Maternal resources for care are associated with child growth and early childhood development in Bangladesh and Vietnam

Basnet, Sulochana; Frongillo, Edward A.; Nguyen, Phuong Hong; Moore, Spencer; Arabi, Mandana

doi:10.1111/cch.12911

Cited by 5 publications

(4 citation statements)

References 39 publications

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“…For instance, a study in Uganda found that social support from family and community members was positively associated with child nutritional status [48]. Similarly, a study in Bangladesh found that maternal support was positively associated with child growth [49]. The present study adds to this body of research by providing evidence of the specific types of social support that are most strongly associated with child stunting.…”

Section: Social Supportmentioning

confidence: 53%

How do household living conditions and gender-related decision-making influence child stunting in Rwanda? A population-based study

Utumatwishima,

Mogren,

Umubyeyi

et al. 2023

Preprint

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Child stunting (chronic undernutrition) is a major public health concern in low- and middle-income countries. In Rwanda, an estimated 33% of children are affected. This study investigated the household living conditions and the impact of gender-related decision-making on child stunting. The findings contribute to ongoing discussion on this critical public health issue. In December 2021, a population-based cross-sectional study was conducted in Rwanda's Northern Province; 601 women with children aged 1–36 months were included. Stunting was assessed using low height-for-age criteria. The Multidimensional Poverty Index (MPI) was used to determine household socioeconomic status. Researcher-designed questionnaires evaluated gender-related factors such as social support and household decision-making. Multivariable logistic regression analysis identified risk factor patterns. Six hundred and one children were included in the study; 27.1% (n=163) were diagnosed as stunted; there was a higher prevalence of stunting in boys (60.1%) than girls (39.9%; p<0.001). The MPI was 0.265 with no significant difference between households with stunted children (MPI, 0.263; 95% confidence interval [CI], 0.216–0.310) and non-stunted children (MPI, 0.265; 95% CI, 0.237–0.293). Most households reported a lack of adequate housing (78.9%), electricity (63.0%), good water sources (58.7%), and proper toilets (57.1%). Male-headed households were predominant (92% vs 8.0%; p=0.018), although women often shared decision-making with their partners; 26.4% of the women reported they were forced to have sexual intercourse within marriage (p=0.028). Lack of support during illness (odds ratio [OR], 1.93; 95% CI, 1.13–3.28) and absence of personal guidance (OR, 2.44; 95% CI, 1.41–4.26) were significantly associated with child stunting (p=0.011). Poverty contributes to child stunting in the Northern Province of Rwanda. Limited social support and women's lack of decision-making power in the household increase stunting rates. Interventions should empower women and address the broader social and economic context to promote both women’s and children’s health.

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Section: Social Supportmentioning

confidence: 53%

How do household living conditions and gender-related decision-making influence child stunting in Rwanda? A population-based study

Utumatwishima,

Mogren,

Umubyeyi

et al. 2023

Preprint

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“…However, more studies covering the South Asian region should be conducted to investigate the association of SEP with motor development because diversity of study setting may influence the findings. For example, Basnet et al's (2022) study in Bangladesh did not report any significant associations between SEP and children's motor development (aged 12–24 months).…”

Section: Discussionmentioning

confidence: 95%

“…For example, Basnet et al's (2022) study in Bangladesh did not report any significant associations between SEP and children's motor development (aged 12-24 months).…”

Section: Motormentioning

confidence: 93%

Socioeconomic inequalities in early child development in children aged under 36 months in South Asia: A systematic review

Chandrasenage,

Markey,

Johnson

et al. 2023

Child

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BackgroundIn South Asia, 89 million children under 5 are at risk of not reaching their developmental potential. Household socioeconomic position (SEP) is a determinant of early child development (ECD). However, synthesised evidence for the association between ECD and SEP in young children in South Asia is not available. Therefore, this review synthesises evidence on the relationship of household SEP with ECD in children under 36 months of age in South Asia.MethodPubMed, Cochrane Library, MEDLINE and Scopus were systematically searched to identify studies from South Asian countries that reported evidence on the association between SEP and ECD. Search terms included items related to motor, cognitive, language and socioemotional development. Study quality was assessed using the QualSyst tool, with three quality levels (high/medium/low), and a narrative review for each ECD outcome was constructed (PROSPERO registration: CRD42019131533).ResultsTwelve of the 950 publications screened met the inclusion criteria (nine from India, two Nepal and one Bangladesh). The majority (n = 10, 83%) reported language development on its own or alongside another ECD outcome. Fewer articles assessed cognitive (n = 6, 50%), motor (n = 7, 58%) or socioemotional development (n = 3, 25%). Higher SEP was associated with better ECD for one third of the associations reported. One ECD outcome (socioemotional development) was negatively associated (with socioeconomic status) based on low quality evidence. Mother's education and family income were the major SEP constructs associated with ECD. One, four and seven studies were rated as having a low, medium and high risk of bias, respectively.ConclusionThis review reveals the scarcity of evidence exploring associations between household SEP and ECD in children under 36 months in South Asia, especially outside of India. Enhancing evidence for associations between ECD and SEP is needed for evidence‐based policy making to reduce developmental delays associated with a disadvantaged SEP in the South Asian region.

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“…For instance, a study in Uganda found that social support from family and community members was positively associated with child nutritional status [ 49 ]. Similarly, a study in Bangladesh found that maternal support was positively associated with child growth [ 50 ]. The present study adds to this body of research by providing evidence of the specific types of social support that are most strongly associated with child stunting.…”

Section: Discussionmentioning

confidence: 99%

How do household living conditions and gender-related decision-making influence child stunting in Rwanda? A population-based study

Utumatwishima,

Mogren,

Umubyeyi

et al. 2024

PLoS ONE

View full text Add to dashboard Cite

Child stunting (chronic undernutrition) is a major public health concern in low- and middle-income countries. In Rwanda, an estimated 33% of children are affected. This study investigated the household living conditions and the impact of gender-related decision-making on child stunting. The findings contribute to ongoing discussion on this critical public health issue. In December 2021, a population-based cross-sectional study was conducted in Rwanda’s Northern Province; 601 women with children aged 1–36 months were included. Stunting was assessed using low height-for-age criteria. The Multidimensional Poverty Index (MPI) was used to determine household socioeconomic status. Researcher-designed questionnaires evaluated gender-related factors such as social support and household decision-making. Multivariable logistic regression analysis identified risk factor patterns. Six hundred and one children were included in the study; 27.1% (n = 163) were diagnosed as stunted; there was a higher prevalence of stunting in boys (60.1%) than girls (39.9%; p<0.001). The MPI was 0.265 with no significant difference between households with stunted children (MPI, 0.263; 95% confidence interval [CI], 0.216–0.310) and non-stunted children (MPI, 0.265; 95% CI, 0.237–0.293). Most households reported a lack of adequate housing (78.9%), electricity (63.0%), good water sources (58.7%), and proper toilets (57.1%). Male-headed households dominated (92% vs. 8.0%; p = 0.018), and women often shared decision-making with their partners. However, 26.4% of women reported forced sexual intercourse within marriage (Odds Ratio [OR] 1.81; 95% CI, 1.15–2.85). Lack of support during illness ([OR], 1.93; 95% CI, 1.13–3.28) and absence of personal guidance (OR, 2.44; 95% CI, 1.41–4.26) were significantly associated with child stunting. Poverty contributes to child stunting in the Northern Province of Rwanda. Limited social support and women’s lack of decision-making power in the household increase stunting rates. Interventions should empower women and address the broader social and economic context to promote both women’s and children’s health.

show abstract

Maternal resources for care are associated with child growth and early childhood development in Bangladesh and Vietnam

Cited by 5 publications

References 39 publications

How do household living conditions and gender-related decision-making influence child stunting in Rwanda? A population-based study

How do household living conditions and gender-related decision-making influence child stunting in Rwanda? A population-based study

Socioeconomic inequalities in early child development in children aged under 36 months in South Asia: A systematic review

How do household living conditions and gender-related decision-making influence child stunting in Rwanda? A population-based study

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