title: Barriers experienced by service providers and caregivers in clubfoot management in Kenya.
abstract: OBJECTIVE
  Disability in childhood remains a challenge globally. Linked to this disability is an apparent increase in the prevalence of infants born with congenital clubfoot. Clubfoot can, however, be effectively managed but this management faces various challenges. This study aims at exploring the barriers experienced in Kenya.
  
  
  METHODS
  In-depth interviews were conducted with 20 participants. Informed consent was sought. Field notes were taken and the interviews tape-recorded. The interviews took 45 minutes to 1 hour. They were transcribed verbatim and analysed by thematic content.
  
  
  RESULTS
  Missed diagnosis, poor referral system, shortage of staff, long travelling distance, poverty, stigmatisation and lack of support among other were highlighted as the major challenges in clubfoot management.
  
  
  CONCLUSIONS
  The challenges facing children with disability start at birth but are little different from those faced throughout their life. Action to remove these challenges is warranted.
authors: Lecturer at Moi University, Department of Orthopaedics & Rehabilitation, Eldoret, Kenya nkwanjiru@yahoo.com.
authors: Naomi Wanjiru
authors: NW
authors: Kingau
authors: Lecturer at University of Western Cape, Department of Physiotherapy, Cape Town, South Africa.
authors: Anthea
authors: A
authors: Rhoda
authors: Lecturer at University of Western Cape, Department of Physiotherapy, Cape Town, South Africa.
authors: Nondwe
authors: N
authors: Mlenzana
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D017028:Caregivers / Q000523:psychology; D002648:Child; D003025:Clubfoot / Q000175:diagnosis / Q000628:therapy*; D003695:Delivery of Health Care / Q000592:standards*; D019468:Disease Management; D005260:Female; D006297:Health Services Accessibility / Q000592:standards*; D006801:Humans; D007223:Infant; D007630:Kenya; D008297:Male; D008875:Middle Aged; D012017:Referral and Consultation / Q000592:standards; D057545:Social Stigma
keywords: Barriers; Clubfoot; Compliance; Congenital; Conservative; Disability; Perceptions; Rehabilitation; Treatment; method