Involvement of Fathers and Siblings in Home Rehabilitation Programmes of Children With Neuro-Developmental Delay: Insights From Rehabilitation Professionals in Bulawayo, Zimbabwe

IF 1.8 4区医学 Q2 PEDIATRICS

Child Care Health and Development Pub Date : 2025-03-24 DOI:10.1111/cch.70060

Precious Madzimbe, Jermaine Dambi, Lieselotte Corten, Soraya Maart

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Abstract

Background

Neuro-developmental delays (NDDs) present significant challenges for children and families, especially in low- and middle-income countries (LMICs). Full family participation in home rehabilitation programmes is essential for optimal functional outcomes. However, the involvement of fathers and siblings is suboptimal and underexplored. This study investigates the perspectives of rehabilitation professionals on the involvement of fathers and/or siblings in home rehabilitation programmes for children with NDD in Bulawayo, Zimbabwe.

Methods

A qualitative exploratory study was conducted. Data were collected through focus group discussions (FGDs) with 18 rehabilitation professionals. The FGDs were transcribed verbatim, coded, and thematically analysed.

Results

Rehabilitation professionals highlighted the critical role of fathers and siblings in home rehabilitation; noting fathers' emotional support and provision of financial stability and siblings' contributions to social interactions and play therapy. Barriers to involvement included cultural norms and time constraints for fathers, while siblings faced challenges such as limited age-appropriate understanding and the emotional burden of coping with the caregiving role.

Conclusion

According to rehabilitation professionals, involving fathers and siblings seems important for successful home rehabilitation of children with NDD. Addressing cultural and practical barriers to participation requires context-specific strategies, including culturally sensitive community outreach programmes and targeted interventions to promote family-centred care. Such efforts could help overcome these barriers, fostering greater participation of fathers and siblings and enhancing the effectiveness of home rehabilitation within the local context.

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来源期刊

Child Care Health and Development 医学-小儿科

CiteScore

3.40

自引率

5.30%

发文量

136

审稿时长

4-8 weeks

期刊介绍： Child: care, health and development is an international, peer-reviewed journal which publishes papers dealing with all aspects of the health and development of children and young people. We aim to attract quantitative and qualitative research papers relevant to people from all disciplines working in child health. We welcome studies which examine the effects of social and environmental factors on health and development as well as those dealing with clinical issues, the organization of services and health policy. We particularly encourage the submission of studies related to those who are disadvantaged by physical, developmental, emotional and social problems. The journal also aims to collate important research findings and to provide a forum for discussion of global child health issues.