Family Centered Care versus Child Centered Care: The Malawi Context

Abstract

Family Centered care is a model that is practiced and encouraged in child health care. It considers family as partners and collaborators in care of children. It aims at involving family in all aspects of child care. Family centered care also mentions involvement of child. However, emphasis is given more on family than child and does not take into account the older child's capacity for indepen-dent decision making and right to privacy. As such, child's needs are missed out. With child cen-tered care, children are involved and supported at all levels of care based on their age and deve-lopmental stage. This paper aims to stress the importance of involving children within family cen-tered care. Involving children in their care, makes them feel less threatened by the health care professional and their self esteem is promoted. Currently, no studies have been identified in Ma-lawi that demonstrates full partnership between the family, child and the nurse. Furthermore, Family Centered Care and Child Centered Care as models are not fully practiced. It is therefore important to practice both family and child centered care in child health care if the needs of both family and children are to be addressed concurrently.