ArticleBMC pediatrics2025
Navigating childhood asthma care in Kenya: barriers identified by children and their caregivers.
Article in BMC pediatrics, 2025. 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.
- Evaluation of self-efficacy and its limiting factors among children with asthma aged 8-18 years.BioPsychoSocial medicine · 2026Article
- A qualitative study on the influencing factors of the quality of life of children aged 7-14 with allergic diseases from the perspective of caregivers.BMC nursing · 2026Article
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Authors and funding
4 authors.
Funding
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Abstract
backgroundAsthma is one of the most common chronic conditions in children, with significant morbidity and mortality, especially in Africa. Achieving adequate asthma control in children remains challenging because of gaps between standard recommended management strategies and actual treatment practices. This study explored barriers to asthma management as perceived by children and their caregivers in a private tertiary care setting in Kenya.
methodsAn exploratory phenomenological qualitative study was conducted at Aga Khan University Hospital (AKUH), Nairobi. Children aged 6-18 years with a confirmed diagnosis of asthma and their caregivers were recruited. The participants had been receiving treatment for at least one year but had partly controlled or uncontrolled asthma. Purposive sampling was used, and in-depth interviews were conducted with 14 child-caregiver pairs until data saturation. The data were analysed via NVivo software version 12.
resultsThree predetermined themes were highlighted and explored in this study. These were barriers to medication use, barriers to treating modifiable risk factors, and barriers to nonpharmacological interventions. One emerging theme was identified: loss of trust in the health care system. Barriers to medication use were most frequently reported and included challenges with drug administration, forgetfulness, lack of support from schools and extended families, stigma, and monotony in treatment regimens. Modifiable risk factor barriers focused on difficulties attending clinic appointments, whereas nonpharmacological intervention barriers included the high costs of implementing recommended adjustments and ineffective environmental control.
conclusionsDespite access to specialist-led care and good caregiver knowledge, children with asthma faced barriers such as poor medication adherence, environmental triggers, limited drug access, and inadequate school support. This suggests that expert care alone is insufficient, and a broader, system-wide approach is needed to improve asthma outcomes in Africa.
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