Differences in Malaria Prevention between Children with and without a Disability in the Upper East Region of Ghana

Fleur Frieda Cornelia Muires, Evi Sarah Broekaart
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Abstract

Purpose : Malaria is a common cause of death among children with a disability in Ghana. This research aimed to find out whether there are differences in malaria prevention measures given by caretakers to children with and without a disability – under 15 years of age – within one family, in the Upper East Region of Ghana. Methods : Semi-structured interviews were conducted with 19 families who had both a child with and without a disability. Snowball sampling was used to locate the families living in both rural and urban areas. They were interviewed by using a non-validated topic list based on literature. Statements were processed through qualitative data analysis. A malaria professional working at the Bolgatanga Regional Hospital was interviewed for a nurse’s perspective on the subject. Results: Caretakers with some education knew more about malaria and malaria prevention measures than uneducated caretakers. None of the caretakers in rural areas had any education and they had limited knowledge about malaria. All the children in this study received some form of prevention from their caretakers, but it was not very effective. In the rural area there was a difference in the incidence of malaria among children with and without a disability. The malaria professional’s perspective was that children with a disability are more vulnerable despite receiving the same prevention and treatment as other children. Conclusions: Almost all the children within one family received the same malaria prevention measures from their caretakers, but it was not always as effective as required, especially in the rural area where the incidence of malaria was higher among some of the children with a disability. Limitations: Some of the study limitations are the use of translators, the discussion of sensitive subjects and the possibility that socially desirable answers were given.
加纳上东区残疾儿童和非残疾儿童在疟疾预防方面的差异
目的:疟疾是加纳残疾儿童死亡的一个常见原因。这项研究的目的是找出在加纳上东部地区的一个家庭中,照料者对残疾儿童和无残疾儿童(15岁以下)采取的疟疾预防措施是否存在差异。方法:对19个有残疾和无残疾儿童的家庭进行半结构化访谈。采用滚雪球抽样对居住在农村和城市地区的家庭进行定位。他们通过基于文献的未经验证的主题列表进行访谈。通过定性数据分析处理报表。我们采访了一位在博尔加坦加地区医院工作的疟疾专业人员,请他从护士的角度看待这个问题。结果:接受过一定教育的护理人员对疟疾及疟疾预防措施的了解程度高于未接受过教育的护理人员。农村地区的看护人员都没有受过任何教育,对疟疾的了解也很有限。在这项研究中,所有的孩子都从他们的看护人那里得到了某种形式的预防,但效果不是很好。在农村地区,残疾儿童和非残疾儿童的疟疾发病率有所不同。这位疟疾专家的观点是,尽管残疾儿童接受了与其他儿童相同的预防和治疗,但他们更容易受到伤害。结论:在一个家庭中,几乎所有儿童都从其看护人那里得到了相同的疟疾预防措施,但效果并不尽如人意,特别是在一些残疾儿童中疟疾发病率较高的农村地区。局限性:一些研究的局限性是翻译的使用,敏感主题的讨论以及给出社会期望答案的可能性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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