Original Research
Missed opportunities in child healthcare
Submitted: 12 November 2013 | Published: 05 August 2014
About the author(s)
Linda Jonker, Faculty of Health Sciences, Department of Nursing, Stellenbosch University, South AfricaEthelwynn L. Stellenberg, Faculty of Health Sciences, Department of Nursing, Stellenbosch University, South Africa
Abstract
Objectives: This article describes the experiences of mothers that utilised comprehensive child health services in the Cape Metropolitan area of South Africa. Services included treatment for diseases; preventative interventions such as immunisation; and promotive interventions, such as improvement in nutrition and promotion of breastfeeding.
Method: A qualitative, descriptive phenomenological approach was applied to explore the experiences and perceptions of mothers and/or carers utilising child healthcare services. Thirty percent of the clinics were selected purposively from the total population. A convenience purposive non-probability sampling method was applied to select 17 mothers who met the criteria and gave written consent. Interviews were conducted and recorded digitally using an interview guide. The data analysis was done using Tesch’s eight step model.
Results: Findings of the study indicated varied experiences. Not all mothers received information about the Road to Health book or card. According to the mothers, integrated child healthcare services were not practised. The consequences were missed opportunities in immunisation, provision of vitamin A, absence of growth monitoring, feeding assessment and provision of nutritional advice.
Conclusion: There is a need for simple interventions such as oral rehydration, early recognition and treatment of diseases, immunisation, growth monitoring and appropriate nutrition advice. These services were not offered diligently. Such interventions could contribute to reducing the incidence of child morbidity and mortality.
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Crossref Citations
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Vulnerable Children and Youth Studies vol: 14 issue: 2 first page: 95 year: 2019
doi: 10.1080/17450128.2019.1566682