Engaging community voices to assess Kenya's strengths and limitations to support a child maltreatment prevention program.

Journal: Child abuse & neglect

Volume: 111

Issue: 

Year of Publication: 2021

Affiliated Institutions:  The Pennsylvania State University, University Park, PA , USA. Electronic address: jshanley@pacificu.edu. Georgia State University, Decatur St., Atlanta, GA , USA. Electronic address: lparmistead@gsu.edu. Africa Mental Health Research and Training Foundation, PO Box -, Nairobi, Kenya. Electronic address: christine.musyimi@amhf.or.ke. Africa Mental Health Research and Training Foundation, PO Box -, Nairobi, Kenya. Electronic address: darius.nyamai@amhf.or.ke. Georgia State University, Decatur St., Atlanta, GA , USA. Electronic address: mishiekwene@student.gsu.edu. Africa Mental Health Research and Training Foundation, PO Box -, Nairobi, Kenya. Electronic address: vmutiso@amhf.or.ke. Africa Mental Health Research and Training Foundation, PO Box -, Nairobi, Kenya; The University of Nairobi, PO Box -, Nairobi, Kenya. Electronic address: dmndetei@amhf.or.ke.

Abstract summary 

Preventing child maltreatment is a global mission of numerous international organizations, with parent support programs as the critical prevention strategy. In Kenya, 70 % of children are at risk of experiencing abuse and neglect, most often by their parents. Yet, there is a lack of evidence-based parent support programs, and a limited understanding of Kenya's capacity and infrastructures (e.g., policies, funding, service agencies) to support and sustain such programs.The purpose of this study was to assess systematically Kenya's strengths and limitations to implement a parent support program using a mixed-methods study design.Twenty-one community stakeholders from Kenya completed the World Health Organization's (WHO) Readiness Assessment for the Prevention of Child Maltreatment to understand Kenya's preparedness to undertake a prevention program. In addition, 91 participants (e.g., parents, community health workers, community leaders) took part in focus group discussions or individual interviews to understand existing support networks around parenting programs.Kenya's overall 'readiness' score was comparable to the other countries that completed the WHO survey. The survey results revealed Kenya's strengths and limitations across the ten readiness dimensions. Several themes emerged from the focus groups and interviews, including the diverse sources of support for parents, specific programs available for parents, and gaps in services offered.The results document ways to build upon Kenyan's existing strengths to facilitate implementation of an evidence-based prevention program. These results also highlight the significant need to understand local context when adapting parenting programs for low/middle income countries (LMICs).

Authors & Co-authors:  Shanley Armistead Musyimi Nyamai Ishiekwene Mutiso Ndetei

Study Outcome 

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Statistics
Citations :  Aarons GA, Hurlburt M, & Horwitz SM (2011). Advancing a Conceptual Model of Evidence-Based Practice Implementation in Public Service Sectors. Administration and Policy in Mental Health and Mental Health Services Research, 38(1), 4–23. doi:10.1007/s10488-010-0327-7
Authors :  7
Identifiers
Doi : 10.1016/j.chiabu.2020.104772
SSN : 1873-7757
Study Population
Male,Female
Mesh Terms
Adolescent
Other Terms
Child maltreatment;Evidence-based programs;Parent support program;Prevention
Study Design
Study Approach
Mixed-Methods
Country of Study
Kenya
Publication Country
England