Correlates of child functional difficulties status in Ghana: A further analysis of the 2017/18 multiple indicator cluster survey.

Autor:	Dey NEY; University of Ghana, Department of Psychology, P.O. BOX LG 84, Legon, Ghana., Dziwornu E; University of Health and Allied Sciences, Department of Psychological Medicine and Mental Health, School of Medicine, PMB 31, HO, Volta Region, Ghana., Frimpong-Manso K; University of Ghana, Department of Social Work, P.O. BOX LG 419, Legon, Ghana., Duah HO; Research Department, FOCOS Orthopaedic Hospital, Accra, Ghana., Agbadi P; Department of Nursing, College of Health Sciences, Kwame Nkrumah University of Science and Technology, PMB, Kumasi, Ghana.
Jazyk:	angličtina
Zdroj:	Heliyon [Heliyon] 2020 Dec 15; Vol. 6 (12), pp. e05727. Date of Electronic Publication: 2020 Dec 15 (Print Publication: 2020).
DOI:	10.1016/j.heliyon.2020.e05727
Abstrakt:	Background: Functional difficulties have long-term implications for children's physical, cognitive, emotional, social, and academic growth and development. Although the subject of functional difficulties has received enough scholarly attention in the developed world, few studies have addressed the issue in Ghana. Therefore, the study aimed to regress child, maternal and household and geographical level factors associated with the functional difficulty of children in Ghana. Method: We analysed the 2017/18 multiple indicator cluster survey dataset. The study sample consists of weighted cases of 21,871 children within the ages of 5-17 years. Summary statistics were produced for the study variables. Bivariate analyses were performed to select significant correlates for the multivariate analysis. We accounted for sample design and weight before using Poisson regression techniques to do the bivariate and multivariate analysis. Results: These factors were significantly associated with functional difficulties among 5-17 years old children in Ghana: not covered with health insurance, mothers who have a functional difficulty and those without information on their functional difficulty status, and children who dwelt in richer households compared to the richest households. Compared to the northern region, children from the remaining nine regions in Ghana were more likely to have had a child functional difficulty. Conclusion: Given the results, the government of Ghana and other development partners should promote policies and programs to reduce the consequences of disability or functional difficulties in children by taking into consideration factors like mothers' functional difficulty, access to health insurance, and regional and economic disparities in Ghana. Competing Interests: The authors declare no conflict of interest. (© 2020 The Author(s).)
Databáze:	MEDLINE
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