Data from: Reasons for low uptake of referrals to ear and hearing services for children in Malawi

Harvard | Vancouver

Bright, T, Mulwafu, W, Thindwa, R, Zuurmond, M and Polack, S. 2017. Data from: Reasons for low uptake of referrals to ear and hearing services for children in Malawi. [Online]. Dryad Digital Repository. Available from: - https://doi.org/10.5061/dryad.hc8k0

Export Citation

Sharing

Description

Background: Early detection and appropriate intervention for children with hearing impairment is important for maximizing functioning and quality of life. The lack of ear and hearing services in low income countries is a significant challenge, however, evidence suggests that even where such services are available, and children are referred to them, uptake is low. The aim of this study was to assess uptake of and barriers to referrals to ear and hearing services for children in Thyolo District, Malawi. Methods: This was a mixed methods study. A survey was conducted with 170 caregivers of children who were referred for ear and hearing services during community-based screening camps to assess whether they had attended their referral and reasons for non-attendance. Semi-structured interviews were conducted with 23 caregivers of children who did not take up their referral to explore in-depth the reasons for non-uptake. In addition, 15 stakeholders were interviewed. Thematic analysis of the interview data was conducted and emerging trends were analysed. Results: Referral uptake was very low with only 5 out of 150 (3%) children attending. Seven main interacting themes for non-uptake of referral were identified in the semi-structured interviews: location of the hospital, lack of transport, other indirect costs of seeking care, fear and uncertainty about the referral hospital, procedural problems within the camps, awareness and understanding of hearing loss, and lack of visibility and availability of services. Conclusion: This study has highlighted a range of interacting challenges faced by families in accessing ear and hearing services in this setting. Understanding these context specific barriers to non-uptake of ear and hearing services is important for designing appropriate interventions to increase uptake.

Published in a 3rd party system Date: 22 December 2017
Data capture method:
Mode of data capture
Interview: Face-to-face
Data Creators(s): Bright, T, Mulwafu, W, Thindwa, R, Zuurmond, M and Polack, S
LSHTM Faculty/Department: Faculty of Infectious and Tropical Diseases > Dept of Clinical Research
Participating Institutions: London School of Hygiene & Tropical Medicine, London, United Kingdom, Queen Elizabeth Central Hospital, Blantyre, Malawi

Files

Data not available from this repository.

Dataset may be available externally from:

Related resources

Resources

Actions

Edit Item Edit Item (admin only)