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A qualitative study into the advocacy and activism of carers of adolescents with Down Syndrome in Oshana, Namibia

Background: Down Syndrome (DS) is a chromosomal defect known to cause intellectual disability. Adolescents with DS may need to live with their families beyond the transition period into adulthood because they require lifelong care due to the disabling consequences of the genetic condition. Evidence...

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Main Author: Kambowe, Hannah
Other Authors: Duncan, Madeleine
Format: Thesis
Language:English
Published: Department of Health and Rehabilitation Sciences 2020
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access_status_str Open Access
author Kambowe, Hannah
author2 Duncan, Madeleine
author_browse Duncan, Madeleine
Kambowe, Hannah
author_facet Duncan, Madeleine
Kambowe, Hannah
author_sort Kambowe, Hannah
collection Thesis
description Background: Down Syndrome (DS) is a chromosomal defect known to cause intellectual disability. Adolescents with DS may need to live with their families beyond the transition period into adulthood because they require lifelong care due to the disabling consequences of the genetic condition. Evidence is lacking about the actions that carers in remote rural communities are taking to enhance the rights of their adolescents with DS as enshrined in the United Nations Convention on the Rights of Persons with Disabilities (CRPD). Aim: To describe the advocacy and activism actions of carers that promote the disability rights of adolescents with DS. Objectives: To describe carers’ understanding of 'activism’ in relation to the needs of adolescents with DS; to explore what actions carers are engaging with in order to promote participation and equal opportunities for social inclusion of adolescents with DS; to describe barriers encountered and strategies used and to describe carers’ advocacy priority list for social inclusion of adolescents with DS. Methodology: A descriptive qualitative approach was used where three carers told their stories of activism and advocacy actions through a semi-structured in-depth interview method. Their stories were audio-recorded, transcribed into textual form and an inductive data analysis followed a framework approach guided by the research aims. Findings: One overriding theme Puuyelele (bringing adolescents with DS into the open) emerged with four categories: namely, “Speaking for and acting on behalf of adolescents with DS”, “Enabling a continuous enlightening process”, “Ensuring ongoing care and services” and “Raising public awareness on human rights of adolescents with DS”. Discussion: Three concepts about DS advocacy and activism for adolescents with DS formed the discussion; first, it is a strategic process requiring togetherness, courage and perseverance; second, it proceeds from vigilant care-giving and service provision and, lastly, it requires rising of human rights awareness. Conclusion: A strategic and contextualised DS advocacy and activism process such as Puuyelele requires human rights awareness and emerges from vigilant care that enhances community participation and social inclusion of adolescents with DS. The process creates a possible and realistic conceptual framework for further strengthening of disability-inclusive development initiatives in Namibia.
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language eng
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license_str Not specified — see source repository
provenance_str_mv Harvested via OAI-PMH from UCTD — University of Cape Town Open Access Repository
publishDate 2020
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spelling oai:open.uct.ac.za:11427/31463 A qualitative study into the advocacy and activism of carers of adolescents with Down Syndrome in Oshana, Namibia Kambowe, Hannah Duncan, Madeleine Mckenzie, Judith Carers Down Syndrome Adolescents Activism Advocacy Social inclusion Background: Down Syndrome (DS) is a chromosomal defect known to cause intellectual disability. Adolescents with DS may need to live with their families beyond the transition period into adulthood because they require lifelong care due to the disabling consequences of the genetic condition. Evidence is lacking about the actions that carers in remote rural communities are taking to enhance the rights of their adolescents with DS as enshrined in the United Nations Convention on the Rights of Persons with Disabilities (CRPD). Aim: To describe the advocacy and activism actions of carers that promote the disability rights of adolescents with DS. Objectives: To describe carers’ understanding of 'activism’ in relation to the needs of adolescents with DS; to explore what actions carers are engaging with in order to promote participation and equal opportunities for social inclusion of adolescents with DS; to describe barriers encountered and strategies used and to describe carers’ advocacy priority list for social inclusion of adolescents with DS. Methodology: A descriptive qualitative approach was used where three carers told their stories of activism and advocacy actions through a semi-structured in-depth interview method. Their stories were audio-recorded, transcribed into textual form and an inductive data analysis followed a framework approach guided by the research aims. Findings: One overriding theme Puuyelele (bringing adolescents with DS into the open) emerged with four categories: namely, “Speaking for and acting on behalf of adolescents with DS”, “Enabling a continuous enlightening process”, “Ensuring ongoing care and services” and “Raising public awareness on human rights of adolescents with DS”. Discussion: Three concepts about DS advocacy and activism for adolescents with DS formed the discussion; first, it is a strategic process requiring togetherness, courage and perseverance; second, it proceeds from vigilant care-giving and service provision and, lastly, it requires rising of human rights awareness. Conclusion: A strategic and contextualised DS advocacy and activism process such as Puuyelele requires human rights awareness and emerges from vigilant care that enhances community participation and social inclusion of adolescents with DS. The process creates a possible and realistic conceptual framework for further strengthening of disability-inclusive development initiatives in Namibia. 2020-03-04T08:15:48Z 2020-03-04T08:15:48Z 2019 2020-03-02T13:46:03Z Master Thesis Masters MSc http://hdl.handle.net/11427/31463 eng application/pdf Department of Health and Rehabilitation Sciences Faculty of Health Sciences
spellingShingle Carers
Down Syndrome
Adolescents
Activism
Advocacy
Social inclusion
Kambowe, Hannah
A qualitative study into the advocacy and activism of carers of adolescents with Down Syndrome in Oshana, Namibia
thesis_degree_str Master's
title A qualitative study into the advocacy and activism of carers of adolescents with Down Syndrome in Oshana, Namibia
title_full A qualitative study into the advocacy and activism of carers of adolescents with Down Syndrome in Oshana, Namibia
title_fullStr A qualitative study into the advocacy and activism of carers of adolescents with Down Syndrome in Oshana, Namibia
title_full_unstemmed A qualitative study into the advocacy and activism of carers of adolescents with Down Syndrome in Oshana, Namibia
title_short A qualitative study into the advocacy and activism of carers of adolescents with Down Syndrome in Oshana, Namibia
title_sort qualitative study into the advocacy and activism of carers of adolescents with down syndrome in oshana namibia
topic Carers
Down Syndrome
Adolescents
Activism
Advocacy
Social inclusion
url http://hdl.handle.net/11427/31463
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