Motivators for family carers of persons with dementia in Kenya

Author:

Musyimi Christine W.1ORCID,Muyela Levi A.1,Ndetei David M.12,Thakya Diana1,Mutiso Victoria N.1,Mutunga Elizabeth3,Evans‐Lacko Sara4,Farina Nicolas5ORCID

Affiliation:

1. Africa Mental Health Research and Training Foundation Nairobi Kenya

2. University of Nairobi Nairobi Kenya

3. Alzheimers' and Dementia Organization Nairobi Kenya

4. London School of Economics and Political Sciences London UK

5. University of Plymouth Plymouth UK

Abstract

AbstractObjectivesThe number of people with dementia is on the rise in Kenya and across Africa. Although family carers act as the main providers of dementia care in Kenya, there is still a significant knowledge gap regarding why family members care for someone with dementia. This study explores perceived drivers of care for people with dementia in a rural Kenyan context.MethodsParticipants were recruited in Makueni County, Kenya. Primary data were derived from a focus group discussion (FGD) and five individual interviews with family carers of people with dementia. To complement interpretation, triangulation occurred through using data from FGDs with healthcare workers and members of the general public. All audio recordings were transcribed verbatim and inductive thematic analysis performed using NVIVO 12.ResultsUsing the Positioning Theory, we sought to generate information pertaining to motivation for becoming a family carer. Five themes emerged from the analysis and included: (i) self‐fulfillment, (ii) familial obligation, (iii) cultural and religious beliefs, (iv) reciprocity, and (v) societal pressures. These themes described the nature of care given to people with dementia, based on what the participants perceived as compelling and/or motivating factors.ConclusionsOur findings describe the unique motivators of family carers for people with dementia in Kenya. The ability to find meaning in the caregiving experience could contribute to development of effective support systems, interventions and policies for dementia carers with the aim of improving the overall quality of dementia care in Kenya.

Publisher

Wiley

Reference42 articles.

1. PrinceM WimoA GuerchetM AliGC WuYT PrinaM.The global impact of dementia: an analysis of prevalence incidence cost and trends. World Alzheimer Report.2015;84.

2. Health care experiences of people with dementia and their caregivers: a meta-ethnographic analysis of qualitative studies

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