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CURE has a comprehensive approach to providing surgical care for children with disabilities. We support their families and strengthen the capacity of local church and healthcare systems in the countries we serve.

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CURE International is a global nonprofit network of children’s hospitals providing surgical care in a compassionate, gospel-centered environment. Services are provided at no cost to families because of the generosity of donors and partners like you.

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Motivated by our Christian identity, CURE operates a global network of children’s hospitals that provides life-changing surgical care to children living with disabilities.

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CURE International is a global nonprofit network of children’s hospitals providing surgical care in a compassionate, gospel-centered environment. Services are provided at no cost to families because of the generosity of donors and partners like you.

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Orthopedic Surgery

Factors associated with non-compliance to bracing in clubfoot among mothers of children under five years with clubfoot in African Inland Church CURE International Children’s Hospital, Kijabe, Kenya

Abstract:

Purpose: The study sought to determine factors associated with non-compliance to bracing in clubfoot management among children under five years in AIC Cure International Children’s Hospital, Kijabe, Kenya.

Methodology: The study adopted a cross-sectional descriptive design.  It was carried out at AIC Cure International Children’s Hospital, Kijabe, Kenya between April and August 2018. Both qualitative and quantitative methods were employed using a sample size of 174 participants. A semi-structured pre-tested questionnaire was used to collect data. Further, two focused group discussions were conducted, comprising of mothers with different characteristics. Quantitative data was entered for analysis using SPSS version 23.0.  Descriptive, bivariate for example Chi square and multivariate for example regression statistical analysis was performed. Qualitative data from questionnaires was analysed through textual summaries was categorized and coded to match specific relevant research questions while data from FGDs was analysed using verbatim and a three-stage thematic approach. Presentation was done through frequencies, percentages, tables and charts.

Results: The proportion of  non-compliance to bracing was 16.8%, and the cases of non-compliance to bracing were mostly reported in male children (89.3%), and mostly among children aged between 1-2 years of age (35.7%).  Majority of the mothers (92.9%) received support from health professionals during the treatment. Gender of the child had a significant association with non-compliance with mothers of male children having 89.3% non-compliance as opposed to 10.7% non-compliance of mothers with female children. Majority of those who did not comply to bracing (81.2%) had college/university education and above. Distance to health facility, inability to meet transport costs and gender of the child had significant association with non-compliance to bracing.

Unique contribution to Theory, Practice and Policy: There is need to empower local facilities that is level 1 and level 2 to be able to manage conditions like clubfoot in order to avoid relapse or even permanent disability due to non-compliance. There is also need for detailed parent education on clubfoot bracing and importance of parent compliance.

Publication: Journal of Health, Medicine, and Nursing
Publication Year: 2019
Authors: Muinde, W. N. , Kikuvi, G. M. , Mutai, D. J.
Tags
AIC Cure International Children’s Hospital
Clubfoot
kenya
Kijabe
Non-Compliance