Perceptions Regarding Medical Management of Clubfoot in Kenya

Kingau, Naomi Wanjiru; Rhoda, Anthea; Mlenzana, Nondwe; Kingau, Samuel Kabara

doi:10.4172/2329-9096.1000309

Cited by 2 publications

(2 citation statements)

References 101 publications

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“…This finding is consistent with several studies that found traveling distance to a health facility as a barrier to the treatment and management of clubfoot. 20 , 26 , 27 Also, Beardsley et al 28 reported in his study that, as the economic costs of treatment attendance increase with distance, the ability of clients to continue treatment diminishes.…”

Section: Discussionmentioning

confidence: 99%

The perspectives of caregivers and health service providers on barriers to clubfoot management in Puri-Urban health facility in Ghana

Agoalikum,

Acheampong,

Bredu-Darkwa

et al. 2024

Journal of Children's Orthopaedics

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Purpose: Clubfoot is a common disabling condition that is prevalent across all populations. Approximately, one out of 750 children globally suffers from clubfoot, and around 150,000 to 200,000 children are born with clubfoot every year with 80% of the cases occurring in developing countries. Clubfoot can result in mobility impairments when not properly managed and researchers have argued that understanding knowledge and perceptions are key components to early identification and effective management of clubfoot. The study explored the barriers to clubfoot management from the perspectives of caregivers and healthcare providers in Duayaw Nkwanta, Ghana. Methods: A total of 26 participants made up of 22 caregivers of children with clubfoot and six healthcare providers were purposively sampled for the study guided by a set of inclusion and exclusion criteria. Qualitative data were collected using a semi-structured interview guide through in-depth face-to-face interviews. Interviews were transcribed and analyzed thematically and presented as findings. Results: High cost of treatment, long travel distance, long hours spent at the treatment facility, non-availability of clubfoot treatment services, late reporting of clients for treatment, and non-compliance of parents/caregivers with treatment protocols were identified as the barriers to effective management of clubfoot. Conclusion: These findings have substantial implications for current interventions to effectively manage clubfoot in Ghana.

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Section: Discussionmentioning

confidence: 99%

The perspectives of caregivers and health service providers on barriers to clubfoot management in Puri-Urban health facility in Ghana

Agoalikum,

Acheampong,

Bredu-Darkwa

et al. 2024

Journal of Children's Orthopaedics

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“…”Majority of parents had faced a lot of challenges and barriers such as financial burden, follow-up visit problems, leave-sanctioning problem, non-availability of medical facility nearby, problems associated with daily activities, problems during traveling, visiting relatives and managing child's toilet with the use of triangular clothes as supported by common challenges in three studies while caring their child with congenital clubfoot. [ 21 22 23 ]…”

Section: Discussionmentioning

confidence: 99%

Assess perception, practice and lived experiences on use of corrective braces among parents of children diagnosed with clubfoot: A mixed method study

Kumari,

Kalyani,

Sharma

et al. 2023

Journal of Education and Health Promotion

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BACKGROUND: Congenital talipes equinovarus (CTEV) is a congenital musculoskeletal deformity, which further leads to abnormal alignment of the feet in children. The aim of the present study is to assess perception and practice and explore lived experiences on the use of corrective braces among parents of children diagnosed with clubfoot. MATERIAL AND METHODOLOGY: A mixed method study approach with convergent parallel research design was used on 100 parents of children with clubfoot. For the quantitative strand, a total enumerative sampling technique was used to collect the data using self-structured tools—a 5-point Likert scale on perception and a checklist on practice at the clubfoot clinic of a selected tertiary care hospital, Rishikesh. For the qualitative strand, a purposive sampling technique was used to conduct the in-depth interview until data saturation from 17 participants using a semi-structured questionnaire. Analysis was done using the SPSS 23.0 software, descriptive statistics with the use of frequency %, whereas for correlation, Pearson's correlation coefficient was used. RESULTS: The mean age of participants was 31 years with a mean score of 30.54 ± 4.97. Among parents, 93% showed positive perception with a mean score of 67.16 ± 6.23 and 64% followed appropriate practice with a mean score of 12.44 ± 1.45. Coefficient correlation showed a statistically weak positive correlation between perception and practice ( P < 0.001). The lived experiences of parents were reflected under six main themes, i.e., “personal experiences with wearing braces for correction,” “encounters and barriers,” “effects on one's social and personal life,” “perceived answers,” “any other previous practice,” and “awareness about clubfoot.” CONCLUSION: Present study concluded that parents had a positive perception and appropriate practice on the use of corrective braces, but there were a few issues such as relapse due to non-adherence, financial burden, and traveling distance, and noticeably more, which need to be addressed. Parental information is a very essential component that should be addressed by all treating physicians and nursing officers before starting treatment for clubfoot.

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Perceptions Regarding Medical Management of Clubfoot in Kenya

Cited by 2 publications

References 101 publications

The perspectives of caregivers and health service providers on barriers to clubfoot management in Puri-Urban health facility in Ghana

The perspectives of caregivers and health service providers on barriers to clubfoot management in Puri-Urban health facility in Ghana

Assess perception, practice and lived experiences on use of corrective braces among parents of children diagnosed with clubfoot: A mixed method study

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