The existing menu items are based on respective .desktop files in /opt/kde3/share/apps/systemview. We can edit them, add or delete items globally by playing with these .desktop files. In order to add an item for one user (i.e. locally), we just create a new .desktop file in $HOME/.kde3/share/apps/systemview.

In my case the systemview directory was missing (and thus only systemwide items showed), so I first created it and then a file pointing to my Downloads folder:
# mkdir -pv ~/.kde3/share/apps/systemview
# cat > ~/.kde3/share/apps/systemview/downloads.desktop << "EOF" [Desktop Entry] Type=Link Path=$HOME/Downloads Icon=folder_man Name=Downloads folder EOF

That's it.

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