Afrika

Azië

Wij ondersteunen lokale partners structureel in Uganda, Malawi, Ghana en Ethiopië. Maar werken ook in andere landen in Azië en Afrika op het gebied van CBR en inclusie. 

Enablement Foundation

statutenwijziging stichting CPA (AfschriftDigitaal).pdf

Integrity-Policy_Enablement-Foundation.pdf

Child-Safeguarding-Policy-2022 LF.pdf

Anti-bribery-and-corruption-policy_Enablement-Foundation.pdf

3a.Jaarrekening 2023 Cerebral Palsy Africa (CPA)_240524.pdf

250513 -2 Jaarrekening 2024 Stichting Enablement.pdf

uittreksel_handelsregister_77627032.pdf

Stichting Enablement

Enablement bv

Sofka Trajcevska

Lea Guignard

Marinus Verweij

Joyce ten Beste

Peter Lock

Huib Cornielje

Kees van den Broek

Sandra Emons

Enablement Foundation (St. Enablement) ondersteunt kinderen met een neurologische beperking en hun families in ontwikkelingslanden. We bieden gezinnen en lokale partnerorganisaties op maat gemaakte hulpmiddelen, trainingen en ondersteuning. 

This is the ending date of the annual plan projects of our partners.

Long-Term Impact
Communities in Ghana, Ethiopia, Malawi, and Uganda become inclusive, resilient, and supportive environments where children with neurodevelopmental disabilities (NDDs) and their families thrive, enjoy improved quality of life, and participate meaningfully in society.
Outcomes (Short to Medium-Term Effects)

1. Strengthened community-based rehabilitation systems
•	Well-trained and equipped CBR professionals and community workers.
•	Effective early identification and referral systems for children with disabilities.
•	Integrated, data-informed community rehabilitation services.
2. Empowered caregivers and inclusive communities
•	Caregivers have the skills and support to provide effective home-based rehabilitation.
•	Families access medical, nutritional, financial, and psychosocial support.
•	Increased disability inclusion in schools, religious institutions, and public life.
3. Improved availability and accessibility of assistive technologies
•	Locally produced, affordable assistive devices adapted to user needs.
•	Families reduce financial burden through local income-generating activities linked to AT production.
4. Enhanced evidence base and cross-country learning
•	Operational monitoring systems measuring quality of life and functionality.
•	Research and documentation inform programmatic adaptations.
•	Shared learning between countries to improve rehabilitation outcomes.
5. Policy and systems-level influence
•	Duty bearers and community leaders promote and mainstream disability inclusion.
•	Strong national and local partnerships sustain inclusive service provision.
Activities

CBR Workforce & Community Empowerment
•	Train trainers, health workers, volunteers, and peer educators.
•	Refresher training using “Shift the Focus Tool” and Rehapp.
Curriculum & Knowledge Sharing
•	Develop university modules on CBR.
•	Conduct cross-country rehabilitation outcome research.
Caregiver & Family Support
•	Provide caregiver training, counseling, assistive devices, nutrition support, insurance, microfinance, and daycare services.
Assistive Technology & Livelihoods
•	Establish local production and assembly of mobility aids and assistive tools.
•	Train caregivers in textile and AT production.
Monitoring, Evaluation & Learning
•	Use Rehapp and field visits to track functionality and QoL.
•	Implement adapted MEL tools to country-specific contexts.
Advocacy & Awareness
•	Conduct awareness campaigns, community meetings, and school/church engagement.
•	Partner with duty bearers and local leaders for inclusion.
Coordination & Capacity Building
•	Coordinate country-level annual plans.
•	Establish international monitoring, quality control, and fundraising strategy.
Inputs
•	Human Resources: CBR professionals, trainers, community workers, researchers, and peer educators.
•	Training Materials: Shift the Focus Tool, Rehapp, functional rehab curriculum.
•	Financial Resources: Donor funding, local grants, social enterprises.
•	Infrastructure & Equipment: Mobile devices for data collection, rehabilitation equipment, assistive device materials.
•	Partnerships: Local governments, universities, hospitals, faith-based institutions, and NGOs.
•	Technology & Tools: e-learning platforms, MEL tools, mobility aids.
Assumptions
•	Local communities remain open to disability inclusion efforts.
•	Stakeholders remain committed and active across all levels.
•	Financial and political environments remain stable enough for programme implementation.
•	Infrastructure (e.g., roads, electricity) supports field activities.
Risks
•	Political instability or conflict affecting implementation.
•	Staff turnover or burnout among CBR workers and volunteers.
•	Limited uptake of assistive technologies due to stigma or cost.
•	Natural disasters or health pandemics affecting access and service delivery.
•	Resistance from traditional or religious leaders toward inclusion efforts.

Ghana

Malawi

Oeganda

Ethiopië

At Enablement Foundation, we partner with local organisations that have established and stable Community-Based Rehabilitation (CBR) programmes. These organisations are rooted in their communities and work to equip families, professionals, and community members with the knowledge, skills, and tools needed to support children and adults with disabilities — particularly those with neurodevelopmental disorders (NDDs).
We work with four long-standing local partners across sub-Saharan Africa — in Ghana, Ethiopia, Malawi, and Uganda — who all demonstrate strong expertise in working with children with NDDs and share our commitment to locally led, sustainable development.
8.1 Our Local Partners
Multikids Africa, Ghana
Programmatic focus: Inclusive education and advocacy for children with disabilities.
Multikids Africa works to ensure that children with special educational needs and disabilities enjoy full participation in society — free from discrimination and poverty. Their work focuses on inclusive education, teacher training, community-based health interventions, and advocacy. Enablement Foundation partners with Multikids Africa due to their deep commitment to inclusive education and their practical work in both mainstream and specialist learning environments.
In 2024, Multikids Africa delivered training to hundreds of teachers and community health workers. In 2025, they aim to scale their inclusive education model, focusing on early childhood inclusion and improving school readiness for children with severe NDDs.
GAT Center, Ethiopia
Programmatic focus: Assistive technology and family-centred disability support.
The GAT Center provides children and young adults with disabilities — particularly those with NDDs — with assistive technology, caregiver training, and social inclusion support. They also work directly with mothers and frontline professionals to ensure children are included and able to participate in daily life. Enablement Foundation supports GAT due to their practical, community-level innovation and their strong track record in improving accessibility for families in under-resourced settings.
University of Gondar (UoG), Ethiopia
Programmatic focus: Academic-community partnership for disability inclusion.
The University of Gondar’s Community-Based Rehabilitation (CBR) Programme, launched in 2005, is Ethiopia’s only university-led CBR initiative. Operating across the North Gondar Zone in the Amhara Region, the programme integrates academic research, medical expertise, and community-based action to support children and families living with disabilities.
Enablement Foundation works with UoG to bridge academic knowledge and grassroots practice — a powerful combination that not only serves immediate needs but also builds a foundation for scalable, evidence-based disability support. UoG's long-term vision includes expanding to additional regions and becoming a centre of excellence in CBR across low-resource settings.
Mangochi District Hospital, Malawi
Programmatic focus: Holistic hospital-based care for children with cerebral palsy (CP).
Unlike our other partners, Mangochi District Hospital is not a CBR organisation but a government hospital that is working to make healthcare for children with CP more holistic, inclusive, and accessible. In 2024, with co-funding from Wilde Ganzen, the hospital opened a new CP clinic staffed by a multidisciplinary team offering physical therapy, caregiver training, early identification, and assistive devices such as standing frames and rollators.
Enablement Foundation collaborates with Mangochi District Hospital because of their commitment to comprehensive care and willingness to innovate within the public health system. In 2025, we plan to initiate a pilot with a local CBR organisation in Malawi to bridge hospital-based care and community-based services — ensuring better continuity of care and deeper community engagement.
Katalemwa Cheshire Home, Uganda
Programmatic focus: Inclusive development and rehabilitation for children and youth with disabilities.
Katalemwa Cheshire Home works to ensure children and youth with disabilities lead dignified and productive lives. They provide both centre-based rehabilitation services and community-based inclusive development initiatives, grounded in a rights-based approach. They collaborate closely with families and local structures to ensure long-term support and integration.
Enablement Foundation values Katalemwa's commitment to both clinical excellence and grassroots inclusion. Their model of combining rehabilitation services with community involvement aligns with our goal of building resilient local systems that are both inclusive and sustainable

6.	Expected Outcomes (Cross-country)

6.1	For Children with NDDs
•	Improved physical and cognitive development through therapy and assistive devices.
•	Enhanced access to education, nutrition, and inclusive environments.
•	Reduced incidence of malnutrition, preventable complications, and neglect.
6.2	For Parents/Caregivers
•	Increased caregiving knowledge, confidence, and mental well-being.
•	Reduced financial pressure through income-generating activities.
•	Strengthened social networks and peer support.
6.3	For Communities 
•	Greater awareness of NDDs and reduced stigma and discrimination.
•	Improved capacity of health workers and faith leaders to support disability inclusion.
•	Strengthened local service delivery systems with trained personnel and sustainable infrastructure.
•	Improved data systems for disability and inclusion at district levels.
7.	Monitoring, Evaluation, and Learning (MEL)
Our partners have highlighted a strong need to better assess and demonstrate the impact of their work. While they observe meaningful improvements in the daily lives of children with neurodevelopmental disorders, their families, and communities, there is a growing demand — particularly from donors and for advocacy with governments — for more detailed and systematic data.
In addition to external reporting, our partners are deeply committed to improving the quality and effectiveness of their programmes. To do so, they recognise the importance of robust data to support continuous learning, accountability, and informed decision-making.
In response, we began working in 2024 with our partners to co-develop a harmonised Monitoring, Evaluation, and Learning (MEL) framework. This framework is designed to:
•	Support consistent, evidence-based assessments across contexts,
•	Reduce administrative burdens,
•	And enhance programme design through ongoing feedback and adaptation.
To facilitate efficient data collection and analysis, partners have started integrating the monitoring functions of the RehApp tool into their workflows. Initial efforts have focused on setting up and tailoring the system to meet local needs. Full implementation of RehApp’s monitoring and evaluation components is planned for 2025, marking a significant step forward in building data-driven, outcomes-focused programming.
The MEL plan includes:
7.1	Key Components
•	Baseline and Endline Assessments: Using participatory tools with children and families.
•	Routine Data Collection: Via mobile tools and paper forms to track service delivery and outcomes.
•	Quarterly Reflection Sessions: Conducted within each country and shared across the region.
•	Stories of Change: Qualitative narratives from caregivers, children, and community leaders.
•	Cross-Country Learning Exchanges: Online and in-person peer learning forums.
•	Annual Joint Evaluation: Coordinated by EF’s MEL advisor with local support.
7.2	Cross-country indicators
•	Number of children accessing services (therapy, nutrition, education).
•	Number of caregivers engaged in support groups and IGAs.
•	% of health facilities with trained staff and functional referral pathways.
•	Changes in caregiver stress and knowledge levels.
•	Community attitude shifts measured via KAP (Knowledge, Attitude, Practice) surveys.

Risk Assessment and Mitigation Plan
1. Operational Risk
Risk: Delays in implementing programme activities due to logistical challenges, particularly in remote areas (e.g. setting up new CBR hubs in Ethiopia, piloting in Malawi).
Mitigation:
Conduct early, detailed implementation planning with partners.   Build buffer periods into project timelines.
Strengthen logistics coordination and hire local facilitators to reduce delays.

2. Capacity Risk

Risk: Limited capacity of local partners or frontline workers to deliver high-quality, consistent support (training gaps, high turnover).
Mitigation:
Use a phased training approach with ongoing mentorship.
Establish peer-learning networks.
Leverage the planned online training platform for continuous, scalable upskilling.

3. Financial Risk

Risk: Inadequate or delayed funding, especially for strategic add-on projects like the Malawi communication pilot or the training platform.
Mitigation:
Diversify donor base and align new proposals with funders’ strategic interests.
Create tiered project budgets to allow scalable implementation.
Prioritise and package high-impact components for targeted fundraising.

4. Social/Cultural Risk

Risk: Resistance to inclusion due to stigma, especially within faith-based settings or traditional communities.
Mitigation:
Engage religious leaders and traditional authorities from the start (as in Uganda).
Include disability-awareness training in all modules.
Share success stories to shift mindsets.

5. Policy/Systems Risk

Risk: Weak referral systems and inconsistent government engagement (e.g. integration with health systems in Ghana).
Mitigation:
Strengthen partnerships with district health offices.
Advocate for inclusion of disability in government M&E systems.
Document and share evidence of programme impact to build policy buy-in.

Zorg en gezondheid

Children with NDDs in Africa face stigma and exclusion. Enablement Foundation builds local systems of care in 4 countries, empowering families and aligning with the UNCRPD and SDGs to ensure inclusion, support, and lasting change.

This is the starting period of the annual plan projects of our partners.

Kwaliteit onderwijs

Geen armoede

Goede gezondheid en welzijn

Kinderen (<12 jaar)

Mannen

Vrouwen

Jongeren (< 18 jaar)

Mensen met een beperking

Advancing Holistic Care for Children with Neurodevelopmental Disorders (NDDs) in  Sub-Saharan Africa

Religie en levensbeschouwing

Onderwijs en wetenschap

Maatschappelijke en sociale doelen

Noodhulpverlening

Sport en recreatie

We zijn specialist in community based revalidatie en inclusie van mensen met een beperking in de samenleving 

Huishoudens onder lage-inkomensgrens

Vluchtelingen en/of migranten

Overig

Onze projecten focussen zich op kinderen en jongeren met een beperking, hun families, zorgverleners en andere doelgroepen. Ons werk mbt inclusie focust zich op een ieder die geïnteresseerd is. 

At Enablement Foundation, we partner with local organisations that have established and stable Community-Based Rehabilitation (CBR) programmes. These organisations are rooted in their communities and work to equip families, professionals, and community members with the knowledge, skills, and tools needed to support children and adults with disabilities — particularly those with neurodevelopmental disorders (NDDs).
Our work focuses on knowledge transfer and capacity-building, helping local partners adopt evidence-based approaches that improve quality of life and promote the rights and well-being of people with disabilities. Our expertise spans a wide range of disabilities, enabling us to support partners in developing comprehensive, tailored solutions that address individual and community needs. By promoting a deeper understanding of disability and its root causes, we help reduce risks, strengthen inclusive practices, and foster more effective support systems.
We work with four long-standing local partners across sub-Saharan Africa — in Ghana, Ethiopia, Malawi, and Uganda — who all demonstrate strong expertise in working with children with NDDs and share our commitment to locally led, sustainable development.


We aim to grow our programmes with at least 15%; looking at number of children with NDDs, parents/caregivers and community workers. In the below table you will find the estimated numbers for 2025. Apart from these three groups we also target other stakeholders, like siblings, (national/local) government officials, community members, service providers and other relevant service providers.

Target group/year	2024 (actual)	2025 (target)
Children with NDDs	1.648	                 2.060
Parents/caregivers	    2.020	                 2.525
CBR workers	                  169	                  212
