Epidemiology of cerebral palsy among children in Ghana.

IF 1.3 Q4 HEALTH CARE SCIENCES & SERVICES
African Journal of Disability Pub Date : 2024-09-20 eCollection Date: 2024-01-01 DOI:10.4102/ajod.v13i0.1336
Israt Jahan, Sk Md Kamrul Bashar, Francis Laryea, Samuel Kofi Amponsah, Frederick Inkum Danquah, Mohammad Muhit, Hayley Smithers-Sheedy, Sarah McIntyre, Nadia Badawi, Gulam Khandaker
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引用次数: 0

Abstract

Background: The epidemiology of cerebral palsy (CP) is poorly described in Ghana. These data are crucial for evidence-based intervention for children with CP in the country.

Objectives: We aimed to describe the epidemiology of CP among children in Ghana.

Method: We established the first institution-based register of children with CP in Ghana (Ghana CP Register-GCPR). Children with confirmed CP aged < 18 years were registered following a detailed neurodevelopmental assessment. Socio-demographics, risk factors, predominant motor type and topography, gross motor function classification system (GMFCS), associated impairments, education and rehabilitation status were documented.

Results: Between October 2018 and February 2020, 455 children were registered (mean [standard deviation {s.d.}] age at assessment: 5.9 [4.1] years). Preterm birth and low birthweight were reported in 52.0% and 21.1% children respectively. Most children (79.6%) had a pre- or perinatally acquired CP and the mean (s.d.) age of CP diagnosis was 22.2 (21.6) months. Overall, 55.9% of children had spastic tri- or quadriplegia, 60.5% had GMFCS level III-V and 70.3% had ≥ 1 associated impairment. However, 20.5% had never received rehabilitation services and 69.6% of school-aged children in the GCPR were not enrolled in schools.

Conclusion: The study findings indicate a high burden of severe motor and associated impairment among children with CP in Ghana which highlights the need for tailored interventions to improve health and well-being of children with CP in the country.

Contribution: The study highlights the need for interventions to improve functional outcome, health and well-being of children with CP in Ghana.

加纳儿童脑瘫流行病学。
背景:加纳对脑瘫(CP)的流行病学描述很少。这些数据对于为加纳的脑瘫儿童提供循证干预至关重要:我们旨在描述加纳儿童脑瘫的流行病学:方法:我们建立了加纳首个以机构为基础的 CP 儿童登记册(加纳 CP 登记册-GCPR)。年龄小于 18 岁的确诊 CP 儿童在接受详细的神经发育评估后进行登记。社会人口统计学、风险因素、主要运动类型和地形、粗大运动功能分类系统(GMFCS)、相关损伤、教育和康复状况均被记录在案:2018年10月至2020年2月期间,共登记了455名儿童(评估时的平均年龄[标准差{s.d.}]:5.9 [4.1]岁)。早产和出生体重不足的儿童分别占 52.0% 和 21.1%。大多数儿童(79.6%)患有先天性或围产期获得性脑瘫,确诊脑瘫的平均年龄(s.d.)为 22.2(21.6)个月。总体而言,55.9%的儿童患有痉挛性三或四肢瘫痪,60.5%的儿童患有GMFCS III-V级,70.3%的儿童患有≥1种相关障碍。然而,20.5%的儿童从未接受过康复服务,69.6%的学龄儿童没有入学:研究结果表明,加纳患有严重运动障碍和相关障碍的儿童人数众多,这突出表明需要采取有针对性的干预措施,以改善该国患有心绞痛儿童的健康和福祉:贡献:本研究强调了采取干预措施以改善加纳脊髓灰质炎儿童的功能结果、健康和福祉的必要性。
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来源期刊
African Journal of Disability
African Journal of Disability HEALTH CARE SCIENCES & SERVICES-
CiteScore
2.10
自引率
5.90%
发文量
50
审稿时长
20 weeks
期刊介绍: The African Journal of Disability, the official journal of CRS, AfriNEAD and CEDRES, introduce and discuss issues and experiences relating to and supporting the act of better understanding the interfaces between disability, poverty and practices of exclusion and marginalisation. Its articles yield new insight into established human development practices, evaluate new educational techniques and disability research, examine current cultural and social discrimination, and bring serious critical analysis to bear on problems shared across the African continent. Emphasis is on all aspects of disability particularity in the developing African context. This includes, amongst others: -disability studies as an emerging field of public health enquiry -rehabilitation, including vocational and community-based rehabilitation -community development and medical issues related to disability and poverty -disability-related stigma and discrimination -inclusive education -legal, policy, human rights and advocacy issues related to disability -the role of arts and media in relation to disability -disability as part of global Sustainable Development Goals transformation agendas -disability and postcolonial issues -globalisation and cultural change in relation to disability -environmental and climate-related issues linked to disability -disability, diversity and intersections of identity -disability and the promotion of human development.
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