An exploration of caregiver burden for children with nodding syndrome (lucluc) in Northern Uganda.

Journal: BMC psychiatry

Volume: 16

Issue: 

Year of Publication: 2017

Affiliated Institutions:  Department of Psychiatry, Makerere College of Health Sciences, P.O. Box , Kampala, Uganda. janetnakigudde@gmail.com. Butabika National Mental Referral Hospital, Kampala, Uganda. School of Public Health, Makerere College of Health Sciences, Kampala, Uganda. Department of Psychiatry, Makerere College of Health Sciences, P.O. Box , Kampala, Uganda. Gulu Medical School, Kampala, Uganda.

Abstract summary 

Caregivers of patients with chronic illnesses are often uncompensated for work that is physically demanding, time consuming and emotionally and economically draining. This is particularly true for caregivers of children with nodding syndrome, an emergent neurological disorder of unknown etiology in resource poor settings in Africa. We aimed to explore perceptions of caregivers regarding challenges that a typical caregiver faces when caring for a child with nodding syndrome.We used a qualitative exploratory study design with focus group discussions and in-depth interviews to collect data. We analyzed data using the qualitative analysis software package of NVivo and thematic query building.Emergent themes centered on burden of care with emotional agony as the most prominent. Subthemes reflecting the burden of care giving included child and caregiver safety concerns, burnout, social isolation and rejection, and homicidal ideation. Caregivers also complained of physical and financial constraints associated with the care of children with nodding syndrome.The findings point to a high burden of care for caregivers of children with nodding syndrome and suggests the need to incorporate community-based psychosocial and mental health care services for the caregivers of affected children into the national health system response.

Authors & Co-authors:  Nakigudde Janet J Mutamba Byamah Brian BB Bazeyo William W Musisi Seggane S James Okello O

Study Outcome 

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Citations :  Idro et al. Is nodding syndrome an onchrerca volvulus induced neuro inflammatory disorder? Uganda’s story of research in understanding the disease. International Journal of Infectious disease. 2016.
Authors :  5
Identifiers
Doi : 255
SSN : 1471-244X
Study Population
Male,Female
Mesh Terms
Adaptation, Psychological
Other Terms
Caregiver;Caregiver burden;Nodding syndrome;Northern Uganda
Study Design
Exploratory Study,Cross Sectional Study
Study Approach
Qualitative
Country of Study
Uganda
Publication Country
England