Background: Caregivers are active members of the healthcare team, and the uniqueness of their role in caring for a sick child is holistic, as no other healthcare team member is consistently aware of all the facets of the child's life. The integrated school health programme (ISHP) aims to improve access to healthcare services and promote equity for school-going children by delivering comprehensive healthcare services. However, not much attention has been paid to understanding caregivers' health-seeking experiences within the context of the ISHP.
Aim: This study sought to understand caregivers' health-seeking behaviour for their children participating in the ISHP.
Setting: Three low-resource communities were chosen within the eThekwini District of the KwaZulu-Natal province, South Africa.
Methods: This study utilised a qualitative research design. We recruited 17 caregivers using purposive sampling. Semistructured interviews were conducted, and the data were analysed using thematic analysis.
Results: Caregivers explored multiple means of care, ranging from managing the children's health conditions based on previous experiences to visiting traditional healers and administering traditional medicines. Caregivers delayed health seeking due to low literacy levels and financial barriers.
Conclusion: Although ISHP has expanded its coverage and the range of services provided, the study suggests the need to implement interventions focused on providing support to caregivers of sick children within the ISHP context.Contribution: The findings of the study highlight the need to develop potential schemes to address transportation barriers to accessing healthcare services for school-going children.
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http://dx.doi.org/10.4102/phcfm.v15i1.3822 | DOI Listing |
PLOS Glob Public Health
December 2024
Swiss Tropical and Public Health Institute, Allschwil, Switzerland.
A new formulation of praziquantel, arpraziquantel (arPZQ), has been developed for preschool-aged children (PSAC) to fill the treatment gap for this age group in schistosomiasis control and elimination programs. There is now a priority to ensure that the drug reaches all at-risk PSAC in endemic areas, including hard-to-reach areas and populations. This study aimed to determine schistosomiasis treatment-related contextual factors among fishermen and island populations in Homa Bay County, Kenya, and to identify a suitable platform to deliver arPZQ.
View Article and Find Full Text PDFGlob Public Health
December 2025
Blizard Institute, Queen Mary University of London, London, UK.
This paper draws from qualitative research undertaken with the mothers and primary caregivers of children aged under 5 years old and in recovery from severe acute malnutrition (SAM), as well as other community members, across three study sites in Kenya, Zambia, and Zimbabwe. The paper highlights how nutrition-related stigma is constructed and enacted in complex ways, by multiple actors and across diverse settings. Adopting an intersectional approach, the paper identifies how stigma emerges at the intersections of social identity, especially age, gender, and associated beliefs about women's, and especially young women's, assumed (in)capacity to care.
View Article and Find Full Text PDFAfr J Disabil
November 2024
Social Science Unit, Zambart, Lusaka, Zambia.
Background: COVID-19 had an impact on all sections of society, including people with disabilities.
Objectives: The authors aimed to explore the needs and experiences of people with disabilities in Zambia during the COVID-19 pandemic.
Method: In this hermeneutic phenomenological study, we used a semi-structured interview guide to collect data from a purposive and snowball sample of 40 people with disabilities and their caregivers.
Open Res Eur
July 2024
School of Global and Public Health, Kamuzu University of Health Sciences, Kamuzu University of Health Sciences, Blantyre, Malawi.
Background: Almost 10 million children under the age of five in Kenya, die due to fever-related diseases. In Busia, a county in Kenya, malaria accounts for 13% of all child fatalities under the age of five, a number higher than any other county. This study aimed to determine (a) proportion of appropriate health-seeking behavior and (b) determinants of health-seeking behaviors (HSBs) among their caregivers in Butula Sub-County, Busia County, as reported by the caregivers.
View Article and Find Full Text PDFPsychooncology
November 2024
School of Clinical Medicine, Discipline of Paediatrics and Child Health, UNSW Medicine & Health, UNSW Sydney, Sydney, Australia.
Introduction: This study investigated the prevalence, methods and factors leading carers of childhood cancer patients to seek second opinions.
Methods: A prospective, questionnaire-based study was conducted among families attending oncology clinics at Sydney Children's Hospital, Randwick. Participants were asked whether they had sought a second opinion for their child and if so, their motivations.
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