肯尼亚服务提供者和护理人员在马蹄内翻足管理中遇到的障碍。
Barriers experienced by service providers and caregivers in clubfoot management in Kenya.
作者信息
Kingau Naomi Wanjiru, Rhoda Anthea, Mlenzana Nondwe
机构信息
Lecturer at Moi University, Department of Orthopaedics & Rehabilitation, Eldoret, Kenya
Lecturer at University of Western Cape, Department of Physiotherapy, Cape Town, South Africa.
出版信息
Trop Doct. 2015 Apr;45(2):84-90. doi: 10.1177/0049475514564694. Epub 2015 Feb 1.
AIM
Disability in childhood remains a challenge globally. Linked to this disability is an apparent increase in the prevalence of infants born with congenital clubfoot. Clubfoot can, however, be effectively managed but this management faces various challenges. This study aims at exploring the barriers experienced in Kenya.
METHODS
In-depth interviews were conducted with 20 participants. Informed consent was sought. Field notes were taken and the interviews tape-recorded. The interviews took 45 minutes to 1 hour. They were transcribed verbatim and analysed by thematic content.
RESULTS
Missed diagnosis, poor referral system, shortage of staff, long travelling distance, poverty, stigmatisation and lack of support among other were highlighted as the major challenges in clubfoot management.
CONCLUSION
The challenges facing children with disability start at birth but are little different from those faced throughout their life. Action to remove these challenges is warranted.
目的
儿童残疾仍是全球面临的一项挑战。与此残疾相关的是，先天性马蹄内翻足患儿的患病率明显上升。然而，马蹄内翻足可以得到有效治疗，但这种治疗面临各种挑战。本研究旨在探索肯尼亚所经历的障碍。
方法
对20名参与者进行了深入访谈。征求了知情同意。做了现场记录并对访谈进行了录音。访谈持续45分钟到1小时。逐字转录并进行主题内容分析。
结果
漏诊、转诊系统不完善、工作人员短缺、路途遥远、贫困、污名化以及缺乏支持等被列为马蹄内翻足治疗中的主要挑战。
结论
残疾儿童面临的挑战从出生就开始了，而且与他们一生所面临的挑战并无太大不同。有必要采取行动消除这些挑战。
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