Pediatric Cerebral Palsy in Africa

Author:

Donald Kirsten A.1,Kakooza Angelina M.2,Wammanda Robinson D.3,Mallewa Macpherson4,Samia Pauline5,Babakir Haydar6,Bearden David7,Majnemer Annette8,Fehlings Darcy9,Shevell Michael10,Chugani Harry11,Wilmshurst Jo M.12

Affiliation:

1. Division of Developmental Paediatrics, Department of Paediatrics and Child Health, Red Cross War Memorial Children’s Hospital and University of Cape Town, South Africa

2. Department of Pediatrics and Child Health, Mulago Hospital/Makerere, University College of Health Sciences, Kampala, Uganda

3. Department of Pediatrics/Pediatric Neurology Unit, Ahmadu Bello University Teaching Hospital, Zaria, Nigeria

4. Department of Pediatrics and Child Health, College of Medicine, Queen Elizabeth Central Hospital, Blantyre, Malawi

5. Department of Pediatrics and Child Health, Aga Khan University Hospital, Nairobi, Kenya

6. Faculty of Medicine, University of Gezira, Sudan

7. Division of Neurology, The Children’s Hospital of Philadelphia, Philadelphia, USA and Botswana-UPenn Partnership, Gaborone, Botswana

8. School of Physical & Occupational Therapy, McGill University; Montreal Children’s Hospital-McGill University Health Centre, Montreal, Quebec, Canada

9. Holland Bloorview Kids Rehabilitation Hospital, Department of Paediatrics, University of Toronto, Canada

10. Departments of Pediatrics & Neurology/Neurosurgery, McGill University, Montreal, Quebec, Canada

11. Children’s Hospital of Michigan, Detroit, MI, USA

12. Division of Paediatric Neurology, Department of Paediatrics and Child Health, Red Cross War Memorial Children’s Hospital and University of Cape Town, South Africa

Abstract

Cerebral palsy is the most common cause of physical disability in children worldwide. However, little is reported on this condition in the African context. Doctors from 22 countries in Africa, and representatives from a further 5 countries outside Africa, met to discuss the challenges in the evaluation and management of children with cerebral palsy in Africa and to propose service needs and further research. Basic care is limited by the poor availability of diagnostic facilities or medical personnel with experience and expertise in managing cerebral palsy, exacerbated by lack of available interventions such as medications, surgical procedures, or even regular therapy input. Relevant guidelines are lacking. In order to guide services for children with existing disabilities, to effectively target the main etiologies and to develop preventive strategies for the continent, research priorities must include multicenter collaborative studies looking at the prevalence, risk factors, and treatment of cerebral palsy.

Publisher

SAGE Publications

Subject

Neurology (clinical),Pediatrics, Perinatology and Child Health

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