{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,17]],"date-time":"2026-06-17T01:38:00Z","timestamp":1781660280872,"version":"3.54.5"},"reference-count":66,"publisher":"MDPI AG","issue":"8","license":[{"start":{"date-parts":[[2023,7,29]],"date-time":"2023-07-29T00:00:00Z","timestamp":1690588800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Princess Marie Louise Children\u2019s Hospital, Ghana Health Service"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Children"],"abstract":"<jats:p>Background: The family represents the most essential and supportive environment for children with cerebral palsy (CP). To improve children\u2019s outcomes, it is crucial to consider the needs of families in order to offer family-centered care, which tailors services to these needs. Objective: We conducted a needs assessment to identify the family needs of patients with CP attending two hospitals in Accra. Methods: The study was a cross-sectional study involving primary caregivers of children with CP attending neurodevelopmental clinics. Structured questionnaires were used to collect data spanning an 8-month period. The data were summarized, and statistical inference was made. Results: Service needs identified were childcare, counseling, support groups, financial assistance, and recreational facilities. Information needs included adult education, job training\/employment opportunities, education, health and social programs, knowledge about child development, and management of behavioral and feeding\/nutrition problems. Reducing extensive travel time was desirable to improve access to healthcare. With the increasing severity of symptoms came the need for improved accessibility in the home to reduce the child\u2019s hardship, as well as assistive devices, recreational facilities, and respite for the caregiver(s). Conclusion: Families of children with CP have information, service, and access needs related to their disease severity and family context.<\/jats:p>","DOI":"10.3390\/children10081313","type":"journal-article","created":{"date-parts":[[2023,7,31]],"date-time":"2023-07-31T01:28:46Z","timestamp":1690766926000},"page":"1313","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Family Needs Assessment of Patients with Cerebral Palsy Attending Two Hospitals in Accra, Ghana"],"prefix":"10.3390","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-1618-6944","authenticated-orcid":false,"given":"Abena","family":"Aduful","sequence":"first","affiliation":[{"name":"Department of Family Medicine, Korle-Bu Teaching Hospital, Accra P.O. Box GP 4236, Ghana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Faye","family":"Boamah-Mensah","sequence":"additional","affiliation":[{"name":"Princess Marie Louise Children\u2019s Hospital, Accra P.O. Box GP 122, Ghana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mame","family":"Nyarko","sequence":"additional","affiliation":[{"name":"Princess Marie Louise Children\u2019s Hospital, Accra P.O. Box GP 122, Ghana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Margaret","family":"Neizer","sequence":"additional","affiliation":[{"name":"Princess Marie Louise Children\u2019s Hospital, Accra P.O. Box GP 122, Ghana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yvonne","family":"Brew","sequence":"additional","affiliation":[{"name":"Department of Child Health, Greater Accra Regional Hospital (GARH), Accra P.O. Box GP 473, Ghana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lovia","family":"Williams","sequence":"additional","affiliation":[{"name":"Department of Child Health, Korle-Bu Teaching Hospital, Accra P.O. Box GP 4236, Ghana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Benedict","family":"Calys-Tagoe","sequence":"additional","affiliation":[{"name":"Department of Community Health, University of Ghana Medical School, Accra P.O. Box GP 4236, Ghana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Henry","family":"Ackun","sequence":"additional","affiliation":[{"name":"Department of Family Medicine, Duffus Health Center, Halifax, NS B3M 3Y7, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Edem","family":"Tette","sequence":"additional","affiliation":[{"name":"Princess Marie Louise Children\u2019s Hospital, Accra P.O. Box GP 122, Ghana"},{"name":"Department of Community Health, University of Ghana Medical School, Accra P.O. Box GP 4236, Ghana"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2023,7,29]]},"reference":[{"key":"ref_1","first-page":"91","article-title":"Cerebral Palsy: An Overview","volume":"73","author":"Krigger","year":"2006","journal-title":"Am. Fam. Physician"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"8","DOI":"10.1111\/j.1469-8749.2007.tb12610.x","article-title":"A report: The definition and classification of cerebral palsy April 2006","volume":"49","author":"Rosenbaum","year":"2007","journal-title":"Dev. Med. Child. Neurol."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"963","DOI":"10.1177\/0883073814549245","article-title":"Pediatric Cerebral Palsy in Africa: Where Are We?","volume":"30","author":"Donald","year":"2015","journal-title":"J. Child. Neurol."},{"key":"ref_4","first-page":"158","article-title":"Epilepsy in Nigerian children with cerebral palsy","volume":"49","author":"Lagunju","year":"2007","journal-title":"Dev. Med. Child. Neurol."},{"key":"ref_5","first-page":"21","article-title":"Ocular findings in children attending occupational therapy clinic at Kenyatta National Hospital, Nairobi, Kenya","volume":"15","author":"Njambi","year":"2020","journal-title":"J. Ophthalmol. East. Cent. South. Afr."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"181","DOI":"10.1179\/146532810X12786388978481","article-title":"A review of the incidence and prevalence, types and aetiology of childhood cerebral palsy in resource-poor settings","volume":"30","author":"Gladstone","year":"2010","journal-title":"Ann. Trop. Paediatr."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"175","DOI":"10.1111\/cch.12733","article-title":"Perspectives on cerebral palsy in Africa: Exploring the literature through the lens of the International Classification of Functioning, Disability and Health","volume":"46","author":"Rosenbaum","year":"2020","journal-title":"Child Care Health Dev."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"326","DOI":"10.1212\/01.wnl.0000252807.38124.a3","article-title":"How common are the \u201ccommon\u201d neurologic disorders?","volume":"68","author":"Hirtz","year":"2007","journal-title":"Neurology"},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"577","DOI":"10.4102\/ajod.v8i0.577","article-title":"Experiences of primary caregivers of children with cerebral palsy across the trajectory of diagnoses in Ghana","volume":"8","author":"Kyeremateng","year":"2019","journal-title":"Afr. J. Disabil."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"23","DOI":"10.1017\/S0317167100012634","article-title":"Growing up with cerebral palsy: Contemporary challenges of healthcare transition","volume":"39","author":"Oskoui","year":"2012","journal-title":"Can. J. Neurol. Sci. J. Can. Sci. Neurol."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"885","DOI":"10.1111\/dmcn.12246","article-title":"A systematic review of interventions for children with cerebral palsy: State of the evidence","volume":"55","author":"Novak","year":"2013","journal-title":"Dev. Med. Child. Neurol."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"130","DOI":"10.1080\/02739615.2011.564568","article-title":"Determinants of Needs of Families of Children and Youth with Cerebral Palsy","volume":"40","author":"Almasri","year":"2011","journal-title":"Child. Health Care"},{"key":"ref_13","first-page":"1","article-title":"Needs expressed by mothers and fathers of young children with disabilities","volume":"97","author":"Bailey","year":"1992","journal-title":"Am. J. Ment. Retard."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"111","DOI":"10.1207\/S15326888CHC3002_3","article-title":"Major Elements of Parents\u2019 Satisfaction and Dissatisfaction with Pediatric Rehabilitation Services","volume":"30","author":"King","year":"2001","journal-title":"Child. Health Care"},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1300\/J006v18n01_01","article-title":"Family-Centred Service","volume":"18","author":"Rosenbaum","year":"1998","journal-title":"Phys. Occup. Ther. Pediatr."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"e182","DOI":"10.1542\/peds.114.2.e182","article-title":"The health of primary caregivers of children with cerebral palsy: How does it compare with that of other Canadian caregivers?","volume":"114","author":"Brehaut","year":"2004","journal-title":"Pediatrics"},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"1254","DOI":"10.2105\/AJPH.2007.129817","article-title":"Health Among Caregivers of Children with Health Problems: Findings from a Canadian Population-Based Study","volume":"99","author":"Brehaut","year":"2009","journal-title":"Am. J. Public Health"},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"2308","DOI":"10.2105\/AJPH.2011.300298","article-title":"Changes Over Time in the Health of Caregivers of Children with Health Problems: Growth-Curve Findings from a 10-Year Canadian Population-Based Study","volume":"101","author":"Brehaut","year":"2011","journal-title":"Am. J. Public Health"},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"607","DOI":"10.1080\/09638280802242163","article-title":"The health and psychosocial functioning of caregivers of children with neurodevelopmental disorders","volume":"31","author":"Lach","year":"2009","journal-title":"Disabil. Rehabil."},{"key":"ref_20","doi-asserted-by":"crossref","unstructured":"Raina, P., O\u2019Donnell, M., Schwellnus, H., Rosenbaum, P., King, G., Brehaut, J., Russell, D., Swinton, M., King, S., and Wong, M. (2004). Caregiving process and caregiver burden: Conceptual models to guide research and practice. BMC Pediatr., 4.","DOI":"10.1186\/1471-2431-4-1"},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"41","DOI":"10.1111\/j.1365-2214.2010.01160.x","article-title":"Are family-centred principles, functional goal setting and transition planning evident in therapy services for children with cerebral palsy?","volume":"38","author":"Darrah","year":"2012","journal-title":"Child Care Health Dev."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"78","DOI":"10.1016\/j.spen.2004.01.009","article-title":"Family-centered service for children with cerebral palsy and their families: A review of the literature","volume":"11","author":"King","year":"2004","journal-title":"Semin. Pediatr. Neurol."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"74","DOI":"10.1111\/j.1369-7625.2005.00319.x","article-title":"Bridging the divide between families and health professionals\u2019 perspectives on family-centred care","volume":"8","author":"MacKean","year":"2005","journal-title":"Health Expect."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"454","DOI":"10.1111\/j.1365-2214.2008.00902.x","article-title":"Family-centred care and health-related quality of life of patients in paediatric neurosciences","volume":"35","author":"Moore","year":"2009","journal-title":"Child Care Health Dev."},{"key":"ref_25","doi-asserted-by":"crossref","unstructured":"Turnbull, A.P., Turbiville, V., and Turnbull, H.R. (2000). Evolution of family\u2013professional partnerships: Collective empowerment as the model for the early twenty-first century. Handbook of Early Childhood Intervention, Cambridge University Press. [2nd ed.].","DOI":"10.1017\/CBO9780511529320.029"},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"79","DOI":"10.1111\/j.1365-2214.2011.01305.x","article-title":"Two sides of the mirror: Parents\u2019 and service providers\u2019 view on the family-centredness of care for children with cerebral palsy","volume":"38","author":"Jeglinsky","year":"2012","journal-title":"Child Care Health Dev."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"593","DOI":"10.1111\/j.1365-2214.2006.00719.x","article-title":"Towards integrated paediatric services in the Netherlands: A survey of views and policies on collaboration in the care for children with cerebral palsy","volume":"33","author":"Nijhuis","year":"2007","journal-title":"Child Care Health Dev."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"1618","DOI":"10.1016\/j.apmr.2007.12.034","article-title":"Family-centered theory: Origins, development, barriers, and supports to implementation in rehabilitation medicine","volume":"89","author":"Bamm","year":"2008","journal-title":"Arch. Phys. Med. Rehabil."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"1184","DOI":"10.1016\/j.ijnurstu.2010.05.005","article-title":"Parents\u2019 and health professionals\u2019 perceptions of family centred care for children in hospital, in developed and developing countries: A review of the literature","volume":"47","author":"Foster","year":"2010","journal-title":"Int. J. Nurs. Stud."},{"key":"ref_30","unstructured":"Israel, G.D. (2023, July 06). Determining Sample Size. Available online: https:\/\/www.psycholosphere.com\/Determining%20sample%20size%20by%20Glen%20Israel.pdf."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"914","DOI":"10.1111\/dmcn.13797","article-title":"Children with cerebral palsy in Ghana: Malnutrition, feeding challenges, and caregiver quality of life","volume":"60","author":"Polack","year":"2018","journal-title":"Dev. Med. Child. Neurol."},{"key":"ref_32","doi-asserted-by":"crossref","unstructured":"Zuurmond, M., O\u2019Banion, D., Gladstone, M., Carsamar, S., Kerac, M., Baltussen, M., Tann, C., Nyante, G., and Polack, S. (2018). Evaluating the impact of a community-based parent training programme for children with cerebral palsy in Ghana. PLoS ONE, 13.","DOI":"10.1371\/journal.pone.0202096"},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"102","DOI":"10.1016\/j.infbeh.2012.10.003","article-title":"Do toddlers prefer the primary caregiver or the parent with whom they feel more secure? The role of toddler emotion","volume":"36","author":"Umemura","year":"2013","journal-title":"Infant. Behav. Dev."},{"key":"ref_34","unstructured":"USLEGAL (2023, May 22). Primary Caretaker Law and Legal Definition|USLegal, Inc. Available online: https:\/\/definitions.uslegal.com\/p\/primary-caretaker\/."},{"key":"ref_35","unstructured":"Calfee, C., Wittwer, F., and Meredith, M. (2023, May 22). Building A Full-Service School: A Step-by-Step Guide|Wiley. Available online: https:\/\/www.wiley.com\/en-us\/Building+A+Full+Service+School%3A+A+Step+by+Step+Guide+-p-9780787940584."},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"85","DOI":"10.1111\/j.1365-2214.2009.01030.x","article-title":"Family needs of parents of children and youth with cerebral palsy","volume":"36","author":"Palisano","year":"2010","journal-title":"Child Care Health Dev."},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"249","DOI":"10.1111\/j.1469-8749.2008.02045.x","article-title":"Development of the Gross Motor Function Classification System for cerebral palsy","volume":"50","author":"Rosenbaum","year":"2008","journal-title":"Dev. Med. Child. Neurol."},{"key":"ref_38","doi-asserted-by":"crossref","unstructured":"Fonzi, V., Sheriff, B., Dalglish, S., Anum, A., Agyei, E.D., Diggs, D., Eboigbe, L., Owusu, P.G., and Sakyi, K.S. (2021). The multifaceted care-seeking practices among caregivers of children with cerebral palsy: Perspectives from mothers and providers in Ghana. PLoS ONE, 16, Available online: https:\/\/journals.plos.org\/plosone\/article?id=10.1371\/journal.pone.0258650.","DOI":"10.1371\/journal.pone.0258650"},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"712","DOI":"10.1111\/apa.12240","article-title":"Sex differences in cerebral palsy incidence and functional ability: A total population study","volume":"102","author":"Chounti","year":"2013","journal-title":"Acta Paediatr."},{"key":"ref_40","unstructured":"Ghana Statistical Service (2023, April 20). Ghana Statistical Services, Available online: https:\/\/statsghana.gov.gh\/ghfactsheet.php."},{"key":"ref_41","unstructured":"Boychuck, Z. (2023, April 20). Creating the Content for Knowledge Translation Tools to Prompt Early Referral for Diagnostic Assessment and Rehabilitation Services for Children with Suspected Cerebral Palsy. Available online: https:\/\/escholarship.mcgill.ca\/concern\/theses\/p8418s53z."},{"key":"ref_42","doi-asserted-by":"crossref","unstructured":"Nordin, M.N.A., Shan, H.E., and Zanudin, A. (2019). The Unmet Needs of Parents of Highly Dependent Children with Cerebral Palsy. Int. J. Environ. Res. Public Health, 16, Available online: https:\/\/www.mdpi.com\/1660-4601\/16\/24\/5145.","DOI":"10.3390\/ijerph16245145"},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"86","DOI":"10.1111\/j.1744-6155.2008.00176.x","article-title":"Family needs assessment in cerebral palsy clinic","volume":"14","author":"Buran","year":"2009","journal-title":"J. Spec. Pediatr. Nurs."},{"key":"ref_44","first-page":"320","article-title":"Assessment of Family Environment and Needs of Families Who Have Children with Cerebral Palsy","volume":"61","author":"Saygi","year":"2015","journal-title":"T\u00fcrkiye Fiz Tip Ve Rehabil. Derg"},{"key":"ref_45","first-page":"35","article-title":"Sorrow, coping and resiliency: Parents of children with cerebral palsy share their experiences","volume":"20","author":"Whittingham","year":"2012","journal-title":"Disabil. Rehabil."},{"key":"ref_46","doi-asserted-by":"crossref","first-page":"757","DOI":"10.3109\/09638288.2016.1161837","article-title":"Fatigue in the mothers of children with cerebral palsy","volume":"39","author":"Garip","year":"2017","journal-title":"Disabil. Rehabil."},{"key":"ref_47","first-page":"265","article-title":"Assessment of family needs of children with cerebral palsy in Northern-Nigeria: A cross-sectional study","volume":"14","author":"Umar","year":"2021","journal-title":"J. Pediatr. Rehabil. Med."},{"key":"ref_48","doi-asserted-by":"crossref","first-page":"45","DOI":"10.1111\/cch.12618","article-title":"A support programme for caregivers of children with disabilities in Ghana: Understanding the impact on the wellbeing of caregivers","volume":"45","author":"Zuurmond","year":"2019","journal-title":"Child Care Health Dev."},{"key":"ref_49","doi-asserted-by":"crossref","first-page":"762","DOI":"10.1111\/j.1365-2648.1990.tb01904.x","article-title":"Long-term follow-up study of cerebral palsy children and coping behaviour of parents","volume":"15","author":"Hirose","year":"1990","journal-title":"J. Adv. Nurs."},{"key":"ref_50","doi-asserted-by":"crossref","first-page":"263","DOI":"10.1093\/jpepsy\/22.2.263","article-title":"Ethnographic detection and description of family strategies for child care: Applications to the study of cerebral palsy","volume":"22","author":"Weiss","year":"1997","journal-title":"J. Pediatr. Psychol."},{"key":"ref_51","doi-asserted-by":"crossref","first-page":"71","DOI":"10.1111\/j.1365-2214.2008.00891.x","article-title":"Maternal parenting stress and its correlates in families with a young child with cerebral palsy","volume":"35","author":"Glenn","year":"2009","journal-title":"Child Care Health Dev."},{"key":"ref_52","doi-asserted-by":"crossref","first-page":"35","DOI":"10.1080\/20473869.2019.1573572","article-title":"\u2018There is family tension, but they understand\u2026\u2019: Familial and sibling relationships following the diagnosis of cerebral palsy in children in Ghana","volume":"68","author":"Dogbe","year":"2022","journal-title":"Int. J. Dev. Disabil."},{"key":"ref_53","doi-asserted-by":"crossref","first-page":"285","DOI":"10.1111\/j.1365-2206.2004.00311.x","article-title":"In search of perfect motherhood for imperfect childhood\u2014Experiences of 22 Chinese mothers","volume":"9","author":"Pun","year":"2004","journal-title":"Child Fam. Soc. Work"},{"key":"ref_54","unstructured":"The World Bank (2023, March 18). Fact Sheet: An Adjustment to Global Poverty Lines World Bank. Available online: https:\/\/www.worldbank.org\/en\/news\/factsheet\/2022\/05\/02\/fact-sheet-an-adjustment-to-global-poverty-lines."},{"key":"ref_55","unstructured":"Lukemeyer, A., Meyers, M.K., and Smeeding, T.M. (1997). Expensive Children in Poor Families: Out-of-Pocket Expenditures for the Care of Disabled and Chronically Ill Children and Welfare Reform, Center for Policy Research, Syracuse University."},{"key":"ref_56","doi-asserted-by":"crossref","first-page":"36","DOI":"10.1111\/cch.12624","article-title":"Needs of families of children with cerebral palsy in Bangladesh: A qualitative study","volume":"45","author":"Nuri","year":"2019","journal-title":"Child Care Health Dev."},{"key":"ref_57","doi-asserted-by":"crossref","first-page":"2374","DOI":"10.3109\/09638288.2015.1129451","article-title":"Child characteristics, caregiver characteristics, and environmental factors affecting the quality of life of caregivers of children with cerebral palsy","volume":"38","author":"Tseng","year":"2016","journal-title":"Disabil. Rehabil."},{"key":"ref_58","doi-asserted-by":"crossref","unstructured":"Tette, E.M.A., Sifah, E.K., Nartey, E.T., Nuro-Ameyaw, P., Tete-Donkor, P., and Biritwum, R.B. (2016). Maternal profiles and social determinants of malnutrition and the MDGs: What have we learnt?. BMC Public Health, 16.","DOI":"10.1186\/s12889-016-2853-z"},{"key":"ref_59","doi-asserted-by":"crossref","first-page":"47","DOI":"10.1186\/s12939-019-0927-0","article-title":"\u201cLet\u2019s talk about money\u201d: How do poor older people finance their healthcare in rural Ghana? A qualitative study","volume":"18","author":"Peprah","year":"2019","journal-title":"Int. J. Equity Health"},{"key":"ref_60","doi-asserted-by":"crossref","first-page":"1901379","DOI":"10.1080\/2331205X.2021.1901379","article-title":"Prevalence of health insurance enrolment and associated factors among persons with disabilities in Ghana","volume":"8","author":"Wiredu","year":"2021","journal-title":"Cogent Med."},{"key":"ref_61","doi-asserted-by":"crossref","first-page":"201","DOI":"10.1177\/019394599001200206","article-title":"Development of the family needs assessment tool","volume":"12","author":"Rawlins","year":"1990","journal-title":"West. J. Nurs. Res."},{"key":"ref_62","doi-asserted-by":"crossref","first-page":"8","DOI":"10.1177\/1367493505049643","article-title":"Parental responses to health care services for children with chronic conditions and their families: A comparison between Hong Kong and Scotland","volume":"9","author":"Fawcett","year":"2005","journal-title":"J. Child. Health Care Prof. Work Child. Hosp. Community"},{"key":"ref_63","doi-asserted-by":"crossref","first-page":"1607","DOI":"10.1542\/peds.2006-0383","article-title":"Achieving family and provider partnerships for children with special health care needs","volume":"118","author":"Denboba","year":"2006","journal-title":"Pediatrics"},{"key":"ref_64","doi-asserted-by":"crossref","first-page":"649","DOI":"10.1542\/peds.2004-0647","article-title":"Comprehensive primary care for children with special health care needs in rural areas","volume":"116","author":"Farmer","year":"2005","journal-title":"Pediatrics"},{"key":"ref_65","doi-asserted-by":"crossref","first-page":"1555","DOI":"10.1177\/0883073811420601","article-title":"Child neurology services in Africa","volume":"26","author":"Wilmshurst","year":"2011","journal-title":"J. Child. Neurol."},{"key":"ref_66","doi-asserted-by":"crossref","first-page":"2622310","DOI":"10.1155\/2022\/2622310","article-title":"A Review on Recent Advances of Cerebral Palsy","volume":"2022","author":"Paul","year":"2022","journal-title":"Oxid. Med. Cell. Longev."}],"container-title":["Children"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2227-9067\/10\/8\/1313\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T20:22:23Z","timestamp":1760127743000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2227-9067\/10\/8\/1313"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,7,29]]},"references-count":66,"journal-issue":{"issue":"8","published-online":{"date-parts":[[2023,8]]}},"alternative-id":["children10081313"],"URL":"https:\/\/doi.org\/10.3390\/children10081313","relation":{},"ISSN":["2227-9067"],"issn-type":[{"value":"2227-9067","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,7,29]]}}}