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Changing lives one step at a time: Celebrating 20 Years of STEPS Clubfoot Care

Changing lives one step at a time: Celebrating 20 Years of STEPS Clubfoot Care

IOL News5 days ago

Clubfoot affects 1 to 2 babies per 1,000 live births worldwide, yet despite its prevalence in Africa, it is completely treatable.
Image: Ian Landsberg
In a world where a life-changing intervention can mean the difference between mobility and limitation, STEPS Clubfoot Care celebrates two decades of impactful service this Tuesday, 3 June 2025, coinciding with World Clubfoot Day. Since its inception, STEPS has touched the lives of over 12,000 children across South Africa, empowering families and redefining futures through the power of early intervention.
Clubfoot, a congenital condition that affects the positioning of a baby's foot, twists it downward and inward, making treatment paramount for the child's future mobility. Every year, at least 2,000 newborns in South Africa are diagnosed with this condition, yet it remains entirely treatable thanks to the Ponseti Method—a non-invasive approach that realigns the foot and provides pain-free mobility for 95% of its patients.
Born from a mother's determination to overcome fear and uncertainty, STEPS was founded by Karen Moss in response to her son's clubfoot diagnosis. Struggling with limited treatment options at the time, she discovered the Ponseti Method during a visit to Dr. Ignaçio Ponseti in Iowa, USA. This experience ignited a commitment to ensure no parent in South Africa need to face clubfoot alone.
'No parent should ever feel hopeless after a clubfoot diagnosis,' Karen reflected. 'I wanted to build a local network equipped with the guidance necessary to deliver expert care and tangible results. This commitment still drives STEPS today.'
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STEPS Clubfoot Care celebrates two decades of impactful service
Image: Ian Landsberg
As Southern Africa's only dedicated organisation for clubfoot treatment, STEPS has established a robust network of 48 partner clinics across all provinces, a monumental increase from just a handful in its early days. Healthcare professionals numbering over 2,000 have been trained, ensuring that the message of early diagnosis and treatment resonates on a national level.
Beyond statistics, STEPS has powerful stories woven into its tapestry of triumphs.
For mom Moreblessing Hurungo, from Mfuleni who gave birth on 23 May 2025, the help received for baby Tanashe is not only a blessing, but also a life changer.
"When my child was born, I was very very worried, it was not straight, I didnt know his feet can be fixed, thought he'd live like this forever, I didnt expect this.
"Now with his feet, the baby will be able to do everything a normal child can do. I am so happy, he will be fine."
Axolile Madolo from the Eastern Cape who faced the harrowing news that her newborn son, Musa, had bilateral clubfoot.
'A wave of fear came over me, the anxiety and thought, of 'what did I do wrong?'
"I didn't know what clubfoot was or where to go,' she recalled. But support from STEPS transformed her anxiety into action. Today, 18-month-old Musa is thriving, confidently taking his first steps and enjoying life alongside his siblings.
Moreblessing Hurungo and her son Tanashe with Jane Mackinnon, Steps clinic coordinator
Image: Ian Landsberg
The Hartnicks faced a similar ordeal when their daughter, Kendall, was born with the condition. 'We were clueless about what to do,' admitted her father, Lorenzo.
At Tygerberg Hospital's Clubfoot Clinic, the family found a clear treatment path that included casting and bracing. Now, following a successful recovery, two-and-a-half-year-old Kendall runs and plays like any other child, testament to STEPS' dedication and the committed healthcare professionals within its reach.
The sustainable, collaborative model that STEPS has developed with state health institutions and the South African Paediatric Orthopaedic Society continues to shift the narrative of clubfoot care in the region. Notably, in 2025 alone, seven new partner clinics were added, reinforcing an impressive 700% growth since 2015.
Significantly, STEPS has partnered with leading hospitals like Tygerberg and Red Cross War Memorial Children's Hospital in the Western Cape and Chris Hani Baragwanath Academic Hospital in Gauteng to enhance care delivery and to ensure children complete the full clubfoot correction process. This collaboration has notably reduced the number of families who abandon treatment midway due to logistical or financial hurdles.
'Awareness can lead to early treatment and full mobility,' said Dr. Marí Thiart, a paediatric orthopaedic surgeon at Tygerberg Hospital, emphasising the vital role of informed caregiving in tackling this common condition.

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These systems often work in conjunction with each other, as well as with satellite positioning, in order to boost accuracy and stop the drone drifting off course. In a world of fully autonomous drones, the machines could travel unguided across the landscape, identify a target and attack it before returning to base. There are no fully-autonomous drones for now, but some carry target-locking technology where AI takes over to guide the drone over the final 100 meters for the kill after its human operator has identified the target. Achieving full drone autonomy would further reshape the battlefield, potentially reducing the need to train thousands of operators. How are they building them? The Kremlin has used its deeper pockets to scale up mass production of a more limited assortment of drone models. The industry is centered on large weapons-making clusters such as Alabuga in Tatarstan, where Shahed replicas are made, and Izhevsk, where it's producing a long-range combat drone called Garpiya. Russia plans to establish 48 research and production facilities across the country by 2030 to boost its drone capabilities. Constrained by more limited resources, Ukraine's defense establishment relies on a patchwork of more than 500 suppliers. Some mass-produce drones in sprawling factories. Others either build them from scratch in small workshops and garages or repurpose drones bought online from Chinese online marketplaces. Chinese Mavic drones have become a familiar sight on the front lines, even though their maker, SZ DJI Technology Co., has denied selling any to Russia or Ukraine and the Beijing government says it's taken steps to prevent their use in the conflict. The variety of companies, funding sources and production techniques has made the industry fiercely competitive and innovative. The government is encouraging this startup culture through drone design competitions open to everyone including high-school students. Ukrainian company Skyfall has grown into one of the country's biggest drone producers. It was founded by three engineers to develop the Vampire heavy-duty, multi-purpose drone able to carry 15- kilogram bombs or to transport ammunition, food, water and medicine. It's nicknamed Baba-Yaga by Russians, after the wicked witch from children's fairytales. Skyfall has delivered thousands of the machines to the front. The company also makes the popular Shrike FPV, runs an academy for training prospective engineers, operates several drone servicing centers in cities closer to the front lines, and runs a 24/7 hotline to help soldiers solve technical problems with their drones, even in the heat of battle. Ukraine has been receiving shipments of drones from foreign partners including the UK and Germany, but its vibrant drone industry means the national military is procuring a growing share of its weaponry from domestic suppliers. Ukraine's Ministry of Defense allocated over $2.5 billion in 2024-2025 for local drone manufacturers, signing contracts with 76 companies. Oleksandr Kubrakov, a former infrastructure minister who now advises Ukrainian Defense Minister Rustem Umerov, said the country's drone industry remains fragile because it relies so heavily on the state. 'There is a way to reduce this dependence, and that's to officially open up Ukraine's military exports so they can sell drones abroad. For now, exports are forbidden,' said Kubrakov.

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