Epidemiology of cerebral palsy among children in Ghana.

Autor:	Jahan I; Child Sight Foundation, Dhaka, Bangladesh.; Asian Institute of Disability and Development (AIDD), University of South Asia, Dhaka, Bangladesh.; School of Health, Medical and Applied Sciences, Central Queensland University, Rockhampton, Queensland, Australia., Bashar SMK; Child Sight Foundation, Dhaka, Bangladesh.; Asian Institute of Disability and Development (AIDD), University of South Asia, Dhaka, Bangladesh., Laryea F; Korlebu Teaching Hospital, Accra, Ghana., Amponsah SK; Department of Health Information, Christian Health Association of Ghana, Accra, Ghana., Danquah FI; St. John of God College of Health, Duayaw Nkwanta, Ghana., Muhit M; Child Sight Foundation, Dhaka, Bangladesh.; Asian Institute of Disability and Development (AIDD), University of South Asia, Dhaka, Bangladesh., Smithers-Sheedy H; Cerebral Palsy Alliance Research Institute, Specialty of Child and Adolescent Health, Sydney Medical School, Faculty of Medicine and Health, The University of Sydney, Camperdown, New South Wales, Australia., McIntyre S; Cerebral Palsy Alliance Research Institute, Specialty of Child and Adolescent Health, Sydney Medical School, Faculty of Medicine and Health, The University of Sydney, Camperdown, New South Wales, Australia., Badawi N; Cerebral Palsy Alliance Research Institute, Specialty of Child and Adolescent Health, Sydney Medical School, Faculty of Medicine and Health, The University of Sydney, Camperdown, New South Wales, Australia.; Grace Centre for Newborn Intensive Care, Sydney Children's Hospital Network, Westmead, New South Wales, Australia., Khandaker G; School of Health, Medical and Applied Sciences, Central Queensland University, Rockhampton, Queensland, Australia.; Discipline of Child and Adolescent Health, Sydney Medical School, The University of Sydney, Camperdown, New South Wales, Australia.; Central Queensland Public Health Unit, Central Queensland Hospital and Health Service, Queensland, Australia.
Jazyk:	angličtina
Zdroj:	African journal of disability [Afr J Disabil] 2024 Sep 20; Vol. 13, pp. 1336. Date of Electronic Publication: 2024 Sep 20 (Print Publication: 2024).
DOI:	10.4102/ajod.v13i0.1336
Abstrakt:	Background: The epidemiology of cerebral palsy (CP) is poorly described in Ghana. These data are crucial for evidence-based intervention for children with CP in the country. Objectives: We aimed to describe the epidemiology of CP among children in Ghana. Method: We established the first institution-based register of children with CP in Ghana (Ghana CP Register-GCPR). Children with confirmed CP aged < 18 years were registered following a detailed neurodevelopmental assessment. Socio-demographics, risk factors, predominant motor type and topography, gross motor function classification system (GMFCS), associated impairments, education and rehabilitation status were documented. Results: Between October 2018 and February 2020, 455 children were registered (mean [standard deviation {s.d.}] age at assessment: 5.9 [4.1] years). Preterm birth and low birthweight were reported in 52.0% and 21.1% children respectively. Most children (79.6%) had a pre- or perinatally acquired CP and the mean (s.d.) age of CP diagnosis was 22.2 (21.6) months. Overall, 55.9% of children had spastic tri- or quadriplegia, 60.5% had GMFCS level III-V and 70.3% had ≥ 1 associated impairment. However, 20.5% had never received rehabilitation services and 69.6% of school-aged children in the GCPR were not enrolled in schools. Conclusion: The study findings indicate a high burden of severe motor and associated impairment among children with CP in Ghana which highlights the need for tailored interventions to improve health and well-being of children with CP in the country. Contribution: The study highlights the need for interventions to improve functional outcome, health and well-being of children with CP in Ghana. Competing Interests: The authors declare that they have no financial or personal relationships that may have inappropriately influenced them in writing this article. (© 2024. The Authors.)
Databáze:	MEDLINE
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