The Role of Fathers Receiving Social Grants in Decision-Making Processes Within Poor Rural Households in Alice, Eastern Cape of South Africa

Ketani, Nolubabalo; Tanga, Puis Tangwe

doi:10.15270/55-4-759

Cited by 3 publications

(2 citation statements)

References 20 publications

(32 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Possibly the parental education, especially of mothers, regarding the importance of healthy feeding practices, is important. Although to some extent, fathers provide household decisions, and contribute more income [90], while mothers spend considerably more time with their children than fathers do, hence, in most cases, they are held more accountable for the health, nutrition, growth, and development of their children, as alluded by other researchers [91][92][93]. Furthermore, the complex relationships between and within the levels and determinants of stunting and obesity make it difficult to resolve the onset or to reverse CSO.…”

Section: Discussionmentioning

confidence: 99%

Evidence of Concurrent Stunting and Obesity among Children under 2 Years from Socio-Economically Disadvantaged Backgrounds in the Era of the Integrated Nutrition Programme in South Africa

Modjadji

Masilela

Cele

et al. 2022

IJERPH

View full text Add to dashboard Cite

In view of persistent stunting and increasing rates of obesity coexisting among children in the era of the Integrated Nutrition Programme, a cross-sectional study was conducted to determined concurrent stunting and obesity (CSO) and related factors using a random sample of child–mother pairs (n = 400) in Mbombela, South Africa. Sociodemographic data was collected using a validated questionnaire, and stunting (≥2SD) and obesity (>3SD) were assessed through respective length-for-age (LAZ) and body mass index (BAZ) z-scores. Using SPSS 26.0, the mean age of children was 8 (4;11) months, and poor sociodemographic status was observed, in terms of maternal singlehood (73%), no education or attaining primary education only (21%), being unemployed (79%), living in households with a monthly income below R10,000 (≈$617), and poor sanitation (84%). The z-test for a single proportion showed a significant difference between the prevalence of CSO (41%) and non-CSO (69%). Testing for the two hypotheses using the Chi-square test showed no significant difference of CSO between boys (40%) and girls (41%), while CSO was significantly different and high among children aged 6–11 months (55%), compared to those aged 0–5 months (35%) and ≥12 months (30%). Further analysis using hierarchical logistic regression showed significant associations of CSO with employment (AOR = 0.34; 95%CI: 0.14–0.78), maternal education status (AOR = 0.39; 95%CI: 0.14–1.09) and water access (AOR = 2.47; 95%CI: 1.32;4.63). Evidence-based and multilevel intervention programs aiming to prevent CSO and addressing stunting, while improving weight status in children with social disadvantages, are necessary.

show abstract

Section: Discussionmentioning

confidence: 99%

Evidence of Concurrent Stunting and Obesity among Children under 2 Years from Socio-Economically Disadvantaged Backgrounds in the Era of the Integrated Nutrition Programme in South Africa

Modjadji

Masilela

Cele

et al. 2022

IJERPH

View full text Add to dashboard Cite

show abstract

“…Caregivers and their children form part of an extended family unit, which is frequently consulted when making decisions (Ketani & Tanga, 2018 ). When asked about who ultimately decided on the PEG placement for her child, one caregiver responded with:…”

Section: Significant Individuals and Their Rolesmentioning

confidence: 99%

Who really decides? Feeding decision-making ‘made’ by caregivers of children with cerebral palsy

Naidoo,

Pillay,

Naidoo

2024

South African Journal of Communication Disorders

View full text Add to dashboard Cite

Background There are no definitive guidelines for clinical decisions for children with cerebral palsy (CP) requiring enteral feeds. Traditionally, medical doctors made enteral feeding decisions, while patients were essentially treated passively within a paternalistic ‘doctor knows best’ approach. Although a more collaborative approach to decision-making has been promoted globally as the favoured model among healthcare professionals, little is known about how these decisions are currently made practically. Objectives This study aimed to identify the significant individuals, factors and views involved in the enteral feeding decision-making process for caregivers of children with CP within the South African public healthcare sector. Method A single-case research design was used in this qualitative explorative study. Data were collected using semi-structured interviews and analysed using reflexive thematic analysis. Results Four primary individuals were identified by the caregivers in the decision-making process: doctors, speech therapists, caregivers’ families and God. Four factors were identified as extrinsically motivating: (1) physiological factors, (2) nutritional factors, (3) financial factors and (4) environmental factors. Two views were identified as intrinsically motivating: personal beliefs regarding enteral feeding tubes, and feelings of fear and isolation. Conclusion Enteral feeding decision-making within the South African public healthcare sector is currently still dominated by a paternalistic approach, endorsed by a lack of caregiver knowledge, distinct patient-healthcare provider power imbalances and prescriptive multidisciplinary healthcare dialogues. Contribution This study has implications for clinical practice, curriculum development at higher education training facilities, and institutional policy changes and development, thereby contributing to the current knowledge and clinical gap(s) in the area.

show abstract

The Care Dependency Grant for children with disabilities in South Africa: Perspectives from implementation officials

Trafford

Swartz

2021

Development Southern Africa

View full text Add to dashboard Cite

The Role of Fathers Receiving Social Grants in Decision-Making Processes Within Poor Rural Households in Alice, Eastern Cape of South Africa

Cited by 3 publications

References 20 publications

Evidence of Concurrent Stunting and Obesity among Children under 2 Years from Socio-Economically Disadvantaged Backgrounds in the Era of the Integrated Nutrition Programme in South Africa

Evidence of Concurrent Stunting and Obesity among Children under 2 Years from Socio-Economically Disadvantaged Backgrounds in the Era of the Integrated Nutrition Programme in South Africa

Who really decides? Feeding decision-making ‘made’ by caregivers of children with cerebral palsy

The Care Dependency Grant for children with disabilities in South Africa: Perspectives from implementation officials

Contact Info

Product

Resources

About