Heavy agricultural workloads and low crop diversity are strong barriers to improving child feeding practices in the Bolivian Andes
Most nutrition initiatives to date aimed at improving infant and young child feeding (IYCF) have emphasized addressing knowledge gaps through behavior change messaging with less focus on addressing the underlying environmental barriers that may shape these behaviors. This research integrates an analysis of longitudinal dietary data with qualitative data on barriers to improved child feeding to identify the nature and extent of the barriers caregivers face to improving IYCF practices in a farming region of the Bolivian Andes, and to determine the relative influence of these barriers on caregivers' abilities to improve IYCF practices. Sixty-nine caregivers were selected from a sample of 331 households that participated in a longitudinal survey assessing changes in IYCF practices among caregivers with children aged 0–36 months from March 2009 to March 2010. Forty-nine barriers within 12 categories of barriers were identified through semi-structured interviews with the 69 caregivers. The most frequently reported barriers were those related to women's time dedicated to agricultural labor, the limited diversity of household agricultural production, and lack of support for child feeding from spouses and mothers-in-law. In multivariate analyses controlling for several variables that could potentially influence IYCF practices, these barriers were negatively associated with changes to the diversity of child diets, child dietary energy intake, and child meal frequency. While knowledge gaps and individual-level influences affected IYCF practices, physical and social caregiving environments in this region of Bolivia were even more important. Behavior change communication alone will likely not address the social and environmental barriers to improved child feeding that often prevent translation of improved knowledge into action. Particularly in rural regions, agriculture may strongly influence child feeding, not only indirectly through household food security, but also directly by affecting women's caregiving capacity.
If you experience problems downloading a file, check if you have the proper application to view it first. In case of further problems read the IDEAS help page. Note that these files are not on the IDEAS site. Please be patient as the files may be large.
As the access to this document is restricted, you may want to look for a different version under "Related research" (further below) or search for a different version of it.
Volume (Year): 75 (2012)
Issue (Month): 9 ()
|Contact details of provider:|| Web page: http://www.elsevier.com/wps/find/journaldescription.cws_home/315/description#description|
|Order Information:|| Postal: http://www.elsevier.com/wps/find/supportfaq.cws_home/regional|
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.:
- Engle, Patrice L. & Menon, Purnima & Haddad, Lawrence, 1999. "Care and Nutrition: Concepts and Measurement," World Development, Elsevier, vol. 27(8), pages 1309-1337, August.
- Stanton, Bonita & Black, Robert & Engle, Patrice & Pelto, Gretel, 1992. "Theory-driven behavioral intervention research for the control of diarrheal diseases," Social Science & Medicine, Elsevier, vol. 35(11), pages 1405-1420, December.
- Quisumbing, Agnes R. & Pandolfelli, Lauren, 2009.
"Promising approaches to address the needs of poor female farmers: Resources, constraints, and interventions,"
IFPRI discussion papers
882, International Food Policy Research Institute (IFPRI).
- Quisumbing, Agnes R. & Pandolfelli, Lauren, 2010. "Promising Approaches to Address the Needs of Poor Female Farmers: Resources, Constraints, and Interventions," World Development, Elsevier, vol. 38(4), pages 581-592, April.
- Ukwuani, Festus A. & Suchindran, Chirayath M., 2003. "Implications of women's work for child nutritional status in sub-Saharan Africa: a case study of Nigeria," Social Science & Medicine, Elsevier, vol. 56(10), pages 2109-2121, May.
- Mabiso, Athur & Maystadt, Jean-FranÃ§ois & Vandercasteelen, Joachim & Hirvonen, Kalle, 2014. "Enhancing resilience for food security in refugee-hosting communities:," 2020 Conference briefs 2, International Food Policy Research Institute (IFPRI).
- Arimond, Mary & Ruel, Marie T., 2002.
"Progress in developing an infant and child feeding index,"
143, International Food Policy Research Institute (IFPRI).
- Arimond, Mary & Ruel, Marie T., 2002. "Progress in developing an infant and child feeding index," FCND discussion papers 143, International Food Policy Research Institute (IFPRI).
- Aubel, Judi & Touré, Ibrahima & Diagne, Mamadou, 2004. "Senegalese grandmothers promote improved maternal and child nutrition practices: the guardians of tradition are not averse to change," Social Science & Medicine, Elsevier, vol. 59(5), pages 945-959, September.
- Hermstad, April K. & Swan, Deanne W. & Kegler, Michelle C. & Barnette, J.K. & Glanz, Karen, 2010. "Individual and environmental correlates of dietary fat intake in rural communities: A structural equation model analysis," Social Science & Medicine, Elsevier, vol. 71(1), pages 93-101, July.
- Bezner Kerr, Rachel & Dakishoni, Laifolo & Shumba, Lizzie & Msachi, Rodgers & Chirwa, Marko, 2008. ""We Grandmothers Know Plenty": Breastfeeding, complementary feeding and the multifaceted role of grandmothers in Malawi," Social Science & Medicine, Elsevier, vol. 66(5), pages 1095-1105, March.
- Kaufman, Leslie & Karpati, Adam, 2007. "Understanding the sociocultural roots of childhood obesity: Food practices among Latino families of Bushwick, Brooklyn," Social Science & Medicine, Elsevier, vol. 64(11), pages 2177-2188, June.
- Briscoe, Ciara & Aboud, Frances, 2012. "Behaviour change communication targeting four health behaviours in developing countries: A review of change techniques," Social Science & Medicine, Elsevier, vol. 75(4), pages 612-621.
When requesting a correction, please mention this item's handle: RePEc:eee:socmed:v:75:y:2012:i:9:p:1673-1684. See general information about how to correct material in RePEc.
For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: (Shamier, Wendy)
If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.
If references are entirely missing, you can add them using this form.
If the full references list an item that is present in RePEc, but the system did not link to it, you can help with this form.
If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your profile, as there may be some citations waiting for confirmation.
Please note that corrections may take a couple of weeks to filter through the various RePEc services.