EC Paediatrics

We have assessed the management of ADHD in Southern Africa as well as the serviced that are available for such children. We report that the management of ADHD in southern Africa is deficient no adequate attention is being given to the condition in the majority of the southern African states. Furthermore, ADHD it is under-reported and undertreated in low- income settings. Most articles were about the effectiveness of educators managing ADHD in the classroom. A need for on- going support and training of educators on the management of children with ADHD was highlighted. The medication and other treatment modalities offered by different health professionals who manage ADHD were discussed. However, the information on how some health professionals manage ADHD was limited, for example, the management of ADHD by occupational therapists and psychologists. There was also limited information on how parents were managing their children with ADHD and further research is required to provide insight into this. We conclude that, further studies are required in Southern Africa regarding the management of ADHD in order to improve the welfare of children with ADHD and provide more effective and contextually relevant care.

Keywords: Management of ADHD; Southern Africa; Children

1. Bai GN., et al. “Effectiveness of a focused, brief psychoeducation program for parents of ADHD children: improvement of medication adherence and symptoms”. Neuropsychiatric Disease and Treatment 11 (2015): 2721.
2. Topkin B and Roman NV. “Attention Deficit Disorder (ADHD): Primary school teachers’ knowledge of symptoms, treatment and managing classroom behaviour”. South African Journal of Education2 (2015): 988.
3. Nel R. Classroom management of attention-deficit-hyperactivity disorder (ADHD) in learners in the Lejweleputswa district (Doctoral dissertation, Welkom: Central University of Technology, Free State).
4. Amod Z., et al. “Attention-Deficit/Hyperactivity Disorder (ADHD) as a barrier to learning and development within the South African context: The perspective of teachers”. Intech Publishers: Rijeka, Croatia (2013).
5. Patel A and Parikh J. Prevalence of Attention Deficit Hyperactivity Disorder- ADHD among Young Adults- An Observational Study.
6. Vogel D. “An update on Attention Deficit and hyperactivity Disorder (ADHD)”. South African Medical Journal1 (2014): 72.
7. Lola HM., et al. “Attention deficit hyperactivity disorder (ADHD) among children aged 6 to 17 years old living in Girja District, Rural Ethiopia”. Behavioural Neurology (2019).
8. Ntiakoh-Ayipah D., et al. “Prevalence of attention deficit hyperactivity disorder among pupils in primary schools in Ghana”. Journal of International Special Needs Education2 (2020): 69-78.
9. Stockigt G. The exploration of the management strategies used by educators working with learners presenting with Attention Deficit Hyperactivity Disorder (ADHD) symptoms in mainstream schools in the Western Cape.
10. Maema EK. Grade three teachers' experiences of learners perceived to have ADHD in Soweto mainstream primary schools (Doctoral dissertation).
11. Braude S and Dwarika V. “Teachers' experiences of supporting learners with attention-deficit hyperactivity disorder: Lessons for professional development of teachers”. South African Journal of Childhood Education1 (2020): 1.
12. Achilike BA and Achilike CC. “Identification and Diagnosis of ADHD among Primary School Children in Ebonyi State Southeast Nigeria: Implications for Effective Classroom Management/Interventions”. Journal of Education Policy and entrepreneurial Research4 (2016): 92-95.
13. Perold H., et al. “Primary school teachers’ knowledge and misperceptions of attention deficit hyperactivity disorder (ADHD)”. South African Journal of Education3 (2010).
14. Ojionuka AN. “Nigerian Educators”. Attention Deficit Hyperactivity Disorder Knowledge and Classroom Behavior Management Practices (Doctoral dissertation, Walden University).
15. Ndukuba AC., et al. “Symptoms of Attention Deficit Hyperactivity Disorder (ADHD) among Rural Primary School Children in Southeastern Nigeria: Comparison of School and Home Settings”. Nigerian Journal of Paediatrics4 (2015): 329-334.
16. De Jongh M., et al. “The piloting of a specific support programme for Grade R teachers on attention deficit hyperactivity disorder: The process of development”. South African Journal of Communication Disorders1 (2019): 1-9.
17. Mohammed FA. “Teachers Reaction to a Tailored Incredible Years Classroom Management Programme for Children with ADHD Symptoms in Addis Ababa”. International Journal of Contemporary Education1 (2019): 58-71.
18. Vrba K. A clinical audit of the management of ADHD in children and adolescents and comparison between two treatment sites in Cape Town (Master's thesis, Faculty of Health Sciences).
19. Nyachuba DA. The Attitudes of Healthcare Workers Towards ADHD in Kenya.
20. Oettle JA. The pharmacotherapeutic treatment of attention-deficit/hyperactivity disorder (ADHD) in children and adolescents (Doctoral dissertation).
21. Schellack N andd Meyer H. “The management of attention deficit-hyperactivity disorder in children: evidence-based pharmacy practice”. SA Pharmaceutical Journal10 (2012): 12-20.
22. Cockcroft K., et al. “Sleep and daytime sleepiness in methylphenidate medicated and un-medicated children with attention-deficit/hyperactivity disorder (ADHD)”. African Journal of Psychiatry4 (2009).
23. Medina M. “The perception and management of ADD/ ADHD by homeopathic practitioners in Kwazulu- Natal”. Masters dissertation: Durban University of Technology (2012).
24. Seabi J and Economou NA. “Understanding the distracted and the disinhibited: experiences of adolescents diagnosed with ADHD within the South African context”. Contemporary Trends in ADHD Research 15 (2012): 165-182.
25. Auvin S., et al. “Systematic review of the screening, diagnosis, and management of ADHD in children with epilepsy. Consensus paper of the Task Force on Comorbidities of the ILAE Pediatric Commission”. Epilepsia 10 (2018): 1867-1880.
26. Mpango RS., et al. “Prevalence and correlates for ADHD and relation with social and academic functioning among children and adolescents with HIV/AIDS in Uganda”. BMC Psychiatry1 (2017): 1-8.
27. Braude S and Dwarika V. “Teachers' experiences of supporting learners with attention-deficit hyperactivity disorder: Lessons for professional development of teachers”. South African Journal of Childhood Education.
28. Mofokeng M and Van der Wath AE. “Challenges experienced by parents living with a child with attention deficit hyperactivity disorder”. Journal of Child and Adolescent Mental Health2 (2017): 137.
29. Gomes AM. A supplementary coping skills programme for parents of children diagnosed with attention deficit hyperactivity disorder.
30. Sundarlall R., et al. “The functioning and behaviour of biological parents of children diagnosed with attention-deficit/hyperactivity disorder, attending the outpatient department at Weskoppies Hospital, Pretoria”. South African Journal of Psychiatry1 (2016).