Original Research

Using caregivers’ perceptions of rehabilitation services for children with Cerebral Palsy at public sector hospitals to identify the components of an appropriate service

G.M. Saloojee, P.L. Rosenbaum, A.V. Stewart
South African Journal of Physiotherapy | Vol 67, No 3 | a53 | DOI: https://doi.org/10.4102/sajp.v67i3.53 | © 2011 G.M. Saloojee, P.L. Rosenbaum, A.V. Stewart | This work is licensed under CC Attribution 4.0
Submitted: 06 January 2011 | Published: 06 January 2011

About the author(s)

G.M. Saloojee, School of Therapeutic Sciences, Physiotherapy Department University of the Witwatersand, Johannesburg, South Africa.
P.L. Rosenbaum, CanChild, Centre for Childhood Disability Research, McMaster University, Hamilton, Ontario, Canada.
A.V. Stewart, School of Therapeutic Sciences, Physiotherapy Department University of the Witwatersand, Johannesburg, South Africa.

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Abstract

Despite  a  growing  body  of  evidence  favouring  a  family-centred approach to rehabilitation services for children with cerebral palsy (cp), the essential components for a quality service for children with disabilities and their families living in poorly-resourced South African (SA) settings  remains unknown.  The  study  aimed  to  identify  key  components of  an appropriate  rehabilitation  service  which  would  meet  the  needs of children  with  CP  and  their  caregivers  at  SA  public  sector  hospitals. This cross-sectional descriptive study used the modified Measure of processes of care (Mpoc-20) questionnaire together with two open-endedquestions with  a  convenience  sample  of  caregivers attending therapy  at  CP  Clinics in gauteng and limpopo hospitals. A total of 263 caregivers attending cerebral palsy clinics at 31 public sector hospitals in gauteng and limpopo were interviewed. Kind and caring attitudes, exercises or “training” for the child,  and  practical  assistance  (handling  ideas  and suggestions,  assistive devices, food supplements, nappies, advice) were components of care most valued. The most frustration was caused by long queues waiting for files or at the pharmacy and being treated disrespectfully whilst providing caregivers with information and explanations regarding treatment choice were services that could be improved.  Key components for  an  appropriate  therapy  service  include  caring  and respectful  attitudes,  hands-on  therapy,  handling  suggestions and practical assistance. Logistical and administrative procedures together with disrespectul and unhelpful attitudes negatively impact rehabilitation service delivery.

Keywords

cerebral palsy; caregivers; therapy service; measure of processes of care (mpoc)

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Crossref Citations

1. Does the physiotherapy management of children with cerebral palsy differ between urban and rural public hospitals in KwaZulu-Natal? A physiotherapist’s perspective
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