ArticleAfrican journal of primary health care & family medicine2020
Child functioning and disability in children living with human immunodeficiency virus in a semi-rural healthcare setting in South Africa.
Article in African journal of primary health care & family medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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Who cites it
2 citing papers in PubMed.
- Service guidelines, models, and protocols for integrating rehabilitation services in primary healthcare in Brazil, Russia, India, China, and South Africa: a scoping review.Disability and rehabilitation · 2024Article
- Burden of caring for children living with human immunodeficiency virus in a semi-rural South African community.South African family practice : official journal of the South African Academy of Family Practice/Primary Care · 2020Article
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Authors and funding
3 authors.
Funding
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Abstract
backgroundChildren living with HIV (CLHIV) often experience HIV-related impairment and disability.
aimThe study sought to understand the level of child functioning and access to rehabilitative care in the context of South African healthcare in order to inform an integrated rehabilitative framework.
settingDistrict level semi-rural healthcare facility in KwaZulu-Natal.
methodsThe Washington Group/United Nations International Children's Emergency Fund Module on Child Functioning, was administered to carers of CLHIV aged between 5 and 10 years, and accessing care at the study setting.
resultsForty-four caregivers of children receiving treatment from June 2018 to March 2019, at the facility, participated. Four (9.1%) children had difficulty with seeing, 13 (29.5%) children had difficulty with hearing and 10 (22.7%) children had difficulty with walking. In the cognitive and behavioural domains, 17 (38.6%) children reported difficulties in communication and concentration, with 16 (36.4%) children experiencing difficulties in learning and remembering. Difficulties reported in accepting change and controlling behaviour were both experienced by 23 (52.3%) children. Although many children experiencing impairments were referred for rehabilitation, many caregivers did not follow-up after the initial assessment, because of financial constraints, lack of time and transport restrictions.
conclusionFunctional difficulties were frequently experienced by children living with HIV. Disability screening would be beneficial at various points of care to promote early identification and timely referral to healthcare professionals. Decentralising rehabilitative care to homes and communities could offer a solution to some of the reported barriers to accessing care.
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