Missed opportunities in child healthcare

dc.contributor.authorJonker, Lindaen_ZA
dc.contributor.authorStellenberg, Ethelwynn, L.en_ZA
dc.date.accessioned2015-03-11T10:51:20Z
dc.date.available2015-03-11T10:51:20Z
dc.date.issued2014-08
dc.descriptionCITATION: Jonker, L. & Stellenberg, E. L. 2014. Missed opportunities in child healthcare. African Journal of Primary Health Care & Family Medicine, 6(1): 1-7, doi: 10.4102/phcfm.v6i1.537.
dc.descriptionThe original publication is available at http://www.phcfm.org
dc.descriptionPublication of this article was funded by the Stellenbosch University Open Access Fund.
dc.description.abstractBackground: Various policies in health, such as Integrated Management of Childhood Illnesses, were introduced to enhance integrated service delivery in child healthcare. During clinical practice the researcher observed that integrated services may not be rendered. Objectives: This article describes the experiences of mothers that utilised comprehensive child health services in the Cape Metropolitan area of South Africa. Services included treatment for diseases; preventative interventions such as immunisation; and promotive interventions, such as improvement in nutrition and promotion of breastfeeding. Method: A qualitative, descriptive phenomenological approach was applied to explore the experiences and perceptions of mothers and/or carers utilising child healthcare services. Thirty percent of the clinics were selected purposively from the total population. A convenience purposive non-probability sampling method was applied to select 17 mothers who met the criteria and gave written consent. Interviews were conducted and recorded digitally using an interview guide. The data analysis was done using Tesch’s eight step model. Results: Findings of the study indicated varied experiences. Not all mothers received information about the Road to Health book or card. According to the mothers, integrated child healthcare services were not practised. The consequences were missed opportunities in immunisation, provision of vitamin A, absence of growth monitoring, feeding assessment and provision of nutritional advice. Conclusion: There is a need for simple interventions such as oral rehydration, early recognition and treatment of diseases, immunisation, growth monitoring and appropriate nutrition advice. These services were not offered diligently. Such interventions could contribute to reducing the incidence of child morbidity and mortality.en
dc.description.urihttp://www.phcfm.org/index.php/phcfm/article/view/537
dc.description.versionPublisher's version
dc.format.extent7 pages
dc.identifier.citationJonker, L. & Stellenberg, E. L. 2014. Missed opportunities in child healthcare. African Journal of Primary Health Care & Family Medicine, 6(1): 1-7, doi: 10.4102/phcfm.v6i1.537
dc.identifier.issn2071-2936 (online)
dc.identifier.issn2071-2928 (print)
dc.identifier.otherdoi: 10.4102/phcfm.v6i1.537
dc.identifier.urihttp://hdl.handle.net/10019.1/96263
dc.language.isoen_ZAen
dc.publisherAOSIS Publishing
dc.rights.holderAuthors retain copyright
dc.subjectChildren -- Medical care -- Evaluation -- Western Cape (South Africa)en
dc.subjectIntegrated delivery of health care -- Evaluation -- Western Cape (South Africa)en
dc.titleMissed opportunities in child healthcareen
dc.typeArticleen
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