Understanding the Impact of Early Childhood and Primary Education for Children with Neurodevelopmental Disabilities on Parents in Nigeria.

IF 2.3 4区 医学 Q2 PEDIATRICS
Basirat Razaq-Shuaib
{"title":"Understanding the Impact of Early Childhood and Primary Education for Children with Neurodevelopmental Disabilities on Parents in Nigeria.","authors":"Basirat Razaq-Shuaib","doi":"10.1136/bmjpo-2025-003909","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Early childhood is a foundational period for children's development and readiness for primary education. Yet, children with neurodevelopmental disabilities (ND) in Nigeria, including autism and attention deficit hyperactivity disorder, face limited tailored support and interventions during this period. While the presence of ND is known to increase caregiver burden, this remains underexplored in Nigeria, especially in the context of education. This paper aims to discuss how mothers interpret their experiences of educating their children with ND, the multidimensional impact of these experiences on their personal and family lives, and what their experiences reveal about broader structural and systemic inequalities.</p><p><strong>Methods: </strong>A qualitative case study was conducted with mothers as they are the main caregivers. Twelve mothers of children aged 6-13 years diagnosed with ND and accessing primary education in Lagos, Nigeria, participated in the study. Data were collected through semi-structured interviews conducted in English language. Interviews were transcribed verbatim and thematically analysed individually and across cases.</p><p><strong>Results: </strong>The findings reveal that the experiences of mothers in caregiving and educating their children with ND have been challenging due to inadequate support and persistent systemic and attitudinal barriers. This lack of support commences in early childhood, from gaining a diagnosis through to finding a supportive educational setting for the child. While mothers navigate these barriers through resilience by developing adaptive measures such as re-educating themselves, this comes at interconnected and multidimensional costs which have a gendered dimension.</p><p><strong>Conclusion: </strong>The paper redirects attention to unsupportive systems, which continually draw on the resilience of mothers, thereby threatening their capacity to protect and support the development and education of their children. It also calls for the prioritisation of disabilities in education agendas, integration of voices of mothers into policy and practice, responsive systemic support for their significant caregiving and education responsibilities, and inclusion of fathers and other stakeholders into future research.</p>","PeriodicalId":9069,"journal":{"name":"BMJ Paediatrics Open","volume":"9 1","pages":""},"PeriodicalIF":2.3000,"publicationDate":"2025-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"BMJ Paediatrics Open","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1136/bmjpo-2025-003909","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"PEDIATRICS","Score":null,"Total":0}
引用次数: 0

Abstract

Background: Early childhood is a foundational period for children's development and readiness for primary education. Yet, children with neurodevelopmental disabilities (ND) in Nigeria, including autism and attention deficit hyperactivity disorder, face limited tailored support and interventions during this period. While the presence of ND is known to increase caregiver burden, this remains underexplored in Nigeria, especially in the context of education. This paper aims to discuss how mothers interpret their experiences of educating their children with ND, the multidimensional impact of these experiences on their personal and family lives, and what their experiences reveal about broader structural and systemic inequalities.

Methods: A qualitative case study was conducted with mothers as they are the main caregivers. Twelve mothers of children aged 6-13 years diagnosed with ND and accessing primary education in Lagos, Nigeria, participated in the study. Data were collected through semi-structured interviews conducted in English language. Interviews were transcribed verbatim and thematically analysed individually and across cases.

Results: The findings reveal that the experiences of mothers in caregiving and educating their children with ND have been challenging due to inadequate support and persistent systemic and attitudinal barriers. This lack of support commences in early childhood, from gaining a diagnosis through to finding a supportive educational setting for the child. While mothers navigate these barriers through resilience by developing adaptive measures such as re-educating themselves, this comes at interconnected and multidimensional costs which have a gendered dimension.

Conclusion: The paper redirects attention to unsupportive systems, which continually draw on the resilience of mothers, thereby threatening their capacity to protect and support the development and education of their children. It also calls for the prioritisation of disabilities in education agendas, integration of voices of mothers into policy and practice, responsive systemic support for their significant caregiving and education responsibilities, and inclusion of fathers and other stakeholders into future research.

了解尼日利亚神经发育障碍儿童的早期儿童和小学教育对父母的影响。
背景:幼儿期是儿童发展和准备接受小学教育的基础时期。然而,在尼日利亚,患有神经发育障碍(ND)的儿童,包括自闭症和注意缺陷多动障碍,在此期间面临的有针对性的支持和干预措施有限。虽然已知ND的存在会增加照顾者的负担,但这在尼日利亚仍未得到充分探讨,特别是在教育方面。本文旨在讨论母亲如何解释她们教育患有ND的孩子的经历,这些经历对她们个人和家庭生活的多维影响,以及她们的经历揭示了更广泛的结构性和系统性不平等。方法:以母亲为主要照顾者进行定性个案研究。在尼日利亚拉各斯,12名6-13岁儿童的母亲参与了这项研究,她们的孩子被诊断患有ND,并正在接受初等教育。数据收集通过半结构化访谈进行英语语言。采访被逐字记录下来,并对个别和跨案例进行主题分析。结果:研究结果表明,由于支持不足和持续的系统和态度障碍,母亲在照顾和教育ND儿童方面的经历具有挑战性。这种支持的缺乏从儿童早期开始,从获得诊断到为孩子寻找支持性教育环境。虽然母亲们通过制定适应性措施(如重新教育自己)来克服这些障碍,但这需要付出相互关联的多维成本,其中包括性别层面的成本。结论:本文将注意力转向了不支持的系统,这些系统不断地利用母亲的弹性,从而威胁到她们保护和支持子女发展和教育的能力。它还呼吁在教育议程中优先考虑残疾问题,将母亲的声音纳入政策和实践,为其重要的照顾和教育责任提供响应性的系统支持,并将父亲和其他利益攸关方纳入未来的研究。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
BMJ Paediatrics Open
BMJ Paediatrics Open Medicine-Pediatrics, Perinatology and Child Health
CiteScore
4.10
自引率
3.80%
发文量
124
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:604180095
Book学术官方微信