LSTM Home > LSTM Research > LSTM Online Archive

Community perceptions of the social determinants of child health in Western Cape, South Africa: neglect as a major indicator of child health and wellness

Kadir, Ayesha, Marais, Frederick and Desmond, Nicola ORCID: https://orcid.org/0000-0002-2874-8569 (2013) 'Community perceptions of the social determinants of child health in Western Cape, South Africa: neglect as a major indicator of child health and wellness'. Paediatrics and International Child Health, Vol 33, Issue 4, pp. 310-321.

Full text not available from this repository.

Abstract

Background:

Worldwide, neglect is the most common form of child maltreatment. Data on neglect are scarce in low- and middle-income countries, and almost no qualitative research includes the voices of children.

Objectives:

The main objective was to understand community perceptions of the social determinants of child health. The study was also intended to test the feasibility of health professionals undertaking qualitative studies of the social determinants of child health which can be used to inform clinical care and policy.

Methods:

The target population was people living in deprived circumstances in rural South Africa. Data collected included focus group discussions with children and adults, children’s drawings, semi-structured in-depth interviews, documentary review and transect drives. Purposive sampling of poorer households was done. Recurring themes were explored using a continuous repetitive process. Data were examined using framework analysis.

Results:

The main finding was that neglect owing to substance abuse was a major predictor of poor child health and wellness. This sensitive topic was introduced by children, who created a platform for discussion with and among adult participants. Adults attributed neglect to a breakdown in family structure and changing norms regarding the responsibilities of parents. Community programmes were cited by children as a source of support, while some adults felt they undermined parental responsibility.

Conclusion:

Understanding social arrangements and community support structures is best achieved at community level through a participatory, qualitative approach. These methods also enable the views of children to inform the findings. Children’s input will help uncover neglect and other hidden predictors of challenges to child health, and promote a rights-based approach to care and research.

Item Type: Article
Subjects: WA Public Health > WA 30 Socioeconomic factors in public health (General)
WA Public Health > Health Problems of Special Population Groups > WA 320 Child Welfare. Child Health Services.
WA Public Health > Health Problems of Special Population Groups > WA 395 Health in developing countries
WS Pediatrics > Child Care. Nutrition. Physical Examination > WS 130 In childhood
Faculty: Department: Clinical Sciences & International Health > Clinical Sciences Department
Digital Object Identifer (DOI): https://doi.org/10.1179/2046905513y.0000000096
Depositing User: Lynn Roberts-Maloney
Date Deposited: 23 Feb 2015 14:24
Last Modified: 06 Feb 2018 13:09
URI: https://archive.lstmed.ac.uk/id/eprint/4947

Statistics

View details

Actions (login required)

Edit Item Edit Item