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Table 5 Quotes of participants relating to contextual factors and their effect on outcomes in children post cerebral malaria

From: Exploring neurodevelopmental outcome measures used in children with cerebral malaria: the perspectives of caregivers and health workers in Malawi

Contextual Factors

 

Carer’s views

Professional views

Support and relationships

Friends (of child or parents)

“So when I am away maybe to the market. When she wants to respond to nature’s call it’s her friends who carry her. But they are growing and they also need to go to school.” (CG 16)

“They’re not able to support themselves, they are unable most of the times to walk and become completely dependent to the people who are around them. So for their quality of life to be achieved, it is dependent of the people who surround them”. (Palliative care professional)

Attitudes

Individual attitudes of Immediate and extended family

“This is a very big challenge (having a child with neurodisability) which you cannot manage to handle on your own, you need a relative to help you” (CG 2)

“become completely dependent to the people who are around them. So for their quality of life to be achieved, it is dependent of the people who surround them” (nurse 5)

Societal attitudes

“My social life is really affected, when I go out, my neighbors shun me (amandisala)… Im just alone in my house with my child… When I go outside, I am treated with reproach/ shame (chimakhala ndithu chitonzo)” (CG 4)