{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T15:04:21Z","timestamp":1777907061622,"version":"3.51.4"},"reference-count":21,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2015,2,1]],"date-time":"2015-02-01T00:00:00Z","timestamp":1422748800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Trop Doct"],"published-print":{"date-parts":[[2015,4]]},"abstract":"<jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>Disability in childhood remains a challenge globally. Linked to this disability is an apparent increase in the prevalence of infants born with congenital clubfoot. Clubfoot can, however, be effectively managed but this management faces various challenges. This study aims at exploring the barriers experienced in Kenya.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>In-depth interviews were conducted with 20 participants. Informed consent was sought. Field notes were taken and the interviews tape-recorded. The interviews took 45 minutes to 1 hour. They were transcribed verbatim and analysed by thematic content.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Missed diagnosis, poor referral system, shortage of staff, long travelling distance, poverty, stigmatisation and lack of support among other were highlighted as the major challenges in clubfoot management.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The challenges facing children with disability start at birth but are little different from those faced throughout their life. Action to remove these challenges is warranted<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0049475514564694","type":"journal-article","created":{"date-parts":[[2015,2,3]],"date-time":"2015-02-03T00:26:33Z","timestamp":1422923193000},"page":"84-90","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":14,"title":["Barriers experienced by service providers and caregivers in clubfoot management in Kenya"],"prefix":"10.1177","volume":"45","author":[{"given":"Naomi Wanjiru","family":"Kingau","sequence":"first","affiliation":[{"name":"Lecturer at Moi University, Department of Orthopaedics & Rehabilitation, Eldoret, Kenya"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anthea","family":"Rhoda","sequence":"additional","affiliation":[{"name":"Lecturer at University of Western Cape, Department of Physiotherapy, Cape Town, South Africa"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nondwe","family":"Mlenzana","sequence":"additional","affiliation":[{"name":"Lecturer at University of Western Cape, Department of Physiotherapy, Cape Town, South Africa"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2015,2,1]]},"reference":[{"key":"bibr1-0049475514564694","doi-asserted-by":"publisher","DOI":"10.1007\/s11999-009-0759-0"},{"key":"bibr2-0049475514564694","doi-asserted-by":"publisher","DOI":"10.1097\/01.blo.0000065837.77325.19"},{"key":"bibr3-0049475514564694","doi-asserted-by":"publisher","DOI":"10.1097\/01.bpo.0000164876.97949.6b"},{"key":"bibr4-0049475514564694","first-page":"341","volume":"101","author":"Mathias R","year":"2010","journal-title":"Pub Health"},{"key":"bibr5-0049475514564694","unstructured":"Bedford J. Perceptions of and treatment-seeking behaviour for Congenital Talipes Equinovarus (Clubfoot) Deformity in Malawi. 2009. Available at: www.anthrologica.com\/malawi.pdf."},{"key":"bibr6-0049475514564694","first-page":"63","volume":"28","author":"Frick L","year":"2005","journal-title":"Importance of maximal forefoot supination in initial casting. J Orthop"},{"key":"bibr7-0049475514564694","unstructured":"Ponseti I. Ponseti clubfoot management: A parent giude to the foot abduction braces. 2005. Available at: http:\/\/www.vh.org\/pediatric\/patient\/orthopaedics\/clubfeet\/index.html."},{"key":"bibr8-0049475514564694","unstructured":"World Health Organization.\n                      From Disability and rehabilitation in Primary Health Care. A guide for district health and rehabilitation managers\n                      . Geneva: WHO, 2011. Available at: http:\/\/www.who.int."},{"key":"bibr9-0049475514564694","doi-asserted-by":"publisher","DOI":"10.1037\/0090-5550.50.2.105"},{"key":"bibr10-0049475514564694","doi-asserted-by":"publisher","DOI":"10.1016\/S0031-9406(05)60073-9"},{"key":"bibr11-0049475514564694","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.88B8.17919"},{"key":"bibr12-0049475514564694","first-page":"CD004963","volume":"11","author":"Howe T","year":"2011","journal-title":"Cochrane Database Syst Rev"},{"key":"bibr13-0049475514564694","doi-asserted-by":"publisher","DOI":"10.1258\/td.2011.110121"},{"key":"bibr14-0049475514564694","doi-asserted-by":"publisher","DOI":"10.1207\/s15430421tip3903_2"},{"key":"bibr15-0049475514564694","first-page":"173","volume-title":"Analysing Qualitative Data","author":"Ritchie J","year":"1993"},{"key":"bibr16-0049475514564694","doi-asserted-by":"publisher","DOI":"10.1016\/j.nedt.2003.10.001"},{"key":"bibr17-0049475514564694","volume-title":"Qualitative Method in Public Health","author":"Ulin PR","year":"2005"},{"key":"bibr18-0049475514564694","doi-asserted-by":"publisher","DOI":"10.1016\/S0740-5472(03)00188-0"},{"key":"bibr19-0049475514564694","doi-asserted-by":"publisher","DOI":"10.1093\/heapol\/14.1.77"},{"key":"bibr20-0049475514564694","doi-asserted-by":"publisher","DOI":"10.1111\/j.1492-7535.2004.01101.x"},{"key":"bibr21-0049475514564694","unstructured":"Staheli L. Ponseti Management. 3rd edn. 2009. Available at: www.global-help.org."}],"container-title":["Tropical Doctor"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0049475514564694","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/0049475514564694","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0049475514564694","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T13:29:17Z","timestamp":1777642157000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/0049475514564694"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,2,1]]},"references-count":21,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2015,4]]}},"alternative-id":["10.1177\/0049475514564694"],"URL":"https:\/\/doi.org\/10.1177\/0049475514564694","relation":{},"ISSN":["0049-4755","1758-1133"],"issn-type":[{"value":"0049-4755","type":"print"},{"value":"1758-1133","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,2,1]]}}}