7th BIENNIAL INTERNATIONAL CONGRESS OF THE OCCUPATIONAL THERAPY AFRICA REGIONAL GROUP (OTARG) The biennial international congress of OTARG was held from the 12th -16th September 2011 in at the New Fairmont Hotel in Livingstone, Zambia. Livingstone is a small town with historical significance a short distance from the magnificent Victoria Falls. Livingstone is also the home of a number of breeding herds of African Elephant which wander freely on the outskirts of the town and wander in to drink at the pub, a small pool at the local garage, which was a delight to the 90 or so delegates, including the WFOT President, Sharon Brintnell. The congresses are the life blood of the OTARG community and always aim their intellectual discussion at grass root issues and at providing services to people with disabilities in developing contexts with a high burden of disease and few occupational therapists to meet the needs. The congresses are also used to raise the political profile of the profession in countries with limited staff and occupational therapy education opportunities. This congress was no different. Zambia has a single occupational therapist, Eckiwe Kamanga, who is based in Livingstone. She was the chairperson of the Zambian organizing committee who together with her physiotherapy colleagues and her occupational therapy assistant, Boyd, were responsible for the smooth running of the congress. It was a real multidisciplinary effort. The scientific programme on the other hand was organized by a team of occupational therapists based in Cape Town South Africa. This committee was chaired by Prof Theresa Lorenzo from the Center for Disabilities Studies at the University of Cape Town. They have been planning the programme for the past two years. In keeping with the OTARG tradition, the congress was entitled ”Expanding Horizons: Occupational Therapy for a Developing World”, a very fitting subject for an African congress. The papers and workshops were all centered on the Millennium Development Goals (MDG) with one or two goals being the focus of the days discussions. Each day started with an inspiring key note address followed by parallel paper sessions and workshops in the afternoons. Key note addresses were given by: • • • Frank Kronenberg from South Africa who spoke about the MDGs and the challenges for Occupational Therapy. Justice Mackenzie Nthitu form Botswana who addressed issues relating to MDG 2: Achievement of universal primary education. Rozenn Botokro from Togo who spoke about MDG 4and 5: and her experiences with community based rehabilitation and it potential to reduce child mortality and improve a maternal health. • • Silvia Martens from Portugal/ Mozambique who spoke to MDG 8 (Global partnerships for development) and the challenges and successes of the international partnership to start the OT training in Mozambique. Doriothy Chinguo from Malawi who also addressed the MDG 3 Gender equality and empowerment of women drawing on her experiences. Thus each key note address set the scene for many and varied high quality papers that were presented from around the globe in developing contexts. Sharon Brintnell also presented an overview of the WHO and World Bank‘s “World Report on Disability” which raised lively discussions and food for thought in each of the countries represented at the congress. OTARG also had its Annual general meeting during the congress. Prof Alfred Ramukumba stepped down as chairperson after two successful terms. A new committee was voted in consisting of: Sara Matovu ( Uganda) Justice Mackenzie Nthitu (Botswanna) Pat de Witt (RSA) Fasloen Adams (RSA) Rosemary Crouch (RSA) Vivyan Alers (RSA) Tatenda Maphosa (Zimbabwe) Albert Pascal (Tanzania) Chair person Vice chairperson Secretary Treasurer News letter Web page Student representative Member without portfolio At the end of the congress the following resolutions were adopted which proposed the work that lies ahead. Resolutions: OTARG to strive to be the hub for co-ordination for developing OT in Africa and raising the profile of OT in Africa. All OT’s to engage actively in OTARG programme and events. OTARG to encourage student participation through support and collaboration and OTARG to facilitate interaction with WFOT. MDGS to be central development of OT in Africa. Some key thoughts by delegates at the end of the congress: • Social determents are bigger than the profession and not in our control. • OT needs to expand the horizon beyond the medical model to include development agenda. • How do we keep people well and engage them in occupations? • Wellness and health promotion can be a challenge as it is also political. • • • • • • • • OT based practice based on the needs of the people (disabled and vulnerable group). Try to understand and appreciate and respect culture – immerse self in the communities. Respect meaning and value of smallest contribution - all valuable. Recognize and identify social capital and HSS as an asset OT practice. Focus on community based practice. Unique contribution of Africa to theory and practice of the profession. Identity and relevance is critical. Africa as a hub of shared learning and reference. o OTARG must not work in isolation but in partnerships and collaboration developed with firm terms of reference. o Build alliances through visibility of OT’s related network and other civil society networks. o Reciprocal capacity building – independent lifelong learners. o Teaching and research across Africa. o Support and mentorship. o Awareness of policy o Maximize critical events – occupation injustice both globally and regionally. Some comments from delegates of their experience of OTARG 2011 • Leaving with valuable insights about Africa and OT projects. • Confirmed that OT theory will come from Africa – very exciting - the rest of the world can gain. Submitted by: Pat de Witt, OTASA delegate to OTARG and OTARG Secretary Elephant grazing on the outskirts of Livingstone Victoria Falls
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