Assessment Of School Performance And Associated Factors Of Children With Congenital Heart Disease Attending Tikur Anbessa Specialized Hospital Pediatrics Cardiac Clinic Addis Ababa, Ethiopia 2024.
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Date
2024-03
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Addis Ababa University
Abstract
Background: The condition is known as a congenital heart defect (CHD) occurs when heart or the
blood arteries surrounding it don't grow normally before birth. Biological and environmental risk
factors contribute to the neurodevelopmental morbidity risk in children with congenital heart disease.
The risk can be higher in setting like ours where timely surgical correction palliation and Periodic
developmental surveillance, screening, evaluation and interventions guidelines lacks. In our setup the
magnitude of the impact that heart disease has on school performance has never been estimated
Objective: To determine school performance of children with congenital heart disease who are on
follow up at TASH paediatrics cardiac clinic. Method: The study was a hospital based cross-sectional
study conducted between September 2023 to January 2024 .For those willing participants structured
questionnaire was administered to collect data. There were three sections to the questionnaire. The
first section included basic demographic data. Inquiries to evaluate the child's medical status were
included in the second section. Seven questions made up the third section, which evaluated the child's
academic performance. After being examined and cleaned, the data was encoded into SPSS version
27.0 for analysis. Finally, the study result will be disseminated to each concerned body.
Result: 140 children with CHD was participated .There were 65(46.4%)) males and 75 (63.6%) were
females .the commonest non -cyanotic CHD was VSD and cyanotic lesion was TOF. Surgical
correction were done for 33(23.6%). The rate drop out school withdrawal of children with congenital
heart disease was 15.7 % (22 of 140) and 12.1% (17 /140) of students respectively. 48 (34.3%) of the
subjects had a record of greater than 10 days of school absentee, The mean of the average score and
SD of the participant in the past academic year was 74.65 ± 13.25 with 95% CI [72.34-76.96].
multiple ordinal logistic analyses showed that malnutrition and low maternal educational level were
negatively associated school performance while few absent days and symptomatic treatment are
positively related .But type of sex, CHD ,surgical correction, socio-economic level of the family show
no relation with school performance
Conclusion: The rate of drop out of school among children with CHD at TASH can be higher than the
healthy children. The average of score of children with CHD is above satisfactory. Higher absent days
as a result heart disease related symptoms malnutrition and low maternal education negatively affect
the school performance of children with CHD.
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Keywords
Congenital Heart Disease, School Performance Maternal Education, Malnutrition