Abstract
BackgroundHistorically, there is a lack of structured assessment and intervention protocols to support care of children with developmental delays and/or disabilities (DDDs) in rural child and youth care centres (CYCCs) across South Africa. AimThis study aimed to design an assessment and intervention protocol for holistic management of children in such centres, based on the opinions and input from CYCC staff and experts in the community. MethodsData was collected in two stages, the first consisted of qualitative focus groups with CYCC staff using a semi-structured interview schedule and the second was qualitative individual interviews with experts in developmental health such as paediatricians and occupational therapists (OTs) using an interview schedule. ResultsThe results enabled the design of a preliminary Ecosystemic Assessment and Intervention Protocol (ECO-AIP) for children with DDDs in CYCCs that could be implemented on trial basis in further research. ConclusionsInformation relating to the identification, and care and support of children with DDDs in rural CYCCs was obtained to enable the design of the ECO-AIP. This algorithmic protocol will guide a multi-disciplinary CYCC team to identify DDDs and to assist children to reach their milestones.
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