title: Study of Parental Perceptions on Health & Social Needs of Children with Neuro-Developmental Disability and It's Impact on the Family.
abstract: BACKGROUND
  The term Neuro Developmental Disorder (NDD) is used for conditions caused by a dysfunction in any part of the brain or nervous system, resulting in physical and/or psychological symptoms as a child develops. Family of children with NDD face many problems. It is very important to find them and create awareness so that gaps in essential services and supports can be decreased.
  
  
  OBJECTIVE
  To explore parental perceptions on health & social needs of children with NDD, to understand the impact of disability on the families having children with disability, and to find out the parental perceptions on availability of services for children with NDD and its utilization by families.
  
  
  METHODS
  The parents of 30 children with NDD were interviewed using a questionnaire and data elicited in these interviews were analysed. The questionnaire had preliminary information about parents and child with NDDs, socio-demographic profile of the family and the parental perceptions on health and social needs of their child having NDDs.
  
  
  RESULTS
  There were total 30 patients 17 were males and 13 were females. Most of the patients suffered from Cerebral Palsy (13 cases) and were diagnosed by General Practitioner (22 cases) while Developmental Neurologist/paediatrician had diagnosed remaining cases of NDD (8 cases). Most common disability for which parents were worried was inability to walk (17 cases). Common difficulties countered in daily care by parents were feeding and bathing (10 cases). Only 2 children were given assistance with tuition & psychologist (cases of ADHD). Most of the parents knew about special schools but didn't know which place such facilities were available and none of the children were attending special schools. Twenty two parents said they have no plans for the future studies but wish that at least child learns to read & write. With help of spiritual power (doing prayers and pooja) 25 parents got courage to face the difficulties and discrimination. Two parents required antidepressants. Six Mothers had to quit their jobs so as to concentrate and give more time to their children. Experience with services provided was satisfactory in 17 cases, while 13 parents reported problem of arranging money, adjusting time for long travelling and regular follow-up.
  
  
  CONCLUSIONS
  The findings can be utilized in developing supportive activities for families with disabled children. It addresses the need for new prospective of stigma reduction in our society. The study has found that the care givers of child with NDDs suffer from significant physical and mental stress, and their health should be taken into consideration. The study has found need of "care givers' support group". The professionals can help parents in establishing positive thinking towards care giving. There is need of provision of comprehensive and latest rehabilitation/ support resources & information.
authors.affiliation: Assistant Professor, Department of Pediatrics, HBTMC & DR R N Cooper Hospital , Mumbai, Maharashtra, India .
authors.forename: Nusrat Jahan Rafique
authors.initials: NJ
authors.lastname: Ansari
authors.affiliation: Head of Institute and Head of the Department, Department of Pediatrics, Santdnyaneshwar Medical Education & Research Centre , Pune, Maharashtra, India .
authors.forename: Ramchandra Keshav
authors.initials: RK
authors.lastname: Dhongade
authors.affiliation: Neonatology Consultant, Department of Pediatrics, Santdnyaneshwar Medical Education & Research Centre , Pune, Maharashtra, India .
authors.forename: Preeti Sagar
authors.initials: PS
authors.lastname: Lad
authors.affiliation: Consultant Pediatrician and Neonatologist, Department of Pediatrics, Inamdar Mutispeciality Hospital , Pune, Maharashtra, India .
authors.forename: Ashwin
authors.initials: A
authors.lastname: Borade
authors.affiliation: Senior Resident, Department of Pediatrics, Mayflower Children Hospital , Secunderabad, Andhra Pardesh, India .
authors.forename: Suvarna
authors.initials: S
authors.lastname: Yg
authors.affiliation: Consultant Pediatrician and Neonatologist, Department of Pediatrics, Udbhava Children Hospital , Hyderabad, Andhra Pardesh, India .
authors.forename: Vishal
authors.initials: V
authors.lastname: Yadav
authors.affiliation: Senior Resident, Department of Pediatrics, Y C M Hospital , Pune, Maharashtra, India .
authors.forename: Ashwini
authors.initials: A
authors.lastname: Mehetre
authors.affiliation: Consultant Pediatrician and Neonatologist, Department of Pediatrics, Apollo Hospital , Pune, Maharashtra, India .
authors.forename: Rahul
authors.initials: R
authors.lastname: Kulkarni
keywords: Child; Family life; Knowledge; Mental stress; Neurodisability; Parents