Formative Evaluation of Rehabilitative Post-surgical Care for Children in Tanzania: “They Arrive with Sorrows, but they Leave Happily”

Kiesel, Lisa; Biggs, Jennifer; Hartwig, Kari; DiSpirito, Keira; Maisano, Kristen

doi:10.1007/s40609-021-00218-3

Cited by 1 publication

(2 citation statements)

References 17 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…At the time of this evaluation, Kafika House's daily census ranged from 70 to 200 children, ages newborn to 18 years of age. During post‐operative care, children's play, physical and occupational therapy and increased social participation facilitates self‐efficacy and reduced self‐stigmatization (Kiesel et al, 2021).…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Caregivers' perspectives of community acceptance before and after surgical treatment for their child's disability

Johnson,

Hartwig,

Maisano

et al. 2024

Child

Self Cite

View full text Add to dashboard Cite

In Tanzania, about 600 000 youth between 5 and 24 years old have a disability. Individuals with disabilities face numerous obstacles due to social stigma. The aim of this formative evaluation is to assess how caregivers of children with correctable disabilities (e.g., cleft lip/palate, club foot, and burn scar contractures) in Tanzania perceive their community's acceptance of their child before and after surgical treatment. Semi‐structured interviews were conducted with 80 caregivers of children with disabilities treated at Kafika House in Arusha, Tanzania. The constant comparative method identified themes regarding the caregivers' feelings on their child's functional abilities and experiences of stigma in their community. Caregiver perceptions of stigma before and after surgical treatment were categorized and quantified as ‘positive’, ‘neutral’ and ‘negative’. Thematic analysis of the 80 interviews resulted in five major themes: (1) stigma and acceptance (pre‐treatment) and (2) post‐treatment; (3) functional abilities (pre‐treatment) and (4) post‐treatment; and (5) emotional impact (pre‐ and post‐treatment). These themes indicate caregivers and their children experience a range of emotional impacts before and after treatment, more severe stigma before treatment, and overall better social, emotional and functional status after treatment. Frequency analysis of caregiver experiences indicated that stigma experienced by children and their families decreased from 75% before surgical treatment to 2.5% after surgery. Surgical intervention and rehabilitation of physical disabilities mitigated experiences of social stigma for both children and their caregivers. Findings support the need for expanded treatment of correctable disabilities, larger investments in community‐based rehabilitation programmes and further interventions to support stigmatized parents and their children.

show abstract

Section: Introductionmentioning

confidence: 99%

“…Most children reside at Kafika House for 2 to 6 months, depending on their disability and treatment. (Kiesel et al, 2021).…”

mentioning

confidence: 99%

Caregivers' perspectives of community acceptance before and after surgical treatment for their child's disability

Johnson,

Hartwig,

Maisano

et al. 2024

Child

Self Cite

View full text Add to dashboard Cite

show abstract

Formative Evaluation of Rehabilitative Post-surgical Care for Children in Tanzania: “They Arrive with Sorrows, but they Leave Happily”

Cited by 1 publication

References 17 publications

Caregivers' perspectives of community acceptance before and after surgical treatment for their child's disability

Caregivers' perspectives of community acceptance before and after surgical treatment for their child's disability

Contact Info

Product

Resources

About