Addressing multi-dimensional child poverty: The experiences of caregivers in the Eastern Cape, South Africa

Vaaltein, Sive; Schiller, Ulene

doi:10.1016/j.childyouth.2017.03.008

Cited by 6 publications

(4 citation statements)

References 8 publications

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“…African children are fraught with conflicts, wars and other forms of abuse (Avogo, 2010; Minoiu and Shemyakina, 2014; Mokomane et al., 2017). Many children are AIDS orphans and at many times are burdened with acute and chronic diseases (Kidman et al., 2010; Vaaltein and Schiller, 2017). Vogenberg and Cutts (2009) posited that poor economic status affects the healthcare access and choices of people as basic needs such as food and shelter tend to compete with healthcare among poor populations.…”

Section: Resultsmentioning

confidence: 99%

“…A deliberate and pragmatic restructuring of the PHC for children is required to improve quality of care for the children68.(Tong, 2015) Kenya “Describing the health care needs of school-age children in sub-Saharan Africa in order to develop a model of a nurse-run school-based health clinic” To determine the lapses in health care for school going children in order to propose a model to address it.A systematic review was triangulated with stakeholder interviewsPhysical, human and financial resource limitations affected the healthcare of children in Kenya. A nurse run-school based clinic is proposed to address the healthcare delivery deficit in for school children69.(Vaaltein and Schiller, 2017),South Africa “Addressing multi-dimensional child poverty: The experiences of caregivers in the Eastern Cape, South Africa” This paper explores the experiences of caregivers in the Eastern Cape Province regarding the alleviation of child poverty, and presents a case for the expansion of monetary support to effectively address the multi-dimensional focus of child poverty in South Africa.Phenomenological research design was followed by conducting semi-structured interviews and a focus group discussion with 20 participantswho were purposively drawn from four urban and rural areas in the Eastern CapeThe employment level is such that most of the caregivers depend on the child support grant given to the children. The findings concur with the view that the Child Support Grant (CSG)3 monetary support should be increased to better accommodate the multi-dimensional child poverty needs of the CSG recipients.The findings illustrate that most of these children were not experiencing any chronic illnesses but challenges to accessing quality health care services against the backdrop of using the CSG to alleviate child poverty.…”

Section: Methodsmentioning

confidence: 99%

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The essence, opportunities and threats to Advanced Practice Nursing in Sub-Saharan Africa: A scoping review

Christmals

Armstrong

2019

Heliyon

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BackgroundThe conditions that stimulated the implementation of Advanced Practice Nursing programmes all over the world have long been ignored in sub-Saharan Africa.ObjectiveThis study sought to explore the essence, opportunities and threats to the implementation of an Advanced Practice Nursing (Child Health Nurse Practitioner) programmes in sub-Saharan Africa.MethodsA scoping review was conducted and findings reviewed by a multinational multidisciplinary health experts’ team through a Delphi study.ResultsChildren are the majority of the 70–90% of the sub-Saharan African population who reside in the rural areas where access to timely, quality and cost-effective healthcare is poor. The Child Health Nurse Practitioner programme offers an opportunity to provide quality, timely and cost-effective healthcare to sub-Saharan Africa children. Limited resources, opposition from the medical profession, poor nursing governance and lack of context-specific Advanced Practice Nursing benchmark programmes constitute threats to the programme.ConclusionThe sub-Saharan Africa context provides opportunities that the nursing profession can harness to surmount such threats. Nursing governance structures, however, need to advocate for government and other stakeholders’ support for the Child Health Nursing Practitioner programme.

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Section: Resultsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

The essence, opportunities and threats to Advanced Practice Nursing in Sub-Saharan Africa: A scoping review

Christmals

Armstrong

2019

Heliyon

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“…These results suggest that the legacy of apartheid and the political economy has had lasting adverse effects of inequality and food insecurity in households. Furthermore, outbreaks of epidemics such as Ebola and COVID-19 have grave implications for childhood nutrition and threaten children's survival [68,69].…”

Section: Discussionmentioning

confidence: 99%

The Relationship between Childcare-Giving Arrangements and Children’s Malnutrition Status in South Africa

Sello

Adedini

Odimegwu

et al. 2023

IJERPH

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Multiple caregiving arrangements have become common for childcare globally, and South Africa is no exception. Previous childcare studies mainly focused on the caregiver and household characteristics. Evidence on the influence of childcare on malnutrition is sparse. This study aimed to examine the relationship between exposure to secondary and multiple forms of care and child malnutrition, with a particular focus on child stunting and overweight among children. A cross-sectional study of a sample of 2966 dyads of mothers and children under five were analysed from the 2017 National Income Dynamics Study (NIDS) Wave 5. Descriptive and inferential statistics were used to analyse the data. The results indicated that 22.16% of the children were stunted and that 16.40% were overweight. Most children were mainly cared for at home (67.16%) during the day. Some results of the obtained multivariable analyses show that lack of being cared for in a crèche or school during the day was significantly associated with stunting (odds ratio (OR) 2; confidence interval (CI) 1.10–3.62, p < 0.05) and overweight (OR) 3.82; (CI) 1.60–9.08, p < 0.05). Furthermore, in this study, 69.88% of children who were cared for at home by the primary caregiver had no other forms of multiple care arrangements. The results showing high stunting and overweight rates among children cared for at home suggest that the government needs to look into supporting caregiver parenting. The high unemployment rates in the country highlight the importance of socioeconomic status in childcare and its implication for children’s nutritional outcomes. The study’s findings suggest the need for innovative strategies to address the challenges associated with multi-caregiving which negatively affects children’s nutritional outcomes.

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“…There was no significant difference in HIV testing, for Mothers living with HIV to complete PMTCT, to complete immunizations, or to receive the child grant. The delay in obtaining the child grant is concerning, as the grant is of vital importance in rural areas where the majority of households rely on grants for household income [36]. It is concerning that the rate of PCR tests completed at in the first 6 months is so low (29% at 3 months and 46% at 6 months).…”

Section: Discussionmentioning

confidence: 99%

Home visits by community health workers in rural South Africa have a limited, but important impact on maternal and child health in the first two years of life

Katzen

Tomlinson

Christodoulou

et al. 2020

BMC Health Serv Res

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Background: More than 50% of Africa's population lives in rural areas, which have few professional health workers. South Africa has adopted task shifting health care to Community Health Workers (CHWs) to achieve the Sustainable Development Goals, but little is known about CHWs' efficacy in rural areas. Methods: In this longitudinal prospective cohort study, almost all mothers giving birth (N = 470) in the Zithulele Hospital catchment area of the OR Tambo District were recruited and repeatedly assessed for 2 years after birth with 84.7-96% follow-up rates. During the cohort assessment we found that some mothers had received standard antenatal and HIV care (SC) (n = 313 mothers), while others had received SC, supplemented with home-visiting by CHWs before and after birth (HV) (n = 157 mothers, 37 CHWs). These visits were unrelated to the cohort study. Multiple linear and logistic regressions evaluated maternal comorbidities, maternal caretaking, and child development outcomes over time. Results: Compared to mothers receiving SC, mothers who also received home visits by CHWs were more likely to attend the recommended four antenatal care visits, to exclusively breastfeed at 3 months, and were less likely to consult traditional healers at 3 months. Mothers in both groups were equally likely to secure the child grant, and infant growth and achievement of developmental milestones were similar over the first 2 years of life. Conclusion: CHW home visits resulted in better maternal caretaking, but did not have direct benefits for infants in the domains assessed. The South African Government is planning broad implementation of CHW programmes, and this study examines a comprehensive, home-visiting model in a rural region.

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Addressing multi-dimensional child poverty: The experiences of caregivers in the Eastern Cape, South Africa

Cited by 6 publications

References 8 publications

The essence, opportunities and threats to Advanced Practice Nursing in Sub-Saharan Africa: A scoping review

The essence, opportunities and threats to Advanced Practice Nursing in Sub-Saharan Africa: A scoping review

The Relationship between Childcare-Giving Arrangements and Children’s Malnutrition Status in South Africa

Home visits by community health workers in rural South Africa have a limited, but important impact on maternal and child health in the first two years of life

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