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Mental healthcare providers’ views on working with children with autism spectrum disorder in Uganda

Fri, April 9, 12:55 to 1:55pm EDT (12:55 to 1:55pm EDT), Virtual

Abstract

Background: Autism spectrum disorder (ASD) is a common developmental disorder with poorer outcomes in low-resource countries such as Uganda. However, diagnosis and management of this disorder remain poorly understood in many low-income African countries. To date, no published study has examined how early childhood mental healthcare providers currently approach diagnosis and treatment of ASD in Uganda. This study explored the experiences of clinicians working with children with ASD and their families to identify issues or areas in need of improvement.

Methods: Semi-structured qualitative interviews with individual clinicians (n=6) were conducted and explored using thematic analysis.

Results: The findings suggest that many clinicians lack the expertise and resources to diagnose and treat behavioural problems experienced by children with ASD. At present, diagnosis and management are based on previous experiences of clinicians rather than evidence-based, systematic clinical approach. Clinicians also reported that most families of children with ASD have limited understanding about the disorder and its treatments.

Conclusion: Further research is required to examine effective capacity building programmes for clinicians and to empirically assess potentially relevant screening, diagnostic and intervention approaches that can be implemented to improve services for children with ASD and their families.

Keywords: autism spectrum disorder, mental health workers, qualitative interviews, East Africa

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