The meaning of participation for children in Malawi: insights from children and caregivers
نویسندگان
چکیده
BACKGROUND Global rates of childhood disability are high and are estimated through tools that focus on impairment, functioning and activity. The International Classification of Functioning, Disability and Health has promoted a framework to define disability more broadly and to include participation. New outcome measures have now been created to assess participation of children with disabilities for use in research and clinical practice. In order to use these in other cultural contexts, the validity of concepts and tools developed should be evaluated prior to use. We aim to create a tool that would be relevant and valid to the cultural context of Malawi, but to do so, we first need to understand what participation means to children in Malawi. AIM The aim of this study is to explore what participation means for children (including those with and without disability) in rural Northern Malawi. METHODS We used semi-structured interviews, focus group discussions, participatory action research and direct observations. Sixty-four participants were involved including children (8-18 years) with (14) and without disabilities (17), carers of children with (8) and without (6) disabilities, community members (14) and professionals/healthcare workers (5). Data analysis was carried out using the 'framework' approach. RESULTS Activities reported by children, carers and community members fell within seven main themes or areas of participation. These include contribution to family life (chores and work), social activities (communicating and being with others), social activities (unstructured play), structured and organized activities, activities of daily living, education and schooling and entertainment (listening to and watching media). CONCLUSIONS This study provides concepts and ideas that may be utilized in developing a suitable measure of participation of children with disabilities for rural African settings. Many of the most important activities for all children relate to family and day-to-day social life.
منابع مشابه
Stress Management Experience of Caregivers of Thalassemia Children: A Qualitative Research
Background: Children with thalassemia do not have favorable psychological health. Today, the use of different therapeutic regimes for caregivers with thalassemia has increased life expectancy; however, these patients have other various needs and requirements such as constant professional training. The aim of the present study was to explain stress management in caregivers with thalassemia child...
متن کاملنگرش مراقبان بهداشتی درمانی نسبت به مشارکت والدین در مراقبت از کودکان بستری
Background & Aim: Family-centered care, which has become the cornerstone for pediatric nursing practice, supports the integrity of child and family health. It brings families a unique care and improves child and family health. Families are recognized as an essential part of a specialized child care during illness. They are expected to be skilful in child care both in and out of health care faci...
متن کاملMotherhood and Home Quarantine: Exploring the Experiences of Iranian Mothers in Caring for their Children in COVID-19 Outbreak
Background: Following the spread of new coronavirus (COVID-2019) in Iran, people began a new lifestyle in quarantine to survive the disease. Mother-child relationships impacted from this new way of life. This phenomenological study was conducted to explore the experiences of Iranian mothers in caring for their children in COVID-19 outbreak. Methods: This is a qualitative study conducted with a...
متن کاملبررسی روایی و پایایی نسخه فارسی پرسشنامه عادات زندگی (Life-H) درکودکان فلجمغزی 13-5 ساله
Objective: The aim of this study is to determine validity and reliability of Persian version of Life Habits questionnaire (LIFE-H) in children 5-13 year old with cerebral palsy (CP) . LIFE-H is a tool for measuring participation in children with disabilities . Materials & Methods: In this study which is a tool making and validation instrument 101 caregivers of children with CP aged 5-13, com...
متن کاملEffect of Empowering Caregivers of Children with Cancer Undergoing Chemotherapy on Their Adherence to Preventive Health Recommendations for Oral Ulcer
Inflammation of the oral mucosa is a common and debilitating complication of chemotherapy that is preventable and manageable following health advices. Empowering the primary caregiver can be helpful in management of this condition. Aim: To determine the effect of empowering the caregivers on preventing inflammation of oral mucosa in children with cancer undergoing chemotherapy. Methods: This no...
متن کامل