Care and Nutrition: Concepts and Measurement

Engle, Patrice L.; Menon, Purnima; Haddad, Lawrence

doi:10.1016/s0305-750x(99)00059-5

Cited by 294 publications

(370 citation statements)

References 114 publications

(174 reference statements)

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“…Child nutrition is increasingly understood within a broader framework of ''care'', which takes into account pregnancy, lactation, feeding practices, food preparation, care during illness and social stimulation (Engle, Menon, & Haddad, 1999). There have been improvements in understanding the biological and social causes of malnutrition, and some success in improving child nutrition through promotion of changes in early child feeding practices (Caulfield, Huffman, & Piwoz, 1999;Pelto, Dicken, & Engle, 1999;Samba, Sy, Ntiru, & Diene, 1999;WHO, 1998).…”

Section: Child Nutrition and Health Education Modelsmentioning

confidence: 99%

“We Grandmothers Know Plenty”: Breastfeeding, complementary feeding and the multifaceted role of grandmothers in Malawi

Kerr

Dakishoni²,

Shumba³

et al. 2008

Social Science & Medicine

174

122

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This paper has two purposes: first of all, we examine grandmothers' role and views of child feeding practices in northern Malawi, and their influence on younger women's practices. Secondly, we consider the implications of these findings for health promotion activities and models of health education. Data were collected from semi-structured interviews, focus groups and a participatory workshop. Findings demonstrate that, to address child feeding practices which have an effect on nutrition, attention must be paid to the broader context that influences child nutrition, including extended family relations. Paternal grandmothers have a powerful and multifaceted role within the extended family in northern Malawi, both in terms of childcare and in other arenas such as agricultural practices and marital relations. Grandmothers often differ in their ideas about early child feeding from conventional Western medicine. Some practices have existed in the area at least since colonial times, and have strong cultural significance. Despite the important integrated role, older women have within households and communities in this part of Malawi, hospital personnel often have disparaging and paternalistic attitudes towards 'grannies' and their knowledge. Health education rarely involves grandmothers, and even if they are involved, their perspectives are not taken into consideration. Hospital staff often reject grandmother knowledge as part of a broader modernization paradigm which views 'traditional knowledge' as backward. Grandmothers view current child health conditions within a broader context of changing livelihood conditions and a high prevalence of HIV/ AIDS. The paper concludes by discussing the challenges of involving grandmothers in health education, and the difficulties of incorporating local knowledge into a medical system that largely rejects it.

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Section: Child Nutrition and Health Education Modelsmentioning

confidence: 99%

“We Grandmothers Know Plenty”: Breastfeeding, complementary feeding and the multifaceted role of grandmothers in Malawi

Kerr

Dakishoni²,

Shumba³

et al. 2008

Social Science & Medicine

174

122

View full text Add to dashboard Cite

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“…The role of the primary care provider in child welfare may not have been extensively studied because caregiving can be difficult to define and observe, and to interpret across cultures (Engle et al, 1997). Child care refers both to actual caregiving behaviors such as feeding and cleaning a child, and to the beliefs, customs, and cultural norms governing the execution of these behaviors (Engle, 1992).…”

Section: Introductionmentioning

confidence: 99%

Maternal employment, child care, and nutritional status of 12–18-month-old children in Managua, Nicaragua

Lamontagne

Engle

Zeitlin

1998

Social Science & Medicine

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Abstract--Relationships among women's employment, child care strategies, and nutritional status of children 12-18 months of age were examined in 80 Nicaraguan households sampled by randomized block design in 10 low income urban communities. Multiple regression analyses showed that children of employed mothers (56%) fared better in weight/height than those whose mothers were not employed, with and without controlling for socioeconomic status and maternal education, paternal financial support, child care adequacy, and sex and age of the child. Children with inadequate alternate child care (care by a preteen or care at the work place) had lower height for age, even controlling for the same variables and for maternal employment. Differences in 10 caregiving behaviors between families as a function of work status of the mother and adequacy of child care were examined. In families with working mothers, caregivers were less likely to be observed washing their hands, suggesting that the positive associations of work for earnings might be due to income rather than improved care. Inadequate care was associated with less food variety, less use of health care, and marginally less handwashing. Inadequate child care, which tends to be associated with informal work, nuclear families and poverty, should be a concern for child welfare.

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“…Neste estudo um pouco menos da metade das famílias (48%) eram constituídas por cinco pessoas ou mais, residentes no mesmo domicílio, e essa situação, aliada aos baixos níveis de renda encontrados, pode ser tomada como condição favorável ao risco nutricional. O reduzido nível de escolaridade das mães também pode ser apontado como um indicador do baixo nível socioeconômico destas famílias e pode retratar a reduzida capacidade das mesmas de conduzir seus filhos a um bom estado de saúde e ao crescimento e desenvolvimento adequados 28 .…”

Section: I S C U S S ã Ounclassified

Evolução do estado nutricional de crianças submetidas a um programa de suplementação alimentar em município do Estado de São Paulo

et al. 2009

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OBJETIVO: O objetivo deste estudo foi avaliar o impacto do Programa de Incentivo ao Combate às Carências Nutricionais no município de Assis, estado de São Paulo. MÉTODOS: Foram acompanhadas 132 crianças menores de 24 meses, que permaneceram por um ano no Programa de Incentivo ao Combate às Carências Nutricionais. O estado nutricional foi avaliado pelo índice Peso para Idade expresso em escore-Z da mediana da população de referência do Nacional Center Health Statistics no início, aos 2, 6, 9 e 12 meses de acompanhamento. RESULTADOS: Entre as crianças estudadas, 70% foram classificadas como desnutridas ou em risco nutricional no momento do ingresso no Programa Incentivo ao Combate às Carências Nutricionais. Em relação ao incremento de peso, comparando-se o início e após 12 meses, 64% das crianças ganharam peso. Analisando-se a variação média do escore-Z de Peso para Idade nos intervalos de tempo estudados, segundo as faixas etárias e o estado nutricional na entrada ao programa, observou-se que as crianças menores de um ano de idade foram as que apresentaram um significativo incremento de peso. CONCLUSÃO: Pode-se concluir que as crianças com déficits nutricionais e menores de um ano de idade foram as que mais se beneficiaram do programa de suplementação alimentar Incentivo ao Combate às Carências Nutricionais.

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Care and Nutrition: Concepts and Measurement

Cited by 294 publications

References 114 publications

“We Grandmothers Know Plenty”: Breastfeeding, complementary feeding and the multifaceted role of grandmothers in Malawi

“We Grandmothers Know Plenty”: Breastfeeding, complementary feeding and the multifaceted role of grandmothers in Malawi

Maternal employment, child care, and nutritional status of 12–18-month-old children in Managua, Nicaragua

Evolução do estado nutricional de crianças submetidas a um programa de suplementação alimentar em município do Estado de São Paulo

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