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Difficulties for mothers in using an early intervention service for children with cerebral palsy in Bangladesh

Lookup NU author(s): Emerita Professor Helen McConachie


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Given the numbers of disabled children in Bangladesh and the lack of trained professionals, innovative forms of service delivery are required. The Bangladesh Protibondhi Foundation has developed an outreach parent training service based at two centres, one urban and one rural. Mothers are shown how to use pictorially based Distance Training Packages (DTP), which they take home. This paper presents findings concerning factors which seem to affect mothers' attendance with their children at DTP advisory sessions. The study followed 47 children with cerebral palsy, aged between 2 and 5.5 years, over a period of around 18 months. The main factors predicting higher attendance were the child's sex (i.e. boys were brought back more often), particularly in the rural area, and lower adaptation to the child reported by the mother. The problems described by mothers in using the DTP advisory service were economic (such as transport costs), cultural (such as mothers not being permitted out alone), and medical (such as the child having repeated fits). The implications for future service development are discussed. © 2001 Blackwell Science Ltd.

Publication metadata

Author(s): McConachie H; Huq S; Munir S; Kamrunnahar; Akhter N; Ferdous S; Khan NZ

Publication type: Article

Publication status: Published

Journal: Child: Care, Health and Development

Year: 2001

Volume: 27

Issue: 1

Pages: 1-12

ISSN (print): 0305-1862

ISSN (electronic): 1365-2214

Publisher: Wiley-Blackwell Publishing Ltd.


DOI: 10.1046/j.1365-2214.2001.00207.x

PubMed id: 11136337


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