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Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
Published on: August 25, 2014
Understanding the need for pediatric neurodevelopmental services among households in western Kenya: A
Kaytlin Eastes1, Eren Oyungu2,3, Carolyne Jerop3
1Center for Global Health Equity, Indiana University, Indianapolis, IN, USA.
Insights
Childhood disability in Kenya affects 5% of children, with mood disorders being most common. Barriers like cost and transport hinder treatment access for these children.
Area of Science:
- Pediatric health
- Disability studies
- Public health in Kenya
Background:
- Existing childhood disability estimates in Kenya have limitations.
- Local data on childhood disability is scarce, hindering clinical and programmatic development.
Purpose of the Study:
- Estimate rates of children at-risk for disability in western Kenya.
- Examine factors associated with childhood disability risk.
- Understand challenges faced by children at-risk for disabilities and their families.
Main Methods:
- Conducted a cross-sectional randomized community survey in Uasin Gishu County, Kenya.
- Assessed childhood disability rates across six administrative locations.
- Gathered data on the experiences of children and their caretakers.
Main Results:
- Estimated childhood disability rate in Uasin Gishu County at 5%.
- Identified mood disorders as the most prevalent disability.
- Caregivers reported financial and transportation barriers to accessing treatment.
Conclusions:
- Findings highlight the need for improved healthcare access in the region.
- Stigma and socioeconomic challenges are significant barriers to care.
- Community-level data can inform future infrastructure and programming for children with disabilities.
Introduction:
Existing estimates of rates of childhood disability in Kenya are based on data with important limitations. Individual-level data on childhood disability at the local level is also lacking, leaving critical knowledge gaps for clinical and programmatic development.
Objectives:
We aimed to estimate the rates of children at-risk for disability, examine the external factors related to risk of childhood disability, and gain a better understanding of the challenges experienced by children at-risk for disabilities and their families within western Kenya.
Methods:
We conducted a small, cross-sectional randomized community survey to assess the rates of childhood disability across six administrative locations in Uasin Gishu County, Kenya, and to understand the experiences of these children and their caretakers.
Results:
Rate of childhood disability in Uasin Gishu county was estimated to be 5%, with the most common disabilities being mood disorders. Caretakers reported several barriers to accessing treatment for their children at-risk of having disabilities, including financial concerns and lack of transportation.
Conclusions:
Our findings suggest a need for improved access to care in this region, including addressing significant barriers to accessing care such as stigma and socioeconomic challenges. These community-level data will inform the development of future infrastructure and programming for this population.
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