'It makes us sick': experiences of air pollution among children with asthma and their caregivers in African countries.

Background: This study was carried out to document experiences and perceptions of air pollution among adolescents with asthma symptoms, and their caregivers.

Method: A qualitative study among children with symptoms of asthma (aged 12-16 years) and their caregivers was conducted in seven African countries (Ghana, Nigeria, Malawi, South Africa, Tanzania, Uganda and Zimbabwe). Focus group discussions were used to collect data from children and caregivers and a total of 41 sessions (children 21, caregivers 20) were held. Analysis of the data gave rise to two major themes (perception of air pollution and mitigation against air pollution) from which subthemes were derived.

Results: Participants identified causes of air pollution as cigarette smoking, use of wood for cooking, burning of garbage, generator, presence of industries in residential areas; and that these worsened asthma symptoms. The experiences the children had encountered were at home, while commuting to school and in school. Personal mitigation measures and governmental measures were suggested.

Conclusion: It is recommended that governments implement policies to mitigate air pollution and to encourage individuals to adopt personal measures to mitigate its impact.