Exploring hydrocephalus among children. A qualitative study of treatment pathways and quality of care in the regions of Blantyre, Malawi

The PhD project aims to explore treatment pathways and to assess the quality of care for children with hydrocephalus in the region of Blantyre, Malawi. The primary cause of hydrocephalus in low- and middle income counties, Malawi included, is of post-infectious origin related to neonatal sepsis. Without treatment, hydrocephalus will lead to cognitive dysfunction and death. However, with timely surgery, outcomes can be improved. A major challenge in the caretaking of children with hydrocephalus in Malawi is late presentation to adequate care and treatment level. There are various reasons for this, such as the general lack of neurosurgical services, the absence of routine head circumference measurements in infants, delays caused by visits to traditional practitioners, structural health system deficiencies, as well as complex cultural and economic factors.

This research will use qualitative methods and be based in QECH in Blantyre, Malawi, where 400 surgeries on children with hydrocephalus are performed annually. The project will span six years (50% PhD position) and data will be collected during three fieldtrips. The study will include three categories of participants: mothers of children with hydrocephalus, health care providers in primary health care centres, and health personnel in QECH.

Prosjektbeskrivelse med vedlegg

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TSD

  • Ja

Biobank

  • Nei

Godkjenninger

Intern fremleggelse - Ja1 fil

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REK - Ikke behov 1 fil

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Andre godkjenninger1 fil

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Prosjektleder / prosjektansvarlig ved UiO

Heidi Fjeld

Ansvarlig enhet

Avdeling for samfunnsmedisin og global helse

Forskere

Prosjekttype

  • Ph.d.-prosjekt

Helsefaglig forskning

  • Ja

Personopplysninger

  • Ja

Tidsperiode

  • Start: august 2019
  • Slutt: september 2025