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Obuntu bulamu: Parental peer-to-peer support for inclusion of children with disabilities in Central Uganda
Ruth Nalugya1,2, Harriet Nambejja1, Claire Nimusiima1
1MRC/UVRI & LSHTM Uganda Research Unit, Kampala, Uganda.
Insights
The Obuntu bulamu intervention, an Afrocentric peer-to-peer support program, was found to be acceptable and culturally appropriate by parents in Uganda. It enhanced inclusion for children with disabilities (CwD) by fostering positive attitudes and a sense of belonging.
Area of Science:
- Community Health
- Disability Studies
- African Studies
Background:
- The Obuntu bulamu intervention is a peer-to-peer support program designed to enhance participation and inclusion of children with disabilities (CwD).
- It was developed and tested in Uganda, involving children, parents, and teachers.
Purpose of the Study:
- To evaluate the acceptability and feasibility of the Obuntu bulamu intervention from parental perspectives.
- To understand how the intervention impacts the inclusion of children with disabilities within their communities.
Main Methods:
- A qualitative Afrocentric intervention study was conducted in 10 primary schools in Uganda.
- Data were collected through interviews with 64 parents (of CwD and peers), focus group discussions, and consultative meetings.
- Thematic data analysis was employed to interpret the findings.
Main Results:
- Parents perceived the Obuntu bulamu intervention as inspiring, acceptable, and culturally appropriate, aligning with indigenous values.
- The intervention fostered a sense of togetherness, improved parental attitudes towards CwD, and increased CwD participation at home, school, and community levels.
- Parents reported enhanced inclusion of CwD due to the intervention.
Conclusions:
- The Obuntu bulamu peer-to-peer support intervention demonstrates acceptability and cultural appropriateness for improving the inclusion of CwD.
- The study highlights the potential of Afrocentric interventions rooted in indigenous values for sustainable disability inclusion.
- Further research is recommended to assess the intervention's effectiveness.
Background:
Obuntu bulamu, a peer-to-peer support intervention for children, parents and teachers to improve the participation and inclusion of children with disabilities (CwD), was developed and tested in Uganda. The intervention consisted of disability-inclusive peer-to-peer training and support activities. In this article, parent participation in and evaluation of the intervention are discussed.
Objectives:
The study aims to evaluate the acceptability and feasibility of the intervention.
Methods:
A qualitative Afrocentric intervention study was implemented in 10 schools in Wakiso district in Central Uganda. Researchers purposely selected CwD aged 8-14 years, their peers and parents from 10 primary schools with on average three CwD per school. A total of 64 study parents (33 parents of CwD and 31 peers) were interviewed at baseline and endline. Two focus group discussions were held with 14 parents at midline. Parents also participated in a consultative meeting about the intervention design at baseline and two evaluation and feedback workshops at midline and endline. Thematic data analysis was conducted.
Results:
Findings showed that parents found the intervention inspiring, acceptable, culturally appropriate and supportive, as it built on values and practices from their own cultural tradition. Parents reported that the intervention enhanced a sense of togetherness and belonging and helped them to develop more positive attitudes towards CwD and disability inclusion. They felt the intervention increased participation and inclusion of CwD at home, school and in communities.
Conclusion:
The Obuntu bulamu peer-to-peer support intervention is an acceptable, culturally appropriate intervention with the potential to improve inclusion of CwD. Further studies are recommended to measure the effectiveness of the intervention.
Contribution:
The paper contributes to existing evidence that there is need for more Afrocentric interventions, which built on cultural values and practices. Interventions based on indigenous values have a greater potential to be acceptable, can foster integration and are likely to be more sustainability to achieve disability inclusion. In the article we describe parental perspectives of the Obuntu bulamu intervention, an intervention to improve inclusion of children with disabilities, which was designed by children, parents, teachers, educationalists, and academics from Uganda.
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