FACTORS ASSOCIATED WITH NON-COMPLIANCE TO BRACING IN CLUB FOOT AMONG MOTHERS OF CHILDREN UNDER FIVE YEARS WITH CLUB FOOT IN AFRICAN INLAND CHURCH CURE INTERNATIONAL CHILDREN'S HOSPITAL, KIJABE, KENYA

Authors

  • Winfred Ndinda Muinde Jomo Kenyatta University of Agriculture and Technology
  • Professor Gideon Mutie Kikuvi Jomo Kenyatta University of Agriculture and Technology
  • Dr. Joseph Mutai Senior Research Officer

Keywords:

Clubfoot, AIC Cure International Children's Hospital, Kijabe, Kenya

Abstract

Purpose: The study sought to determine factors associated with non-compliance to bracing in clubfoot management among children under five years in AIC Cure International Children's Hospital, Kijabe, Kenya.

Methodology: The study adopted a cross-sectional descriptive design.  It was carried out at AIC Cure International Children's Hospital, Kijabe, Kenya between April and August 2018. Both qualitative and quantitative methods were employed using a sample size of 174 participants. A semi-structured pre-tested questionnaire was used to collect data. Further, two focused group discussions were conducted, comprising of mothers with different characteristics. Quantitative data was entered for analysis using SPSS version 23.0.  Descriptive, bivariate for example Chi square and multivariate for example regression statistical analysis was performed. Qualitative data from questionnaires was analysed through textual summaries was categorized and coded to match specific relevant research questions while data from FGDs was analysed using verbatim and a three-stage thematic approach. Presentation was done through frequencies, percentages, tables and charts.

Results: The proportion of  non-compliance to bracing was 16.8%, and the cases of non-compliance to bracing were mostly reported in male children (89.3%), and mostly among children aged between 1-2 years of age (35.7%).  Majority of the mothers (92.9%) received support from health professionals during the treatment. Gender of the child had a significant association with non-compliance with mothers of male children having 89.3% non-compliance as opposed to 10.7% non-compliance of mothers with female children. Majority of those who did not comply to bracing (81.2%) had college/university education and above. Distance to health facility, inability to meet transport costs and gender of the child had significant association with non-compliance to bracing.

Unique contribution to Theory, Practice and Policy: There is need to empower local facilities that is level 1 and level 2 to be able to manage conditions like clubfoot in order to avoid relapse or even permanent disability due to non-compliance. There is also need for detailed parent education on clubfoot bracing and importance of parent compliance.

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Author Biographies

Winfred Ndinda Muinde, Jomo Kenyatta University of Agriculture and Technology

Post Graduate Student

Professor Gideon Mutie Kikuvi, Jomo Kenyatta University of Agriculture and Technology

Lecturer

Dr. Joseph Mutai, Senior Research Officer

Kenya Medical Research Institute

References

Akintayo O.A., Adegbehingbe O., Cook T. and Morcuende J.A. (2012) Initial Program Evaluation of the Ponseti Method in Nigeria. The Iowa Orthopaedic Journal.;32:141-149.
Avilucea F.R., Szalay E.A., Bosch P.P., Sweet K.R. and Schwend RM. (2009) Effect of cultural factors on outcome of Ponseti treatment of clubfoot in rural America. Journal Bone Joint Surgery America; 91:530-40
Ayman H.,Jawadi., Essam M., Al-Abbasi. and Hani A.Tamim. (2015) Factors predicting brace noncompliance among idiopathic clubfoot patients treated with the Ponseti method. Taibah University Journal for Medical Science, Volume 10, Issue 4
Bedford, K. (2009) Perceptions of and treatment-seeking behaviour for Congenital Talipes Equinovarus (Clubfoot) Deformity in Malawi, University of Oxford, 51-53 Banbury Road, Oxford OX2 6PE, UK
Boardman A., Jaywardena A, Oprescu F., Cook T. and Morcuende J.A. (2011) The Ponseti method in Latin America: Initial impact and barriers to its diffusion and implementation. Iowa Orthopaedic Journal; 31:30-35.
Boehm, S. and Sinclair, M. (2007) Foot abduction brace in the Ponseti method for idiopathic clubfoot deformity; torsional deformities and compliance Journal Pediatric Orthopaedic, 27 pp. 712-716
Boo N.Y. and Ong L. (2014) Congenital Talipes in Malaysian Neonates: Incidence, pattern and associated factors. Singapore Medical Journal; 31:539-542.
Branch W.T. (2012) The ethics of caring and medical education; Medical journal 75:127-32.
Broardman, A. and Morcuende, J. (2010) "Initial Impact and Barriers of the Ponseti Method in Latin America. Department of Orthopaedic Surgery and Rehabilitation, Carver College of Medicine, University of Iowa.
Cartlidge I. (2011) Observations on the epidemiology of club foot in Polynesian and Caucasian populations. Medical Genetics; 21(4):290-2.
Engell V. (2008) Club foot: a twin study. Bone Joint Surgery; 88(3):374-6.
Garg S. and Porter K. (2012) Improved bracing compliance in children with clubfeet using a dynamic orthosis. Journal of Child Orthopaedics; 3: 271-6.
Gupta A., Singh S., Patel P., Patel J. and Varshney M.K. (2008) Evaluation of the utility of the Ponseti method of correction of clubfoot deformity in a developing nation. International Orthopaedics.;32:75-9.
Iftikhar Memon., Anisuddin Bhatti., Parvez Ali., Kashif Mahmood. and Saeed Minhas .M. (2014) Difficulties in maintenance of clubfoot abduction brace and solutions - maintenance of clubfoot abduction brace, locks and keys Jinnah Postgraduate Medical Centre (JPMC), Karachi, Pakistan
Jahng K.H., Martin L.R. and Golin C.E. (2010) Preferences for medical collaboration: patient-physician congruence and patient outcomes. Patient Education Counselling; 57:308-14.
Jawadi, A., (2010) Clubfoot management by the Ponseti technique in Saudi patients, Saudi Medical Journal, 31 (1) pp. 179-182
Kawashima T. and Uhthoff H.K. (2010) Development of the foot in prenatal life in relation to idiopathic club foot. Pediatric Orthopaedic; 10(2):232-7.
Kazibwe H. and Struthers P. (2009) Barriers experienced by parents of children with clubfoot deformity. Tropical Doctor 39(1):15-8 ·
Leslie R Martin., Summer L Williams., Kelly B Haskard., and Robin DiMatteo M. (2012) The challenge of patient adherence. Health Psychology Review Journal, 6(1):74-91
Lu, N., Zhao, L., Du, Q., Liu, Y., Oprescu, F. I. and Morcuende, J. A. (2010) From cutting to casting: impact and initial barriers to the ponseti method of clubfoot treatment in china. The Iowa Orthopaedic Journal, 30, 1-6.
Mathias, R.G., Lule, J.K., Waiswa, G., Naddumba,. E.K., and Pirani, S. (2010) Incidence of clubfoot in Uganda. Journal of Public Health 101(4):341-344
McElroy T., Konde-Lule J., Neema S., Gitta S. (2015) The Uganda Sustainable Clubfoot Care Project. "˜Understanding the barriers to clubfoot treatment adherence in Uganda: A rapid ethnographic study'. Disability & Rehabilitation; 29:845-55.
Melissa P., Thomas C., Julio S., Augustin P. and Morcuende J. (2014) Descriptive Epidemiology of Clubfoot in Peru: A Clinic-Based Study. The Iowa Orthopaedic Journal. 2013; 33: 167-171.
Mohammad R., Azarpira J., Mohammad J., Amir V. and Keivan R. (2016) Factors associated with recurrence of clubfoot treated by the Ponseti method. World Journal of Clinical Cases. 2016; 4(10): 318-322.
Morcuende J. (2009) Congenital idiopathic clubfoot: prevention of late deformity and disability by conservative treatment with the Ponseti technique. Pediatric. 35(2):128,132-30,6.
Naomi W.K. (2012) Perceptions regarding medical management of clubfoot in Kenya. International Journal of Physical Medicine and Rehabilitation, 2015; 3:309
Nigeria Demographic and Health Survey (2008) ICF Macro, Maryland USA 2009 p1, 3, 106, 114.
Nogueira, M. P., Fox, M., Miller, K., and Morcuende, J. (2013). The Ponseti Method of Treatment for Clubfoot in Brazil: Barriers to Bracing Compliance. The Iowa Orthopaedic Journal, 33, 161-166.
Parker S., Mai C., Strickland M., Olney R., Rickard R., Marengo L., Wang Y., Hashmi S. and Meyer. (2009) Multistate study of the epidemiology of clubfoot. Birth Defects Research Part A - Clinical and Molecular Teratology, 85(11), 897-904.
Pirani S., Maddumba E., Mathias R., Kone-Lule J., Penny J., Beyeza T., Mbonye B., Amone J. and Franceschi F. (2009) Towards effective Ponseti clubfoot care: the Uganda sustainable clubfoot care project. Clinical Orthopaedic.;467:1154-1163.
Robertson W. and Corbett D. (2013) Congenital clubfoot. Month of conception. Clinical Orthopaedic; (338): 14-8.
Staheli, L. (2009) Ponseti Management (3rd edition.). www.global-help.org.
Ukoha U., Egwu O., Okafor I., Ogugua P., Udemezue O., Olisah R. and Anyabolu A. (2011) Incidence of congenital talipes equinovarus among children in southeast Nigeria. International Journal of Biological and Medical Research. 2011; 2(3): 712-715
Verma, A., Mehtani, A., Sural, S., Maini, L., Gautam, V.K. and Basran, S.S., (2012) Management of idiopathic clubfoot in toddlers by Ponseti's method. Journal Pediatric Orthopaedics; 21: 79-84.
Victor, K. Wu. and Dan Poenaru (2013) Burden of Surgically Correctable Disabilities Among Children in the Dadaab Refugee Camp World Journal of Surgery (2013) 37:1536-1543 DOI 10.1007/s00268-012-1899-z
Wu, V., Nguyen, M., Nhi, H. M., Thanh, D. V., Oprescu, F., Cook, T., and Morcuende, J. A. (2012) Evaluation of the Progress and Challenges facing the Ponseti Method Program in Vietnam. The Iowa Orthopaedic Journal, 32, 125-134.
Wynne Davies R. (2012) Family Studies and the Cause of Congenital Club Foot. Talipes Equinovarus, Talipes Calcaneo-Valgus and Metatarsus Varus. Bone Joint Surgery; 46:445-63.
Zionts, L.E. and Dietz, F.R. (2010) Bracing following correction of idiopathic clubfoot using the Ponseti method. Journal America Academic Orthopaedic Surgery.;18(8):486-93.

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Published

2019-02-12

How to Cite

Muinde, W. N., Kikuvi, P. G. M., & Mutai, D. J. (2019). FACTORS ASSOCIATED WITH NON-COMPLIANCE TO BRACING IN CLUB FOOT AMONG MOTHERS OF CHILDREN UNDER FIVE YEARS WITH CLUB FOOT IN AFRICAN INLAND CHURCH CURE INTERNATIONAL CHILDREN’S HOSPITAL, KIJABE, KENYA. Journal of Health, Medicine and Nursing, 4(2), 1 – 22. Retrieved from https://iprjb.org/journals/index.php/JHMN/article/view/828

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