Karmen-Tuohy, Savannah, Mboma, Sebastian M, Langfitt, John T, Brim, Rachel, Gladstone, Melissa 
ORCID: 0000-0002-2579-9301 and Taylor, Terrie E
(2022)
"I do lack peace, and I've run out of answers": primary caregivers' perspectives on social and behaviour problems in cerebral malaria survivors in Blantyre, Malawi.
MALARIA JOURNAL, 21 (1).
123-.
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I do lack peace, and Ive run out of answers primary caregivers perspectives on social and behaviour problems in cerebral mal.pdf - Published version Download (1MB) | Preview |
Abstract
<h4>Background</h4>Despite recent advances in treatment and prevention, the prevalence of cerebral malaria (CM) remains high globally, especially in children under 5 years old. As treatment improves, more children will survive episodes of CM with lasting neurodisabilities, such as social and behavioural issues. Behaviour problems in children who survive CM are poorly characterized, and the impact of caring for a child with post-CM behaviour issues has not been well-explored. Caregivers' perceptions of and experiences with their child's post-CM behaviour problems are reported here.<h4>Methods</h4>Semi-structured interviews were conducted with 29 primary caregivers of children who survived CM with reported behaviour issues in Blantyre, Malawi. Interviews were conducted in Chicheŵa, audio-recorded, transcribed, and translated into English. Data were coded manually, utilizing inductive and deductive approaches. Identified codes were thematically analysed.<h4>Results</h4>Post-CM behaviours reported include externalizing, aggressive behaviours and learning difficulties. Variable timescales for behaviour change onset were noted, and most caregivers reported some evolution of their child's behaviour over time. Caregivers experienced a variety of emotions connected to their child's behaviour and to reactions of family and community members. Caregivers who experienced discrimination were more likely to describe negative emotions tied to their child's behaviour changes, compared to caregivers who experienced support.<h4>Conclusions</h4>Caregiver perceptions of behaviour changes in post-CM survivors are variable, and caregiver experience is strongly impacted by family and community member responses. Future educational, rehabilitation, and support-based programmes should focus on the specific types of behaviour problems identified and the difficulties faced by caregivers and their communities.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | Cerebral malaria, Neurodisability, Caregiver perspectives, Rehabilitation, Malawi |
| Divisions: | Faculty of Health and Life Sciences Faculty of Health and Life Sciences > Institute of Life Courses and Medical Sciences |
| Depositing User: | Symplectic Admin |
| Date Deposited: | 19 May 2022 15:46 |
| Last Modified: | 18 Jan 2023 21:01 |
| DOI: | 10.1186/s12936-022-04142-5 |
| Open Access URL: | https://malariajournal.biomedcentral.com/articles/... |
| Related URLs: | |
| URI: | https://livrepository.liverpool.ac.uk/id/eprint/3155168 |
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