Hunger and Shame: Child Malnutrition and Poverty on Mount Kilimanjaro

Chaiken, Miriam S.

doi:10.1525/nua.1999.22.2.13

Cited by 2 publications

(4 citation statements)

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“…The stigmatizing behaviour observed among health workers is worth noting, as (1) it may interfere with children's access to health care and could lead to worse health and development outcomes and (2) it violates the fundamental human rights of mothers and their children, including their rights to receive respectful, dignified and humane care during growth monitoring (United Nations General Assembly, 1948, 1993). An association between the stigma of malnutrition and children's access to health care has also been reported in different contexts (Bliss, Njenga, Stoltzfus, & Pelletier, 2016; Howard & Millard, 1997; Mull, 1991; Nayar, Stangl, De Zalduondo, & Brady, 2014). The attitudes of health workers that were reported in the current study highlight the need to insist that health care providers separate their preconceived schemas from their professional duties.…”

Section: Discussionmentioning

confidence: 76%

“…The premature transition to mixed feeding increases the risk of diarrhoea, infection, malnutrition and slow development in infants (De Zoysa, Rea, & Martines, 1991; Grummer‐Strawn & Mei, 2004; Harder, Bergmann, Kallischnigg, & Plagemann, 2005; Howie, Forsyth, Ogston, Clark, & Du Florey, 1990; WHO, 2003), which in traditional lore could be attributed to kubemenda. In addition, the weaning regimens used in the context of kubemenda— that is, taking a recently weaned infant with poor growth to a grandmother's home for recovery—should be seen as especially problematic, as a change in caregivers may increase the infant's vulnerability (Howard & Millard, 1997).…”

Section: Discussionmentioning

confidence: 99%

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Postpartum sex taboos and child growth in Tanzania: Implications for child care

Mchome

Bailey

Kessy³

et al. 2020

Maternal & Child Nutrition

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The social context and cultural meaning systems shape caregivers' perceptions about child growth and inform their attention to episodes of poor growth. Thus, understanding community members' beliefs about the aetiology of poor child growth is important for effective responses to child malnutrition. We present an analysis of caregivers' narratives on the risks surrounding child growth during postpartum period and highlight how the meanings attached to these risks shape child care practices. We collected data using 19 focus group discussions, 30 in‐depth interviews and five key informant interviews with caregivers of under‐five children in south‐eastern Tanzania. Parental non‐adherence to postpartum sexual abstinence norms was a dominant cultural explanation for poor growth and development in a child, including different forms of malnutrition. In case sexual abstinence is not maintained or when a mother conceives while still lactating, caregivers would wean their infants abruptly and completely to prevent poor growth. Mothers whose babies were growing poorly were often stigmatized for breaking sex taboos by the community and by health care workers. The stigma that mothers face reduced their self‐esteem and deterred them from taking their children to the child health clinics. Traditional rather than biomedical care was often sought to remedy growth problems in children, particularly when violation of sexual abstinence was suspected. When designing culturally sensitive interventions aimed at promoting healthy child growth and effective breastfeeding in the community, it is important to recognize and address people's existing misconceptions about early resumption of sexual intercourse and a new pregnancy during lactation period.

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Section: Discussionmentioning

confidence: 76%

Section: Discussionmentioning

confidence: 99%

Postpartum sex taboos and child growth in Tanzania: Implications for child care

Mchome

Bailey

Kessy³

et al. 2020

Maternal & Child Nutrition

View full text Add to dashboard Cite

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“…Some studies have been highly praised and considered catalysts for big transformations in managing malnutrition issues. These include "Death without Weeping" that describe severe children malnutrition in Brazil (Scheper-Hughes, 1993), Hunger and Shame (Howard & Millard, 2012), "Dancing with Skeleton" (Dettwyler, 2013), "Children and Youth on the Frontline" (Boyden & De Berry, 2004), and "The Weight of Obesity" (Yates-Doerr, 2015).…”

Section: Methodsmentioning

confidence: 99%

“…WHO codes are a set of recommendations to regulate the marketing of formula milk to prevent mothers from unethical marketing (World Health Organization, 2017). This inadequate function of healthcare facilities may remind researchers of the ethnographic book on malnutrition in Tanzania (Howard & Millard, 2012).…”

Section: Breastfeedingmentioning

confidence: 99%

“Just give her a banana”: An ethnographic exploration of causes of stunting in Aceh, Indonesia

Ramadhan,

Indah,

Marisa

2023

Aceh. Nutri. J.

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Thirty-seven percent of children in Aceh suffer from stunting. This number is concerning. Several programs offering supplementary nutrition for children in hot areas have been conducted. However, the percentage is decreasing too slowly. It is unclear why those programs were ineffective. The study aims to explore the cause of stunting in children aged 25-59 months in the Kota Sigli Sub-district, Pidie Regency, Aceh, Indonesia. Qualitative research was conducted on January 2022 using ethnographic tools. Data were collected through participant observation, semi-structured interviews with eight (8) mothers of stunted children, and informal interviews with midwives. Result, the findings show that there are various factors that may influence the incidence of stunting in children: failure to provide exclusive breastfeeding, inappropriate complementary feeding, and problems with hygiene and sanitation that affect children’s health. In conclusion, this calls for an integrated approach to engaging the Indonesian government, parents, and communities in overcoming the root of the stunting problem: poverty.Keywords:

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Hunger and Shame: Child Malnutrition and Poverty on Mount Kilimanjaro

Abstract: Hunger and Shame: Child Malnutrition and Poverty on Mount Kilimanjaro. Mary Howard and Ann V. Millard. New York: Routledge, 1997. 272 pp.

Cited by 2 publications

References 0 publications

Postpartum sex taboos and child growth in Tanzania: Implications for child care

Postpartum sex taboos and child growth in Tanzania: Implications for child care

“Just give her a banana”: An ethnographic exploration of causes of stunting in Aceh, Indonesia

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