Using caregivers’ perceptions of  rehabilitation services for children with  Cerebral Palsy at public sector hospitals  to identify the components of  an appropriate service

Saloojee, Gillian; Rosenbaum, Peter; Stewart, Aimée

doi:10.4102/sajp.v67i3.53

Cited by 5 publications

(6 citation statements)

References 8 publications

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“…This could be attributed to the fact that some of the caregivers had started noticing the therapeutic benefits of physiotherapy on their child at the time of the study. Satisfaction with physiotherapy was high among caregivers citing good professional behaviour of the physiotherapists and the fact that the child were improving, a finding shared by Saloojee et al [20]. Most caregivers felt that physiotherapists explained, giving reasons, their choice of treatment techniques to them.…”

Section: Discussionmentioning

confidence: 96%

“…The survey questionnaire was specifically designed for this study with questions being derived from literature [19, 20]. The questionnaire was partly premised on the Measure of Processes of Care (MPOC) questionnaire developed in Canada to assess caregivers’ self-reported experiences of family-centred behaviours of rehabilitation service providers [20]. The ad hoc questionnaire had two sections, A and B.…”

Section: Methodsmentioning

confidence: 99%

“…Prior to use in the main study, the self-developed English questionnaire was evaluated for content validity by four physiotherapists working in the burn units at the two hospitals using a criteria provided by Davis [20]. The mean years of experience in the burn units for the content experts were 6 years with a standard deviation of 2.4.…”

Section: Methodsmentioning

confidence: 99%

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Perspectives of caregivers towards physiotherapy treatment for children with burns in Harare, Zimbabwe: A cross-sectional study

Chiwaridzo

Zinyando²,

Dambi

et al. 2016

Burns &Amp; Trauma

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BackgroundPhysiotherapy is an integral part of treatment for paediatric burns. In Zimbabwe, children are admitted in paediatric burn unit with their caregivers, who play important roles such as providing explanation and obtaining cooperation of the child during physiotherapy, which is often uncomfortable or painful to the patient. The aim of this study was to determine the perspectives of caregivers towards physiotherapy interventions administered to hospitalized children at central hospitals in Harare, Zimbabwe.MethodsA descriptive cross-sectional study was conducted using self-administered questionnaires. The study was carried out at two large central hospitals (Parirenyatwa Hospital and Harare Central Hospital). The study targeted all the caregivers of children below the age of 12 years with a diagnosis of burns, irrespective of severity or area affected, who were admitted in the two paediatric burn units. Of the 34 caregivers eligible to participate, 31 (91.1 %) questionnaires had complete data and were analysed. The analyses were done using Statistica version 12.0.ResultsThe median age of the caregivers was 28 years (IQR = 24–33 years). Female caregivers constituted 90.3 % of the sample. The majority of the caregivers (n = 26, 83.9 %) were biological mothers to the hospitalised child. The majority of children (n = 20, 64.5 %) hospitalised were between 0 and 4 years. The commonest cause of burns was scalding (n = 19, 61.2 %). The burns were mainly in the upper extremities (n = 11, 35.5 %). Physiotherapy for the burns was mainly active and passive joint range of motion exercises (n = 30, 96.8 %). The caregivers’ perceptions towards physiotherapy were mainly positive (n = 20, 64.5 %) indicating that physiotherapy plays an important role in burn management. Of the 21 caregivers given a ward exercise programme, 13 (61.9 %) were not compliant.ConclusionsCaregivers’ perspectives towards physiotherapy were largely positive and are similar to those found in other studies. The majority of the caregivers indicated that physiotherapy was important in the overall management of burns leading to proper healing of the wounds without complications.

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Section: Discussionmentioning

confidence: 96%

Section: Methodsmentioning

confidence: 99%

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Perspectives of caregivers towards physiotherapy treatment for children with burns in Harare, Zimbabwe: A cross-sectional study

Chiwaridzo

Zinyando²,

Dambi

et al. 2016

Burns &Amp; Trauma

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“…Primary caregivers are also faced with various extraneous factors such as a shortage of financial resources, limited transport and under-resourced hospitals 18 . These social risk factors affect the infants' cognitive and behavioural development 19 and also make it difficult for the sustainability of therapy programmes and medical intervention 13 .…”

Section: Literature Reviewmentioning

confidence: 99%

“…These social risk factors affect the infants' cognitive and behavioural development 19 and also make it difficult for the sustainability of therapy programmes and medical intervention 13 . Unfortunately, these caregivers are further faced with long queues at hospitals, inefficient administration procedures where patients have to wait lengthy periods for their files and have a perception of disrespectful and "uncaring" attitudes from the staff at these hospitals 18 . Clients often have to be put on long waiting lists for therapy appointments and have poor access to equipment and assistive devices due to a lack of district funding 18 .…”

Section: Literature Reviewmentioning

confidence: 99%

Therapists' consensus on an infant massage programme for high-risk infants from resource constrained contexts: a delphi study

Perks

Rencken

Govender

2021

S. Afr. j. occup. ther.

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Background: There are various infant massage programmes designed for infants born without complications, but there are limited options available for caregivers with high-risk infants from a resource-constrained context. Aim: This study aimed to develop a caregiver-initiated infant massage programme specific for high-risk infants in a resource-constrained context to facilitate the bonding and attachment process between this dyad. Method: A three-round Delphi study was conducted with purposively selected physiotherapists and occupational therapists with experience in the field of high-risk babies in a resource-constrained context. The design of the round one survey was informed by the available literature, and the subsequent two rounds of surveys were designed based on the prior rounds. Iteration of results was provided prior to the subsequent rounds. Results: Attrition between rounds occurred from an initial 14 participants in round one to 8 participants in round three. Consensus on 19 massage strokes were achieved in addition to considerations for implementation of the programme with this population. Conclusion:The implication of attrition requires further study. Notwithstanding this, an infant massage programme for high-risk infants was developed with the inclusion of considerations for this dyad's social and medical context.

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Healthcare service delivery perception among NHIS-HMO enrollees in Lagos hospitals

Mkperedem,

Ogunlade,

Igbolekwu

et al. 2023

Humanit Soc Sci Commun

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The National Health Insurance Scheme and Health Maintenance Organization partnership serves as a vital instrument in Nigeria’s government efforts to attain Universal Health Coverage, however, patients’ low-level satisfaction with health service quality has been reported across literatures. This study therefore aims to assess healthcare service delivery perception among NHIS-HMO enrollees in Lagos hospitals. Anchoring on the filter theory of attention, the study utilize the convergent parallel mixed method research design which involves the collection and analysis of both quantitative (questionnaire) and qualitative (in-depth interviews (IDIs)) data. Using a simple random and convenient sampling techniques, a total of 252 retrieved questionnaires and 15 in-depth interviews were used to elicit data from selected respondents across 9 healthcare facilities in 3 local government areas. Enrollees’ perception was significantly affected by the tangible Healthcare facilities (HCFs) physical environment variable. Related to process variables, the quantitative study found positive response towards humane treatment, and prompt medical attention questions, however, the qualitative interviews had differing results. Both the quantitative and qualitative confirmed presence of long waiting queues. Quantitative result on outcome variable indicated HCFs competence in providing quality services, however, in-depth interview session revealed being an enrollee limits accessibility to HCFs competent service. The research concludes that healthcare enrollees’ perception may alter depending on the type of healthcare service accessed at the HCF. Therefore, to attain the Universal Health Coverage mission, the study recommends reduction or total removal of every form of challenge such that makes for NHIS-HMO enrollees spending too much time at the HCFs during healthcare access.

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Using caregivers’ perceptions of rehabilitation services for children with Cerebral Palsy at public sector hospitals to identify the components of an appropriate service

Cited by 5 publications

References 8 publications

Perspectives of caregivers towards physiotherapy treatment for children with burns in Harare, Zimbabwe: A cross-sectional study

Perspectives of caregivers towards physiotherapy treatment for children with burns in Harare, Zimbabwe: A cross-sectional study

Therapists' consensus on an infant massage programme for high-risk infants from resource constrained contexts: a delphi study

Healthcare service delivery perception among NHIS-HMO enrollees in Lagos hospitals

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