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The constraints to good child care practices in Accra

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Author Info
Armar-Klemesu, Margaret
Ruel, Marie T.
Maxwell, Daniel G.
Levin, Carol E.
Morris, Saul Sutkover

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Abstract

Life in urban areas presents special challenges for maternal child care practices. Data from a representative survey of households with children less than 3 years of age in Accra were used to test a number of hypothesized constraints to child care, including various maternal (education, employment, marital status, age, health, ethnic group, migration status) and household-level factors (income, calorie availability, quality of housing and asset ownership, availability of services, household size, and crowding). An age-specific child care index was created using recall data on maternal child feeding practices and use of preventive health services. A hygiene index was created from spot check observations of proxies of hygiene behaviors. Multivariate analyses showed that maternal schooling was the most consistent constraint to both the care and the hygiene index. None of the household-level characteristics were associated with the care index, but better housing quality and access to garbage collection services were associated with better hygiene. Female head of household and larger family size were associated with poorer hygiene. The programmatic implications of these findings for nutrition education and behavior change interventions in Accra are discussed. The focus is on using the information to target the right practices to be modified as well as the main constraints to their adoption.

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Paper provided by International Food Policy Research Institute (IFPRI) in its series FCND briefs with number 81.

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Date of creation: 2000
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Handle: RePEc:fpr:fcndbr:81

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Related research
Keywords: Child care. ; Ghana. ; Maternal and infant welfare Developing countries. ; Urban health. ;

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References listed on IDEAS
Please report citation or reference errors to , or , if you are the registered author of the cited work, log in to your RePEc Author Service profile, click on "citations" and make appropriate adjustments.:
  1. Ruel, Marie T. & Haddad, Lawrence & Garrett, James L., 1999. "Some Urban Facts of Life: Implications for Research and Policy," World Development, Elsevier, vol. 27(11), pages 1917-1938, November. [Downloadable!] (restricted)
  2. Engle, Patrice L. & Menon, Purnima & Haddad, Lawrence, 1999. "Care and Nutrition: Concepts and Measurement," World Development, Elsevier, vol. 27(8), pages 1309-1337, August. [Downloadable!] (restricted)
  3. Datt, Gaurav & Ravallion, Martin, 1998. "Farm productivity and rural poverty in India," FCND discussion papers 42, International Food Policy Research Institute (IFPRI). [Downloadable!]
  4. Smith, Lisa C. & Haddad, Lawrence James, 2000. "Explaining child malnutrition in developing countries: a cross-country analysis," Research reports 111, International Food Policy Research Institute (IFPRI). [Downloadable!]
  5. Ruel, Marie T. & Levin, Carol E. & Armar-Klemesu, Margaret & Maxwell, Daniel & Morris, Saul S., 1999. "Good Care Practices Can Mitigate the Negative Effects of Poverty and Low Maternal Schooling on Children's Nutritional Status: Evidence from Accra," World Development, Elsevier, vol. 27(11), pages 1993-2009, November. [Downloadable!] (restricted)
  6. Ruel, Marie T. & Bouis, Howarth E., 1997. "Plant breeding," FCND discussion papers 30, International Food Policy Research Institute (IFPRI). [Downloadable!]
  7. Hoddinott, John & Kinsey, Bill, 2000. "Adult health in the time of drought," FCND discussion papers 79, International Food Policy Research Institute (IFPRI). [Downloadable!]
  8. Engle, Patrice L. & Menon, Purnima & Garrett, James L. & Slack, Alison T., 1997. "Developing a research and action agenda for examining urbanization and caregiving," FCND discussion papers 28, International Food Policy Research Institute (IFPRI). [Downloadable!]
  9. Sharma, Manohar & Zeller, Manfred, 1999. "Placement and Outreach of Group-Based Credit Organizations: The Cases of ASA, BRAC, and PROSHIKA in Bangladesh," World Development, Elsevier, vol. 27(12), pages 2123-2136, December. [Downloadable!] (restricted)
  10. Low, Jan Wayland & Garrett, James L. & Ginja, Vitória, 1999. "Can cash transfer programs work in resource-poor countries?," FCND discussion papers 74, International Food Policy Research Institute (IFPRI). [Downloadable!]
  11. Morris, Saul S. & Levin, Carol E. & Armar-Klemesu, Margaret & Maxwell, Daniel & Ruel, Marie T., 1999. "Does Geographic Targeting of Nutrition Interventions Make Sense in Cities? Evidence from Abidjan and Accra," World Development, Elsevier, vol. 27(11), pages 2011-2019, November. [Downloadable!] (restricted)
  12. de la Briere, Benedicte & de Janvry, Alain & Lambert, Sylvie & Sadoulet, Elisabeth, 1997. "Why do migrants remit?," FCND discussion papers 37, International Food Policy Research Institute (IFPRI). [Downloadable!]
  13. Haddad, Lawrence & Ruel, Marie T. & Garrett, James L., 1999. "Are Urban Poverty and Undernutrition Growing? Some Newly Assembled Evidence," World Development, Elsevier, vol. 27(11), pages 1891-1904, November. [Downloadable!] (restricted)
  14. Levin, Carol E. & Ruel, Marie T. & Morris, Saul S. & Maxwell, Daniel G. & Armar-Klemesu, Margaret & Ahiadeke, Clement, 1999. "Working Women in an Urban Setting: Traders, Vendors and Food Security in Accra," World Development, Elsevier, vol. 27(11), pages 1977-1991, November. [Downloadable!] (restricted)
  15. Garrett, James L. & Ruel, Marie T., 1999. "Are determinants of rural and urban food security and nutritional status different?," FCND discussion papers 65, International Food Policy Research Institute (IFPRI). [Downloadable!]
  16. Glewwe, Paul & Jocoby, Hanan & King, Elizabeth M., 1999. "Early childhood nutrition and academic achievement," FCND discussion papers 68, International Food Policy Research Institute (IFPRI). [Downloadable!]
  17. Fafchamps, Marcel & Quisumbing, Agnes R., 1998. "Human capital, productivity, and labor allocation in rural Pakistan," FCND discussion papers 48, International Food Policy Research Institute (IFPRI). [Downloadable!]
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  18. Glewwe, Paul & Jacoby, Hanan G. & King, Elizabeth M., 2001. "Early childhood nutrition and academic achievement: a longitudinal analysis," Journal of Public Economics, Elsevier, vol. 81(3), pages 345-368, September. [Downloadable!] (restricted)
  19. Meinzen-Dick, Ruth Suseela & Brown, Lynn R. & Feldstein, Hilary Sims & Quisumbing, Agnes R., 1997. "Gender, property rights, and natural resources," FCND discussion papers 29, International Food Policy Research Institute (IFPRI). [Downloadable!]
    Other versions:
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