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      Challenges experienced by mothers caring for children with cerebral palsy in Zambia

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      1 , 2 , 1 ,
      The South African Journal of Physiotherapy
      AOSIS OpenJournals

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          Abstract

          Background

          Mothers caring for children with disability experience a number of challenges.

          Aim

          The aim of the study was to explore the challenges that mothers who cared for children with cerebral palsy (CP) living in Zambia experienced.

          Methods

          During a qualitative study the experiences of 16 conveniently sampled mothers of children with CP, from the Ndola district in Zambia, were explored by means of interviews. The responses were thematically analysed. All the necessary ethical considerations were upheld.

          Results

          Mothers experienced social isolation and marital problems, as well as negative attitudes from family, friends, community members and health care professionals. The physical environment created access challenges because of a lack of sidewalks, ramps, functioning lifts and small indoor spaces.

          Conclusion

          Mothers of children with CP feel socially isolated owing to a lack of support from family, community members, and health care providers. This social isolation was exacerbated by attitudes of others towards the mothers; it was felt that mothers were responsible for their children's condition. Mothers also experienced marital problems as a result of having a child with CP.

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          Most cited references30

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          Cerebral palsy: classification and epidemiology.

          This article reviews the historical background, classification, and etiology of cerebral palsy (CP), the most common motor disability of childhood. The various methods employed to measure the prevalence of CP in the population are examined. Causes of CP are numerous, and the etiology multi-factorial. Risk factors are categorized by the timing of their proposed occurrence: prenatal, perinatal, and postnatal. The leading prenatal and perinatal risk factors for CP are birth weight and gestational age. Other risk factors include neonatal encephalopathy, multiple pregnancy, infection and inflammation, and a variety of genetic factors.
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            Giving parents a voice: A qualitative study of the challenges experienced by parents of children with disabilities.

            This study sought to examine the specific sources of challenges as identified by parents of children with disabilities.
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              The neglected burden of stroke in Sub-Saharan Africa.

              The looming epidemic of stroke and other chronic non-communicable diseases associated with lifestyle and demographic transitions occurring all over the world is increasingly being acknowledged. However, the significance of these trends in the relatively young populations of the countries comprising Sub-Saharan Africa (SSA) is less certain and considerably overshadowed by attention given to the impact of human immunodeficiency virus and other infectious diseases. We undertook a literature review of the burden of stroke in SSA and provide recommendations for future research. Despite the paucity of high quality studies, the mostly hospital-based data and limited community surveys indicate there to be high and increasing rates of stroke affecting people at much younger ages in SSA than in developed countries. In general, awareness, diagnosis and management of stroke are poor, and the associated case fatality and residual disability are high. As elsewhere, elevated blood pressure is the major determinant of stroke but there are also high rates of strokes related to the complications of rheumatic heart disease and other infections. Given high attributable risks exposures in association with rapid ageing and urbanisation in SSA, the future is not bright. Population-based incidence studies are urgently needed to map the profile and outcome of stroke. Such data would provide the necessary evidence base to improve prevention and treatments for stroke alongside current efforts to bring infectious diseases under control in SSA.
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                Author and article information

                Journal
                S Afr J Physiother
                S Afr J Physiother
                SAJP
                The South African Journal of Physiotherapy
                AOSIS OpenJournals
                0379-6175
                2410-8219
                10 November 2015
                2015
                : 71
                : 1
                : 274
                Affiliations
                [1 ]Department of Physiotherapy, University of the Western Cape, South Africa
                [2 ]Department of Physiotherapy, University of Zambia, Zambia
                Author notes
                Correspondence to: Anthea Rhoda, Email: arhoda@ 123456uwc.ac.za Postal address: Private Bag X17, Bellville 7535, South Africa

                How to cite this article: Singogo, C., Mweshi, M. & Rhoda, A., 2015, ‘Challenges experienced by mothers caring for children with cerebral palsy in Zambia’, South African Journal of Physiotherapy 71(1), Art. #274, 6 pages. http://dx.doi.org/10.4102/sajp.v71i1.274

                Article
                SAJP-71-274
                10.4102/sajp.v71i1.274
                6093109
                30135879
                909d8993-4a98-4d7e-96c2-d51d663e142e
                © 2015. The Authors

                Licensee: AOSIS OpenJournals. This work is licensed under the Creative Commons Attribution License.

                History
                : 22 April 2015
                : 15 July 2015
                Categories
                Original Research

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