Outreach 

Families living in rural poverty can struggle to bring children to clinics due to the cost of transport, poor infrastructure and difficulty accessing public transport. Once a child becomes bigger then they become difficult to carry and without a suitable wheelchair cannot leave home, so outreach visits may be the only contact children have with a physiotherapist. Cerebral Palsy is a lifelong condition, and children are at high risk of secondary problems, contractures, scoliosis, dislocated hips, and pressure sores and need physiotherapy as part of their daily routine to stop these problems developing. 

Outreach work also aims to raise awareness and health knowledge in the community. This knowledge can help to decrease fears, blame and superstition about disability that may be held by the family or the community and help reduce stigmatisation. 

Visiting the children and their caregivers at home helps give a better idea of the environment and circumstances they live in and which treatments will be most beneficial and practical. Families can work towards milestones and maximise their child's potential by maintaining a regular physiotherapy routine for their child at home.