“…They were just treating her Symptom by Symptom”: maternal experiences of having a child with spinal muscular atrophy in Ghana

Abstract Background Children with Spinal Muscular Atrophy (SMA) face the challenges of a rare condition impacting their motor neurons, placing substantial caregiving burdens on their mothers. Despite being primary caregivers, mothers of children with SMA in Ghana often find their voices unheard, wit...

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Main Authors: Esther Doe-Yo Tawiah, Jacob Owusu Sarfo
Format: Article
Language:English
Published: BMC 2025-02-01
Series:BMC Palliative Care
Subjects:
Online Access:https://doi.org/10.1186/s12904-025-01651-3
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author Esther Doe-Yo Tawiah
Jacob Owusu Sarfo
author_facet Esther Doe-Yo Tawiah
Jacob Owusu Sarfo
author_sort Esther Doe-Yo Tawiah
collection DOAJ
description Abstract Background Children with Spinal Muscular Atrophy (SMA) face the challenges of a rare condition impacting their motor neurons, placing substantial caregiving burdens on their mothers. Despite being primary caregivers, mothers of children with SMA in Ghana often find their voices unheard, with restricted access to vital interventions like counselling, support groups, and respite care designed to aid them. This study aimed to explore the experiences of mothers caring for children with SMA in Ghana, where the diagnosis is often delayed and support systems are limited. Methods We conducted an interpretative phenomenological study with a purposive sample of seven mothers whose children, aged between 8 and 24 months, were diagnosed with Spinal Muscular Atrophy (SMA) and registered with the Rare Disease Ghana Initiative (RDGI). Individual interviews were conducted between August and September 2023 using semi-structured interview guides. The data were manually analysed using a pen-and-paper method. The study adhered to ethical guidelines, including informed consent procedures and confidentiality measures to protect participants’ rights and privacy. Results This study explored mothers’ experiences caring for children with SMA, revealing a spectrum of challenges that impact their physical, emotional, spiritual, and social well-being. The findings identified five dominant themes and thirteen subcategories, encompassing issues such as sleep deprivation, mental health concerns, emotional turmoil, practical difficulties, and social isolation. It was also found that mothers tend to have a deep connection to their faith and a sense of closeness to God during challenging times, which provides them with strength and comfort. This collectively identifies the difficult journey of these mothers as they seek diagnosis and treatment for their children. Conclusion The study identified challenges faced by mothers in caring for their children with SMA. These challenges are reported to significantly impact their physical, psychological, social, and spiritual well-being. To support these mothers effectively, it is recommended that the Ministry of Health, Ghana Health Service, healthcare professionals, policymakers, and non-governmental organisations in Ghana should consider community engagement and education, integration of spiritual care, and psychosocial support programmes.
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spelling doaj-art-4c96161436dd434b9746c92b0dfdb7762025-02-02T12:47:41ZengBMCBMC Palliative Care1472-684X2025-02-0124111010.1186/s12904-025-01651-3“…They were just treating her Symptom by Symptom”: maternal experiences of having a child with spinal muscular atrophy in GhanaEsther Doe-Yo Tawiah0Jacob Owusu Sarfo1Department of Education and Psychology, University of Cape CoastDepartment of Health, Physical Education and Recreation, University of Cape CoastAbstract Background Children with Spinal Muscular Atrophy (SMA) face the challenges of a rare condition impacting their motor neurons, placing substantial caregiving burdens on their mothers. Despite being primary caregivers, mothers of children with SMA in Ghana often find their voices unheard, with restricted access to vital interventions like counselling, support groups, and respite care designed to aid them. This study aimed to explore the experiences of mothers caring for children with SMA in Ghana, where the diagnosis is often delayed and support systems are limited. Methods We conducted an interpretative phenomenological study with a purposive sample of seven mothers whose children, aged between 8 and 24 months, were diagnosed with Spinal Muscular Atrophy (SMA) and registered with the Rare Disease Ghana Initiative (RDGI). Individual interviews were conducted between August and September 2023 using semi-structured interview guides. The data were manually analysed using a pen-and-paper method. The study adhered to ethical guidelines, including informed consent procedures and confidentiality measures to protect participants’ rights and privacy. Results This study explored mothers’ experiences caring for children with SMA, revealing a spectrum of challenges that impact their physical, emotional, spiritual, and social well-being. The findings identified five dominant themes and thirteen subcategories, encompassing issues such as sleep deprivation, mental health concerns, emotional turmoil, practical difficulties, and social isolation. It was also found that mothers tend to have a deep connection to their faith and a sense of closeness to God during challenging times, which provides them with strength and comfort. This collectively identifies the difficult journey of these mothers as they seek diagnosis and treatment for their children. Conclusion The study identified challenges faced by mothers in caring for their children with SMA. These challenges are reported to significantly impact their physical, psychological, social, and spiritual well-being. To support these mothers effectively, it is recommended that the Ministry of Health, Ghana Health Service, healthcare professionals, policymakers, and non-governmental organisations in Ghana should consider community engagement and education, integration of spiritual care, and psychosocial support programmes.https://doi.org/10.1186/s12904-025-01651-3Spinal muscular atrophyExperiencesMothersBiopsychosocial-spiritual modelGhana
spellingShingle Esther Doe-Yo Tawiah
Jacob Owusu Sarfo
“…They were just treating her Symptom by Symptom”: maternal experiences of having a child with spinal muscular atrophy in Ghana
BMC Palliative Care
Spinal muscular atrophy
Experiences
Mothers
Biopsychosocial-spiritual model
Ghana
title “…They were just treating her Symptom by Symptom”: maternal experiences of having a child with spinal muscular atrophy in Ghana
title_full “…They were just treating her Symptom by Symptom”: maternal experiences of having a child with spinal muscular atrophy in Ghana
title_fullStr “…They were just treating her Symptom by Symptom”: maternal experiences of having a child with spinal muscular atrophy in Ghana
title_full_unstemmed “…They were just treating her Symptom by Symptom”: maternal experiences of having a child with spinal muscular atrophy in Ghana
title_short “…They were just treating her Symptom by Symptom”: maternal experiences of having a child with spinal muscular atrophy in Ghana
title_sort they were just treating her symptom by symptom maternal experiences of having a child with spinal muscular atrophy in ghana
topic Spinal muscular atrophy
Experiences
Mothers
Biopsychosocial-spiritual model
Ghana
url https://doi.org/10.1186/s12904-025-01651-3
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