Abstract
To conduct a systematic synthesis of previous research to identify factors that affect treatment-seeking for clubfoot and community-level interventions to improve engagement in LMICs. A search of five databases was conducted and articles screened using six criteria. Quality was appraised using the Critical Appraisal Skills Programme (CASP) checklist. 11 studies were identified for inclusion. Analysis was informed by a Social Ecological Model, which specifies 5 inter-related factors that may affect treatment-seeking: intrapersonal, interpersonal, institutional, community or socio-cultural factors and public policy. Intrapersonal barriers experienced were a lack of income and additional responsibilities. At the interpersonal level, support from fathers, the extended family and wider community affected on treatment-seeking. Institutional or organisational factors included long distances to treatment centres, insufficient information about treatments and challenges following treatment. Guardians' beliefs about the causes of clubfoot shaped behaviour. At the level of public policy, two-tiered healthcare systems made it difficult for some groups to access timely care. Interventions to address these challenges included counselling ses...Continue Reading
References
Jan 1, 1988·Health Education Quarterly·K R McLeroyK Glanz
Jan 26, 2005·Journal of Health Services Research & Policy·Mary Dixon-WoodsAlex Sutton
Oct 4, 2005·Journal of Pediatric Orthopedics·Alistair J TindallNyengo Mkandawire
Feb 3, 2007·Journal of Pediatric Orthopedics. Part B·Amr Atef AbdelgawadDebra A Sala
Jun 20, 2007·Disability and Rehabilitation·T McElroyUNKNOWN Uganda Sustainable Clubfoot Care
Feb 13, 2009·Tropical Doctor·Herman Kazibwe, Patricia Struthers
Apr 30, 1966·British Medical Journal·N E Shaw
Sep 1, 2011·Tropical Doctor·K Juliet A BedfordChris Lavy
Dec 20, 2011·Health Technology Assessment : HTA·R CampbellJ Donovan
Mar 14, 2012·Disability and Rehabilitation·Yasmene AlaviChris Lavy
Nov 29, 2012·BMC Medical Research Methodology·Allison TongJonathan Craig
Apr 24, 2013·Social Science & Medicine·Sally WykeKate Hunt
Oct 1, 2013·Clinics in Podiatric Medicine and Surgery·Harold Jacob Pieter van Bosse
Nov 12, 2013·World Journal of Surgery·Luke Harmer, Joseph Rhatigan
Nov 19, 2014·World Journal of Orthopedics·Lior ShabtaiJohn E Herzenberg
Citations
Mar 4, 2018·BMC Musculoskeletal Disorders·Sarah DrewChristopher Lavy
Sep 25, 2018·Health Policy and Planning·Rebecca DoddStephen Jan
Nov 14, 2019·Physiotherapy Canada. Physiothérapie Canada·Judy KingKatrine Sauvé-Schenk