Jornal de Pesquisa Clínica

Challenges Faced By Cerebral Palsy Children at Kitwe Teaching Hospital, Zambia

Abstract

Queen Mvula

Cerebral Palsy (CP) is a neurological disorder caused by a non-progressive injury to the immature brain. It is one of the most common causes of physical disability in children with a prevalence of 2 to 2.5 per live births worldwide and 2 to 10 per 1000 live births in developing areas. The physical functionality of the affected children depends on the type and severity of the CP. There are different types of CP which includes spastic, dyskinesia, hypotonia and mixed type which affect developmental millstones differently. Children who are severely affected face more challenges than those who are moderately or mildly affected. The objectives of this study include; to identify challenges faced by cerebral palsy children, the mostly affected age group, the mostly affected gender, the most common delayed developmental milestone, the common types of cerebral palsy and the social economic status of CP children. A descriptive cross section study was used and data was collected from 7th September 2020 to 26th October 2020 at Kitwe District at Kitwe Teaching Hospital, physiotherapy where participants were consecutively selected. In addition, an interview questionnaire was used to collect data on the challenges faced by the cerebral palsy children. The study had 21 participants, out of which 14(66.7%) children were males and 11(52.4%) were in the age range of 4-6 years. The difference between the employed and unemployed in the ability to buy assistive devices was not significant. Only 3(14.3%) of the children were able to stand and walk out of which only 1 (4.8%) was able to run. In addition, 11(52.4%) had spastic cerebral palsy and 11(52.4%) of CP children had dental problems. The study showed that currently, male CP children at Kitwe teaching Hospital in the department of therapy are the majority. Low social economic status of parents guardians had a negative impact on the rehabilitation of CP children. The most common type of CP was spastic and most delayed millstone was running. The majority of the children had dental problems. There is need for more studies on CP in Zambia especially on the prevalence, and types of CP. In addition, more input of finances is needed for rehabilitation and social services such as education