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Journal of Tropical Pediatrics Advance Access published online on August 10, 2009
Journal of Tropical Pediatrics, doi:10.1093/tropej/fmp071
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© The Author [2009]. Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org

Participation in a Parent Education Programme in the Dominican Republic: Utilization and Barriers

A. C. Farrelly and J. D. McLennan

Community Health Sciences, University of Calgary, Canada

Correspondence: A. C. Farrelly, Community Health Sciences, University of Calgary, 3330 Hospital Drive NW, Calgary, Alberta, Canada, T2N 4M1. E-mail: <acfarrel{at}ucalgary.ca>.


  Abstract

There has been a limited assessment of the extent of participation in parent education programmes and the factors influencing attendance. This is particularly the case for low- and middle-income countries. Experiences with an eight-session education programme offered to caregivers of malnourished children in the Dominican Republic were examined. Overall, 57% of a total of 143 caregivers completed more than half of the programme. This value increased from 41% to 79% following a midstream change in service delivery, which entailed concentrating the programme into a shorter period of time and pairing it with a more intensive child nutrition component. Other hypothesized variables did not predict attendance. Key barriers to attendance identified in qualitative interviews included lack of money for transportation, lack of an acceptable babysitter for other children and competing demands on the caregivers’ time. Efforts to eliminate caregiver identified barriers may improve participation levels.

Key Words: health education • parents • developing countries • consumer participation • barriers


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