Involvement of Fathers and Siblings in Home Rehabilitation Programmes for Children with Neuro-Developmental Delay: Rehabilitation Professionals' Insights from Bulawayo, Zimbabwe

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Jermaine Dambi, Soraya Maart, Lieselotte Corten, PRECIOUS MADZIMBE
Purpose:

This study investigates the perspectives of rehabilitation professionals on the involvement of fathers and/or siblings in home rehabilitation programmes for children with NDD in Bulawayo, Zimbabwe.
 

Methods:

A qualitative exploratory study was conducted. Data were collected through focus group discussions (FGDs) with 18 rehabilitation professionals from United Bulawayo Hospitals and Mpilo Central Hospital. The FGDs were transcribed, coded and thematically analysed. The analysis focused on identifying themes related to the involvement of fathers and siblings in home rehabilitation for children with NDD.



 

Results:

Rehabilitation professionals highlighted the critical role of fathers and siblings in home rehabilitation, noting fathers' emotional support and provision of financial stability, and siblings' contributions to social interactions and play therapy. Barriers to involvement included cultural norms and time constraints for fathers, age-related understanding and emotional burdens for siblings.
 
 

Conclusion(s):

Involving fathers and siblings seems to be important for successful home rehabilitation of children with NDD according to rehabilitation professionals. Addressing cultural and practical barriers can enhance their participation. Inclusive care models engaging fathers and siblings can significantly improve rehabilitation outcomes in low-income settings.

 

Implications:

Rehabilitation professionals play a critical role in facilitating family-centred home rehabilitation programmes. Encouraging fathers and siblings' involvement could lead to improved rehabilitation outcomes, which has important implications for practice, particularly in low-income settings. Policies and training for inclusive family care models should be prioritized.
 

Funding acknowledgements:
Not applicaple
Keywords:
Neuro-developmental delay (NDD)
home rehabilitation programmes
family involvement
Primary topic:
Paediatrics
Second topic:
Paediatrics: cerebral palsy
Third topic:
Disability and rehabilitation
Did this work require ethics approval?:
Yes
Name the institution and ethics committee that approved your work:
1. University of Cape Town Human Research Ethics Committee (UCT HREC). 2. Research Council of Zimbabwe (MRCZ).
Provide the ethics approval number:
UCT HREC - 482/2023; MRCZ - MRCZ/A/3100.
Has any of this material been/due to be published or presented at another national or international conference prior to the World Physiotherapy Congress 2025?:
No

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