Improving family functioning and wellbeing among families of children with disabilities in Rwanda: an application of the SAFE child protection model - Report - MDSpire
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Enhancing Family Dynamics and Wellbeing in Rwandan Families with Disabled Children: Utilizing the SAFE Child Protection Framework

  • By

  • Alain Ahishakiye

  • Hannah Gilbert

  • Leila Dal Santo

  • Ann Miller

  • M. C. Smith Fawzi

  • Cat Kirk

  • Candace J. Black

  • Wijnand Van Den Boom

  • Mukeshimana Verena

  • Roberto Baiocco

  • Sarah K. G. Jensen

  • Kim Wilson

  • Vincent Sezibera

  • Theresa S. Betancourt

  • September 14, 2026

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Clinical Report: Enhancing Family Dynamics and Wellbeing in Rwandan Families

Overview

This study explores the challenges faced by Rwandan families raising children with disabilities and identifies key factors affecting family functioning and caregiver wellbeing. Utilizing the SAFE child protection framework, the research highlights threats to child safety.

Background

Families caring for children with disabilities in low-resource settings like Rwanda face significant challenges that impact their overall functioning and wellbeing. These challenges include psychological, financial, and social constraints, which can exacerbate caregiver stress and hinder child development.

Data Highlights

No numerical data presented in the source material.

Key Findings

  • Four categories of threats to child safety were identified: safety from harm, access to basic needs, family connections, and education/economic security.
  • Caregiver mental health issues and stigma associated with disabilities were significant concerns affecting family dynamics.
  • Single-parent households faced unique challenges, including inadequate support and increased social isolation.
  • Financial strain related to healthcare and disability-related expenses was prevalent among families.
  • The Rwandan government is committed to upholding the rights of children with disabilities through progressive reforms.

Clinical Implications

Healthcare professionals should consider the socioecological factors affecting families raising children with disabilities.

Conclusion

The findings emphasize the importance of addressing both child safety and caregiver wellbeing in low-resource settings.

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  4. WHO, 2026 -- Nurturing care for children with developmental delays and disabilities: thematic brief
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  6. BMJ Paediatrics Open — Reflections on a global partnership for perinatal quality improvement in Rwanda
  7. Disability-inclusive Child Safeguarding Guidelines and Toolkit | Alliance CPHA
  8. Nurturing care for children with developmental delays and disabilities: thematic brief
  9. Evidence and recommendations - WHO guidelines on parenting interventions to prevent maltreatment and enhance parent–child relationships with children aged 0–17 years - NCBI Bookshelf
  10. Effectiveness of Caregiver‐Mediated Spoken Language Interventions for Children Under Five at Risk of Developmental Language Disorder: A Systematic Review and Meta‐Analysis
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  12. Group Programmes to Improve the Skills, Confidence and Wellbeing of Caregivers of Children with Neurodisability: a Systematic Review of Effects | Journal of Developmental and Physical Disabilities | Springer Nature Link
  13. Impact of the Akwenda Intervention Program for cerebral palsy on caregiver-perceived burden, stress, and psychosocial functioning: A cluster-randomized trial in Uganda - PubMed
  14. Early childhood intervention for children at risk of developmental disabilities and their caregivers in Rwanda: study protocol for the PDC/Baby Ubuntu cluster randomised trial | Trials | Springer Nature Link
  15. Parent-mediated interventions versus usual care in children with autism: A systematic review with meta-analysis and Trial Sequential Analysis | medRxiv
  16. Children affected by HIV/AIDS: SAFE, a model for promoting their security, health, and development.
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