Social determinants of child health in Yemen

Myntti, Cynthia

doi:10.1016/0277-9536(93)90457-f

Cited by 18 publications

(13 citation statements)

References 21 publications

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“…The combination of their working experience (socialization with other people) and ability to generate and control financial resources in the households may allow them to provide enough food for family members, manage income and food resources efficiently and be innovative in coping with household income or food insufficiency. Women with education and income-earning capability may have more autonomy in household decision making that could be translated to better health and nutrition of the women and their children (Fartahun et al, 2007; Hindin, 2006; Myntti, 1993; Pfeiffer et al, 2001). …”

Section: Discussionmentioning

confidence: 99%

Household food insecurity and coping strategies in a poor rural community in Malaysia

Shariff

Khor

2008

Nutr Res Pract

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This cross-sectional study assessed household food insecurity among low-income rural communities and examined its association with demographic and socioeconomic factors as well as coping strategies to minimize food insecurity. Demographic, socioeconomic, expenditure and coping strategy data were collected from 200 women of poor households in a rural community in Malaysia. Households were categorized as either food secure (n=84) or food insecure (n=116) using the Radimer/Cornell Hunger and Food Insecurity instrument. T-test, Chi-square and logistic regression were utilized for comparison of factors between food secure and food insecure households and determination of factors associated with household food insecurity, respectively. More of the food insecure households were living below the poverty line, had a larger household size, more children and school-going children and mothers as housewives. As food insecure households had more school-going children, reducing expenditures on the children's education is an important strategy to reduce household expenditures. Borrowing money to buy foods, receiving foods from family members, relatives and neighbors and reducing the number of meals seemed to cushion the food insecure households from experiencing food insufficiency. Most of the food insecure households adopted the strategy on cooking whatever is available at home for their meals. The logistic regression model indicates that food insecure households were likely to have more children (OR=1.71; p<0.05) and non-working mothers (OR=6.15; p<0.05), did not own any land (OR=3.18; p<0.05) and adopted the strategy of food preparation based on whatever is available at their homes (OR=4.33; p<0.05). However, mothers who reported to borrow money to purchase food (OR=0.84; p<0.05) and households with higher incomes of fathers (OR=0.99; p<0.05) were more likely to be food secure. Understanding the factors that contribute to household food insecurity is imperative so that effective strategies could be developed and implemented.

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Section: Discussionmentioning

confidence: 99%

Household food insecurity and coping strategies in a poor rural community in Malaysia

Shariff

Khor

2008

Nutr Res Pract

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“…Similarly, Myntti describes in Yemen the interaction of chronic economic problems, social isolation and a mother's inability to cope--the psychological dimens i o n -t h a t determines risks to children at the level of the family. However, disorganized mothers may be saved by strong social support and suffacientfinancial resources, Conversely, the problems of a psychologically fragile mother are sure to be exacerbated by the stresses of poverty and isolation [70].…”

Section: Stage 3 Research: Factors Associated With Resiliencementioning

confidence: 99%

Child development: Vulnerability and resilience

Engle

Castle

Menon

1996

Social Science & Medicine

130

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Alrstraet--Many of the challenges facing children now are a function of changing times, including increase in urbanization, political violence, changing family forms, and in some areas decreased supplies of adequate food. This review focuses particularly on those changes in which children are the victims and which induce new threats for them, rather than on problems such as child disability or mental illness. The outcome variables of interest in this paper are dimensions of children's psychosocial development, including cognitive development, psychological adjustment and aggression, whereas the companion paper in this issue (Caldwell P., Child survival: vulnerability and resilience in adversity in the European past and the contemporary Third World, Soc. Sci. Med.) [1] focuses on physical aspects of children's development. The risks that are hurdles in the process of development of a young child begin from conception and carry on into later life. To address them all would be impossible; thus, in order to do justice to the issues at hand, we have chosen those risks that, in our view, are important in a child's psychosocial development in developing countries. This paper will thus provide a discussion of the concepts of risk and resilience, then apply these concepts to the analysis of three examples of risk faced by children today: nutritional threats (e.g. malnutrition due to decline in breastfeeding); family dynamics and types of family forms (e.g. child fostering and non-traditional families); and experiences of violence (domestic or political). In each case, the same four questions will be addressed: what are the consequences of the risk factor for children, what are the etiologies and conditions of risk, are there any children who seem to cope with the risk factor successfully and what are some of the protective factors, and what interventions or programs would help support these children?

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“…Social support enables mothers to achieve their goals on breastfeeding (Hirani & Olson, 2016) and involving women in hands on work rather than merely giving theoretical advice, could increase competence. In addition, the children of women who have good supportive networks and accept help when needed have been found to be healthier than the children of isolated women who do not get help (Myntti, 1993). Support from family and friends is also important for child health outcomes, as involving and educating fathers and grandmothers to provide support to mothers have positive effects on child feeding practices (Mukuria, Martin, Egondi, Bingham, & Thuita, 2016).…”

Section: Discussionmentioning

confidence: 99%

“…Support from family and friends is also important for child health outcomes, as involving and educating fathers and grandmothers to provide support to mothers have positive effects on child feeding practices (Mukuria, Martin, Egondi, Bingham, & Thuita, 2016). In addition, the children of women who have good supportive networks and accept help when needed have been found to be healthier than the children of isolated women who do not get help (Myntti, 1993). Furthermore, Buchanan (2004) has argued that the primary goal of health-promoting interventions should not be the quantitative change in people's behavior but rather their perceived improved ability to make decisions about their own behavior.…”

Section: Discussionmentioning

confidence: 99%

Is competence enough to enable Kenyan mothers to make good infant and young child feeding decisions?

Schneider

Ollila

Kimiywe

et al. 2017

Maternal & Child Nutrition

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The aim of this study was to explore factors associated with maternal infant and young child feeding motivation in urban and rural Kenya. We conducted 18 focus group discussions with mothers of children 0 to 23 months of age and healthcare workers. The data were transcribed, translated, and explored following the principles of content analysis. We first explored and coded the data inductively and categorized it according to emerging themes representing the most relevant topics for young child feeding. After this, these themes were theorized into an explanatory framework. Finally, the results yielded seven themes integrated into self-determination theory's three basic motivation-building pillars: autonomy, competence, and relatedness. We found that maternal intrahousehold autonomy on child feeding was substantial. However, this autonomy was lost for a period of time while in close contact with the healthcare staff. The authority of the healthcare workers was at its peak when the child was born and faded gradually as the child grew. Building maternal competence is important for child-feeding outcomes, but our data showed that the health education methods used by the healthcare workers were inadequate to improve maternal to improve the motivation. The competence of Kenyan healthcare workers should be improved in the area of complementary feeding counseling, and they should be trained to provide practical and emotional support as a way of increasing maternal motivation on infant and child feeding.

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Social determinants of child health in Yemen

Cited by 18 publications

References 21 publications

Household food insecurity and coping strategies in a poor rural community in Malaysia

Household food insecurity and coping strategies in a poor rural community in Malaysia

Child development: Vulnerability and resilience

Is competence enough to enable Kenyan mothers to make good infant and young child feeding decisions?

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