Mapping the content of mothers' knowledge, attitude and practice towards universal newborn hearing screening for development of a KAP survey tool.


Journal

PloS one
ISSN: 1932-6203
Titre abrégé: PLoS One
Pays: United States
ID NLM: 101285081

Informations de publication

Date de publication:
2019
Historique:
received: 24 09 2018
accepted: 01 01 2019
entrez: 21 2 2019
pubmed: 21 2 2019
medline: 30 10 2019
Statut: epublish

Résumé

Understanding mother's knowledge, attitude and practice (KAP) of permanent childhood hearing impairment (PCHI) is essential for the success of universal newborn hearing screening (UNHS) as poor compliance and follow-up remains a global challenge. To determine content area for a questionnaire that measures PCHI-related KAP in rural mothers, we trained moderators who interviewed 145 pregnant women (17 groups) from 5 ante-natal clinics. Interviews were recorded, transcribed, summarised and analysed using thematic framework analysis. Four knowledge themes were identified: 1) PCHI was perceived as the malfunction of hearing leading to disability; 2) a poorly-responsive/communicative child may have PCHI; 3) lifestyle, hereditary and environmental factors are significant causes of PCHI; 4) medical management of PCHI was doubted, with some advocating birth and ancestral rituals. Two themes were identified for attitude: 1) beliefs that PCHI was emotionalised due to the negative lifelong impact on the child and family; 2) UNHS processes were favourable though some preferred other belief systems. Three themes were identified for practice: 1) doctors were the first choice followed by traditional healers; 2) willingness to continue follow-up although challenges exist; 3) minimal family support during consultation. The contextualised KAP of women regarding UNHS processes and PCHI provided content area for the design of a KAP tool.

Identifiants

pubmed: 30785897
doi: 10.1371/journal.pone.0210764
pii: PONE-D-18-27836
pmc: PMC6382093
doi:

Types de publication

Clinical Trial Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

e0210764

Déclaration de conflit d'intérêts

The authors have declared that no competing interests exist.

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Auteurs

Christine Graham (C)

Nelson Mandela School of Clinical Medicine, University of KwaZulu Natal, Durban, South Africa.

Janet Seeley (J)

Department of Global Health and Development, London School of Hygiene and Tropical Medicine, London, United Kingdom.

Ayanda Gina (A)

Department of Audiology, University of KwaZulu Natal, Durban, South Africa.

Yougan Saman (Y)

Nelson Mandela School of Clinical Medicine, University of KwaZulu Natal, Durban, South Africa.
Ear Nose and Throat Department, University Hospitals of Leicester, Leicester, United Kingdom.

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Classifications MeSH