646 59,742,965Cash and cash equivalents 11,389,765 5,832,140

105,818,543 107,250,504Current liabilitiesTrade and other payables 70,825,247 62,263,151Customer deposits 3,472,529 3,472,529Bank overdrafts 6,353,771 6,236,172

80,651,547 71,971,852Net current assets 25,166,995 35,278,652

257,108,056 290,983,922

The financial statements were approved for issue by the Executive Committee on 05/04/2019 and were signed on its behalf by:

NATIONAL TREASURER

Association for the Physically Disabled of Kenya

Consolidated Annual Financial Report and Accounts for The Year Ended 31st December 2018

29

CONSOLIDATED STATEMENT OF CHANGES IN FUNDSAccumulated FundShs

Year ended 31st December 2018At start of year• National & Upcountry 116,048,646• Nairobi 26,841,996• Coast 119,078,305Surplus (Deficit) for the year (31,373,407)Prior year adjustments due to accounting policies• Coast Branch 275,588• National & Upcountry Branch (1,997)At end of year 230,869,131The accumulated funds brought down are as follows:• National & Upcountry Branch 101,235,042• Coast Branch 112,137,008• Nairobi Branch 17,497,083

230,869,132Year ended 31st December 2017At start of year 122,299,139• National & Upcountry 132,832,830• Nairobi 38,917,047• Coast (32,767,816)Surplus (Deficit) for the yearPrior year adjustments due to accounting policies 437,748• Coast Branch 250,000• Nairobi BranchAt end of year 261,968,948

Association for the Physically Disabled of Kenya

Consolidated Annual Financial Report and Accounts for The Year Ended 31st December 2018

30

CONSOLIDATED STATEMENT OF CASH FLOWS2018 2017

Shs ShsCash flows used in operating activitiesReconciliation of surplus/(deficit) for the year to cash from operations:Surplus/(deficit) for the year (31,373,407) (32,767,816)Adjustment for:Depreciation on property, plant and equipment 11,600,728 12,682,141Adjustments due to accounting policies 273,590 687,748Profit on disposal of property, plant and equipment Changes in working capital:• inventories 11,416,268 (1,642,465)• trade and other receivables (4,426,681) 1,333,792• trade and other payables 8,562,096 (10,616,375)Net cash from/(used in) operations (3,947,405) (30,322,975)Cash flows used in investing activitiesCash paid for purchase of property, plant and equipment (9,957,164) (2,466,286)Cash paid for purchase of financial assets 22,120,644 8,237,191Net cash used in investing activities 12,163,480 5,770,905Cash flows from financing activitiesNet movement in funds (2,776,050) (14,268,617)Net cash (used in)/from financing activities (2,776,050) (14,268,617)Increase/(decrease) in cash and cash equivalents 5,440,025 (38,820,688}Movement in cash and cash equivalentsAt start of year (404,032) 38,416,656(Decrease)/increase 5,440,025 (38,820,688)At end of year 5,035,993 (404,032)

Association for the Physically Disabled of Kenya

Consolidated Annual Financial Report and Accounts for The Year Ended 31st December 2018

31

PICTORIAL

H.E Hon. Uhuru Kenyatta, C.G.H., President of the Republic of Kenya and C.I.C of the Defence Forces at APDK's 60th Anniversary celebrations.

H.E Hon. Uhuru Kenyatta, C.G.H., President of the Republic of Kenya and C.I.C of the Defence Forces presents a gift to Mr. David N Munyendo,Country Director - Kenya, Africa's

East Regional Hub, CBM International

H.E Hon. Uhuru Kenyatta, C.G.H., President of the Republic of Kenya and C.I.C of the Defence Forces receiving a rocking

chair presented to him as a gift by Mr. Victor Nyongesa, Manager of APDK 's Likoni Quality Furniture

Amb. Ukur Yatani Kanacho, Cabinet Secretary, Ministry of Labor & Social Protection tours APDK's Rehabilitation Clinic and Wheelchair Production Workshop during APDK's 60th Anniversary Celebrations.

34

Products of Bombolulu and Likoni Quality Furniture Workshops

APDK’s Rehabilitation Products

35

National Office P. O. Box 46747 – 00100

Waiyaki way opposite ABC PlaceLandline: 020 4151523/4/5

Cell: 0721584699/0734590497 nat@apdk.org

info@apdk.org http://www.apdk.org

APDK National Office,P. O. Box 46747 - 00100 Nairobi,E-mail: nat@apdk.org,info@apdk.orgCell:0721584699/ 0722334677/0734590497/ 0755804466Website:www.apdk.org

Nairobi BranchP.O. Box 46747 – 00100Waiyaki way opposite ABC PlacePhone: 020 23243720722 334677/0734 590497nbi@apdk.org

Coast BranchP.O. Box 83988 - 80100Wireless: 020- 3502148Cell:0724244615/0707696611apdkexec@africaonline.co.keBombolulu – Mombasa

Busia BranchP.O. Box 158 – 50400Tel.0716392870/0771975109Busia County Referral HospitalBusia Kenyabusia@apdk.orgapdkbusia@gmail.comAPDK Embu BranchP.O. Box 33 - 60100Telephone 068 - 308320711726188Embu Level 5 Hospitalembu@apdk.orgapdkembu@yahoo.com

Kisumu BranchP.O. Box 3166 - 40100Cellphone:0715612435JOOTRHKisumu/Kakamega Roadkisumu@apdk.orgapdkksm@yahoo.com

Machakos BranchP.O. Box 246 - 90100Cellphone:0707071719Machakos Level 5 Hospitalmachakos@apdk.orgapdkmks@yahoo.com

Kisii BranchP.O. Box 841 – 40200Cellphone: 0715612561Kisii Teaching & Referal Hospitalkisii@apdk.orgapdkkisii@yahoo.com

Nakuru BranchP.O. Box 1606 – 20100Cellphone: 0715612200Nakuru County Level 5 Referal Hospitalnakuru@apdk.orgapdknakuru2017@gmail.comEldoret BranchP.O. Box 542 - 30100Tel:0705815147Uasin Gishu County Referal Hospitaleldoret@apdk.orgapdkeld@yahoo.com

Siaya BranchP.O. Box 144 40600Tel.:0702717812/Siaya County Referral Hospitalapdksiaya@yahoo.comsiaya@apdk.org