Abstract:
Objectives: The objective of the study was to identify and analyze the barriers affecting
the treatment of Congenital Talipes Equinovarus (CTEV) among pediatric patients.
Methodology: It was a cross-sectional study. 126 samples were conveniently selected
from Ponseti clinic, CRP paediatric unit, located in Savar, Dhaka, based on eligible
criteria. A researcher self developed questionnaire was used that had socio
demographic information, CTEV and its treatment related medical information,
Geographical, logistic, financial barriers and Barriers related to hospital service,
treatment and parents awareness. The data were analyzed through descriptive and
inferential statistics. Descriptive statistics were presented as mean, standard deviation
for parametric data and frequency, percentage for nonparametric data. Interferential
statistics has been performed by chi- square test has been performed for association of
the variables. P-value was set as <.05. Results: Among 126 participants, overall child
age was 30.24 ± 10.5 (in months) and respondent parent overall age was 26.45 ± 5.98
(in years). 80.2% mentioned that they have barrier related to treatment for regular
hospital visits for their children's care. 54%, encountered transportation barriers when
they came to receive treatment from CRP. 46%, did not face any transportation barriers
during their visit. When exploring hospital service barriers, 43.7% of parents reported
behavioral barriers, 33.3% of parents who reported communication at CRP. On the
other hand, 19.8% of the parents don’t face any kind of barrier related to treatment.
Statistical analysis showed an association between transportation barrier, residential
area, educational qualification of respondent parent, and adequate brace care (P<
0.001). Conclusion: There is a strong association between the educational
qualifications of respondent parents and barriers related to their awareness, which has
significant implications for improving healthcare delivery at CRP. Also, residential
area is strongly associated with geographical, transportation, and financial barriers. The
identification of the barriers are essential for the development of effective strategies to
address these challenges.
Key words: CTEV children, Ponseti method, Barriers, Clubfoot
Word count: 11,214
Description:
This dissertation is submitted in partial fulfillment of the requirements for the Degree of Bachelor of Science in Physiotherapy, Bangladesh Health Professions Institute, Faculty of Medicine, the University of Dhaka, Bangladesh.
