Barriers in the management of childhood asthma: what care giver thinks about long term controller medication?
Abstract
Introduction: Asthma is the most common, chronic lower respiratory disease in childhood. Despite of the several guidelines and/or consensus documents available to support medical decisions to paediatric asthma; there are little updates available on the barriers’ to childhood asthma care among communities.
Objectives: We aimed to determine social barriers to the management of childhood asthma.
Methods: This was a qualitative, cross-sectional hospital based study in children aged between 1-15 years.
Results: total 423 children with asthma were recruited from July 2014 to July 2016.out of them 126(29.78%) had mild intermittent, 190(44.91%) had mild persistent, 73(17.25%) had moderate persistent and 32(7.56%) had severe persistent asthma. In all persistent asthma cases long term controller medication was prescribed in which only 186(62.62%) accepted long term controller, while 111(37.37%) patients did not. Reasons for non-acceptance of long term controller medication in new cases were of financial constraints 25(22.52%), fear of dependency of controller medication 23(20.72%),fear ofside effect 17(15.31%), social stigma of inhalational device 15(13.51%), more preference to cough syrup 31(27.97%).
Conclusion: A large numbers of barriers existed in the management of childhood asthma which has a bad impact on the patients and their families.
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