SwePub
Sök i LIBRIS databas

  Utökad sökning

id:"swepub:oai:DiVA.org:oru-84042"
 

Sökning: id:"swepub:oai:DiVA.org:oru-84042" > Impairments, functi...

  • Andrews, CarinKarolinska Institutet (författare)

Impairments, functional limitations, and access to services and education for children with cerebral palsy in Uganda : a population-based study

  • Artikel/kapitelEngelska2020

Förlag, utgivningsår, omfång ...

  • 2019-11-25
  • Mac Keith Press,2020
  • printrdacarrier

Nummerbeteckningar

  • LIBRIS-ID:oai:DiVA.org:oru-84042
  • https://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-84042URI
  • https://doi.org/10.1111/dmcn.14401DOI
  • http://kipublications.ki.se/Default.aspx?queryparsed=id:142414409URI
  • https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-400040URI

Kompletterande språkuppgifter

  • Språk:engelska
  • Sammanfattning på:engelska

Ingår i deldatabas

Klassifikation

  • Ämneskategori:ref swepub-contenttype
  • Ämneskategori:art swepub-publicationtype

Anmärkningar

  • AIM: To describe the functional limitations and associated impairments of children with cerebral palsy (CP) in rural Uganda, and care-seeking behaviour and access to assistive devices and education.METHOD: Ninety-seven children with CP (42 females, 55 males; age range 2-17y) were identified in a three-stage population-based screening with subsequent medical examinations and functional assessments. Information on school and access to care was collected using questionnaires. The data were compared with Swedish and Australian cohorts of children with CP. We used the χ2 test and linear regression models to analyse differences between groups.RESULTS: Younger children were more severely impaired than older children. Two-fifths of the children had severe impairments in communication, about half had intellectual disability, and one third had seizures. Of 37 non-walking children, three had wheelchairs and none had walkers. No children had assistive devices for hearing, seeing, or communication. Care-seeking was low relating to lack of knowledge, insufficient finances, and 'lost hope'. One-third of the children attended school. Ugandan children exhibited lower developmental trajectories of mobility and self-care than a Swedish cohort.INTERPRETATION: The needs for children with CP in rural Uganda are not met, illustrated by low care-seeking, low access to assistive devices, and low school attendance. A lack of rehabilitation and stimulation probably contribute to the poor development of mobility and self-care skills. There is a need to develop and enhance locally available and affordable interventions for children with CP in Uganda.WHAT THIS PAPER ADDS: Development of mobility and self-care skills is lower in Ugandan than Swedish children with cerebral palsy (CP). Older children in Uganda with CP are less impaired than younger children. Untreated seizures and impairments of communication and intellect are common. Access to health services, assistive devices, and education is low. Caregivers lack knowledge and finances to seek care and often lose hope of their child improving.

Ämnesord och genrebeteckningar

Biuppslag (personer, institutioner, konferenser, titlar ...)

  • Kakooza-Mwesige, AngelinaKarolinska Institute, Stockholm, Sweden; Makerere University, Kampala, Uganda (författare)
  • Almeida, RitaKarolinska Institute, Stockholm, Sweden (författare)
  • Peterson, Stefan Swartling,1962-Uppsala universitet,Internationell barnhälsa och nutrition(Swepub:uu)stefanps (författare)
  • Wabwire-Mangen, FredMakerere University College of Health Sciences, Kampala, Uganda (författare)
  • Eliasson, Ann-Christin,1950-Karolinska Institute, Stockholm, Sweden; Astrid Lindgren Children's Hospital, Stockholm, Sweden(Swepub:oru)aien (författare)
  • Forssberg, HansKarolinska Institutet (författare)
  • Karolinska InstitutetKarolinska Institute, Stockholm, Sweden; Makerere University, Kampala, Uganda (creator_code:org_t)

Sammanhörande titlar

  • Ingår i:Developmental Medicine & Child Neurology: Mac Keith Press62:4, s. 454-4620012-16221469-8749

Internetlänk

Hitta via bibliotek

Till lärosätets databas

Kungliga biblioteket hanterar dina personuppgifter i enlighet med EU:s dataskyddsförordning (2018), GDPR. Läs mer om hur det funkar här.
Så här hanterar KB dina uppgifter vid användning av denna tjänst.

 
pil uppåt Stäng

Kopiera och spara länken för att återkomma till aktuell vy