HEALTH PROBLEMS AND BARRIERS TO ACCESS AND UTILISATION OF HEALTH CARE SERVICES AMONG STREET CHILDREN IN CAMEROON.
- Discipline of Public Health Medicine, Department of Nursing & Public Health, College of Health Sciences, University of Kwazulu-Natal, Durban, South Africa
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Background: Street children in Cameroon do not form part of the national planning, resource allocation and provision of health care services because society often regards them as delinquents, a public nuisance, deviants and prospective criminals. This paper presents self-reported health conditions experienced by street children and explore the challenges they encounter when trying to seek health care in public health care facilities. Objective: The study aimed to identify and describe health problems as well as barriers to access and utilization of health care services by street children in three cities of Cameroon. Method: A cross-sectional study was carried out on a non-probability snowball sample of 399 street children aged 12 to 17 years. Data were collected by means of interpersonal administration of questionnaires and analyzed by uni-variate and bi-variate calculation of frequencies. Results: Street children were highly susceptible to diverse health problems; the common ailments being malaria (92.5%), stomach aches (90.7%), injuries (89.5%), skin diseases (85.0%) and chest pain (75.9%), and with causes involving poor health habits and risky behaviour. Self-medication was very frequent due to constraints in accessing health care services, including economic restrictions, inferior social status, long waiting times and negative attitudes of health service providers. Conclusion: Street children are faced with numerous life-threatening and minor health problems that affect the quality of their lives. They also experience many barriers when they try to access health care services. These issues could be resolved through the development and implementation of intervention policies and integrated and accessible programmes. Since the information presented here was obtained from self-reports, which could result in under- or over-estimation of health conditions, it is recommended that further research include current measurements and tests to confirm diagnoses of the health conditions.
- Matchinda B., (1999). The impact of home background on the decision of children to run away: the case of Yaounde City street children in Cameroon. Child Abuse & Neglect Journal;23(3):245-55.
- Tchombe TM, Nuwanyakpa M, Etmonia T., (2001). Street Children in Cameroon: Problems and Perspectives. Journal of Psychology in Africa;11(2):101-25.
- Woods, S.B., Farineau, H.M. and McWey, L.M., (2013). Physical health, mental health, and behaviour problems among early adolescents in foster care. Child: care, health and development, 39(2), pp.220-227.
- Seager JR, Tamasane T., (2010). Health and well-being of the homeless in South African cities and towns. Develop S Africa;27:63-83.
- Nsagha, D. S., & Thompson, R. B., (2011). Integrated care of orphans and vulnerable children in Ekondo Titi and Isangele Health Areas of Cameroon. Journal of HIV/AIDS & Social Services; 10(2), 161-173.
- Woolf-King SE, Maisto SA., (2011).Alcohol use and high-risk sexual behavior in Sub-Saharan Africa: a narrative review. Archives of sexual behavior;40(1):17-42.
- Strehl, Talinay., (2010). \"Street-Working and Street-Living Children in Peru: Conditions and Current Interventions.\" IREWOC Research Project on Street Children in Peru.
- Cluver, L. D., Orkin, M., Gardner, F., & Boyes, M. E., (2012). Persisting mental health problems among AIDS‐orphaned children in South Africa. Journal of Child Psychology and Psychiatry; 53(4), 363-370.
- Maslow, G. R., & Hill, S. N., (2016). Systematic review of character development and childhood chronic illness. World Journal of Clinical Pediatrics, 5(2), 206?211. http://doi.org/10.5409/wjcp.v5.i2.206.
- Oppong Asante, K., Meyer-Weitz, A., & Petersen, I., (2014). Substance use and risky sexual behaviours among street connected children and youth in Accra, Ghana. Substance Abuse Treatment, Prevention, and Policy, 9, http://doi.org/10.1186/1747-597X-9-45.
- Plummer ML, Kudrati M, Dafalla El Hag Yousif N., (2007).Beginning street life: Factors contributing to children working and living on the streets of Khartoum, Sudan. Children and Youth Services Review;29(12):1520-36.
- Nsamenang AB., (2000). Fathers, Families, & Child Well-Being in Cameroon: A Review of the Literature.
- Mathur M, Rathore P, Mathur M., (2009). Incidence, type and intensity of abuse in street children in India. Child Abuse & Neglect; 33(12):907-13.
- Kudrati M, Plummer ML, Yousif Ndeh., (2008).Children of the sug: A study of the daily lives of street children in Khartoum, Sudan, with intervention recommendations. Child Abuse & Neglect Journal;32(4):439-48.
- Chireshe, Regis; Jadezweni, Jay M. M.; Cekiso, Mzwamadoda; Maphosa, Cosmas., (2010). Poverty: Narratives and Experiences of Street Children in Mthatha, Eastern Cape, South Africa. Journal of Psychology in Africa; Vol.20(2), p.199-202.
- Owoaje E, Uchendu O., (2009). Sexual risk behaviour of street youths in southwest Nigeria. East Afr J Public Health;6:274.
- Habtamu, D., & Adamu, A., (2013). Assessment of Sexual and Reproductive Health Status of Street Children in Addis Ababa. Journal of Sexually Transmitted Diseases, 2013, 524076. http://doi.org/10.1155/2013/524076.Mandalazi P, Banda C, Umar E., (2013).Street children?s vulnerability to HIV and sexually transmitted infections in Malawian cities. Malawi medical Journal. DOI: http://dx.doi.org/10.4314%2Fmmj.v25i1. Volume 25(1): pp1- 4
- Gupta and Anjali., (2012). Social Determinants of Health ? Street Children at Crossroad: Health (1949 ? 4998); volume 4, Issue 9, Pages 634-643.
[Samuel Nambile Cumber and Joyce Mahlako Tsoka-Gwegweni. (2017); HEALTH PROBLEMS AND BARRIERS TO ACCESS AND UTILISATION OF HEALTH CARE SERVICES AMONG STREET CHILDREN IN CAMEROON. Int. J. of Adv. Res. 5 (4). 1438-1448] (ISSN 2320-5407). www.journalijar.com
Discipline of Public Health Medicine, Department of Nursing & Public Health, College of Health Sciences, University of Kwazulu-Natal, Durban, South Africa
Article DOI: 10.21474/IJAR01/3965 DOI URL: http://dx.doi.org/10.21474/IJAR01/3965
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