| November 2025 report: Progress with Cerebral Palsy, and other Acheru news |
| At Acheru and at Napak work continues with preparations for increased work with Cerebral Palsy, the emphasis at Napak being on prevention, and at Acheru on outpatient and inpatient work. Plans are being completed for a house on our land at Napak, while at Acheru rooms are being upgraded and equipped. |
| We have investigated in more detail the causes of Cerebral Palsy, and all the research available (which seems still to leave gaps) supports our earlier identification of the needs at Napak, and possible responses. |

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| Four of our Acheru staff on a charity run to raise money for operations |

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| New worktop and sink in treatment room |
| Joyce recently sent the following report in response to my questions: |
| RESPONSE TO NAPAK PROJECT PLAN |
| Greetings from ACHERU, we appreciate your support to the work we offer to the vulnerable children in different parts of Uganda. |
| Partners: We have Identified and already started work with: |
| 1. Napak District Local Government: They know development partners we can work with, they are helping to take us through the registration procedures and having access to community Health Centers in the area, helping with security, approval of site plan and involving us in any other district Awareness programs of the year. We can also get referrals of children who need our service through the district Village Health Teams and mobilization of community Health Outreaches. |
| 2. Divine Care Ministries: Introducing us to their different Churches and schools, referring children, where possible in future sponsor some children for surgeries. |
| 3. Karamoja Special Children Hope Initiative: Mobilizing mothers to go for Antenatal care, health education and do community Based Rehabilitation. |
| 4. Robert Kayanja Ministries: To assist with securing food for different vulnerable families, sensitize and preach the Gospel. |
| These partners are already established in the area and we have already done some activities together. |
| Disabled Children: Yes emphasis will be Cerebral Palsy however where support is available, a few orthopedic and plastic cases can be supported to get treatment. |
| House: Yes a house will have a full time local worker and a security person. |
| Apart from a room for the visiting ACHERU staff we will need a Therapy room and a store. |
| Community Programs: Apart from awareness in schools and Churches, we will be involving the current local medical facilities for health education and immediate referrals of mothers for Antenatal care, Immunization and Health education. |
| Monitoring and Evaluation: this will be possible by getting reports and monitoring the different activities planned. |
| Running Costs: We are currently getting from ACHERU budget but in future there are big activities which will require a separate budget. |
| Joyce Kayaga Kalinda |

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| At our Napak site with an engineer to look at the possibility of drilling for water |

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| Joyce visiting a school in the north to follow up on a patient |
| Rwotomia Boniface, pictured, had malunion following a long neglected fracture. He was fitted with a fixator for 18 months and is now OK and able to continue his study of science subjects at Kojja secondary school. |

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| Rwotomia Boniface with his fixator |

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| Boniface after treatment |
| Acheru does all it can to assist the carers of disabled and needy children. As well as dealing with poverty they may also suffer isolation so Acheru, with our partner BONDECO who work with refugees, tries to form them into groups who can support and encourage each other. They are given counselling, health education, and also advice on trying to set up small income generating schemes. One recent meeting at Acheru was attended by 55 carers. |

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| The picture below of a small group of inpatients gives an indication of the wide area covered by our work. One is from Napak, two from Nakasongola, two from Gulu, and one from Kayunga. |

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