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Exploring the lived experiences of parents caring for infants with gastroschisis in Rwanda

The untold story

Bibliographic Data

ID19593524
AuthorsSamuel Kidane (0000-0002-2680-2306, University of Global Health Equity, corresponding author), Semay Desta Shamebo (0000-0003-3404-1233, University of Global Health Equity), Edmond Ntaganda (0000-0001-9202-1500, Centre Hospitalier Universitaire de Kigali), Robin T Petroze (0000-0001-5999-6971, University of Florida), Zahirah McNatt (0000-0002-7136-590X, University of Global Health Equity), Rex Wong (0000-0002-7742-5934, Yale University), Melany Rabideau (University of Global Health Equity)
EditorsBethany Hedt-Gauthier (0000-0002-9689-5413)
Year2022
Volume2
Issue6
Pagese0000439
Publication date2022-06-15
Open AccessYes
TypeARTICLE
VenuePLOS Global Public Health (JOURNAL)
Journal identifiersISSN: 2767-3375 • E-ISSN: 2767-3375
PublisherPublic Library of Science (PLoS) (PUBLISHER)
DOI10.1371/journal.pgph.0000439
PMID36962402
OpenAlexW4282937447
LanguageEN
Citations received1
References cited31

Pediatric surgery is a crucial pillar of health equity but is often not prioritized in the global health agenda, especially in low-and middle-income countries. Gastroschisis (GS) is a type of structural congenital anomaly that can be treated through surgical interventions. In Rwanda, neonatal surgical care is only available in one hospital. The experience of parents of children born with gastroschisis has not been previously studied in Rwanda. The objective of this study was to explore the lived experiences of parents of children diagnosed with GS in Rwanda. A qualitative study using a semi-structured interview guide was conducted. Parents who had children with gastroschisis and were discharged alive from the hospital in Rwanda were interviewed by trained data collectors, from May to July 2021. Data were transcribed, translated, and then coded using a structured code-book. Thematic analysis was conducted with the use of Dedoose software. Sixteen parents participated in the study. Five themes emerged from the data. They were: “GS diagnosis had a significant emotional impact on the parents”, “Parents were content with the life-saving medical care provided for their children despite some dissatisfaction due to the delayed initiation of care and shortage of medications”, “GS care was accompanied by financial challenges”, “support systems were important coping mechanisms” and “the impact of GS care extended into the post-discharge period”. Having a newborn with GS was an emotional journey. The lack of pre-knowledge about the condition created a shock to the parents. Parents found support from their faith and other parents with similar experiences. The experiences with the care received were mostly positive. The overall financial burden incurred from the medical treatment and indirect costs was high and extended beyond the hospital stay. Strengthening prenatal and hospital services, providing peer, spiritual and financial support could enhance the parents’ experience

Family medicine · Gastroschisis · Health care · Pregnancy · Psychological intervention · Qualitative research · Safeguarding · Thematic analysis · Cleft Lip and Palate Research · Congenital Anomalies and Fetal Surgery · Medicine · Nursing · Urological Disorders and Treatments · Pediatrics

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Citations per year1
Citation span2026 - 2026 (1)
Highly citedNo

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