Developing a research and action agenda for examining urbanization and caregiving
The UNICEF-expanded model for nutrition is used to analyze the circumstances of care in urban environments. The model postulates that there are six major types of care behaviors: feeding and breast-feeding, food preparation and handling, hygiene behavior, psychosocial care, care for women, and home health practices. These behaviors require the resources of education and knowledge of the caregivers, the physical and mental health of caregivers, autonomy in decisionmaking, time availability, and the social support of the family and community in order to ensure adequate care for the child. This paper describes each of these constraints, and two of the behaviors (feeding and health care utilization) in urban and rural areas. Data from Demographic and Health Surveys (DHS) in eight countries in Eastern and Southern Africa were used to illustrate how existing data can be used to examine care, and what research questions remain to be addressed to understand care in the urban setting. A number of differences favor the urban environment over the rural environment: in general, child malnutrition is less (though this may not be true in poor urban areas), maternal education levels are higher, and knowledge of health care practices is greater. On the other hand, breast-feeding seems to be less frequent and of shorter duration. It is argued that care may be even more important in urban rather than rural settings for child health and survival in low-income neighborhoods. Caution is needed when comparing urban and rural areas, however, because there are often enormous care, health, and nutrition differences between poor-income and middle-to-high-income areas of cities. Through the application of the expanded UNICEF model, a research agenda was developed.
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- Cohen, Roberta J. & Haddix, Kimber & Hurtado, Elena & Dewey, Kathryn G., 1995. "Maternal activity budgets: Feasibility of exclusive breastfeeding for six months among urban women in Honduras," Social Science & Medicine, Elsevier, vol. 41(4), pages 527-536, August.
- Pitt, Mark M & Rosenzweig, Mark R, 1990. "Estimating the Intrahousehold Incidence of Illness: Child Health and Gender-Inequality in the Allocation of Time," International Economic Review, Department of Economics, University of Pennsylvania and Osaka University Institute of Social and Economic Research Association, vol. 31(4), pages 969-80, November.
- Doan, Rebecca Miles & Popkin, Barry M., 1993. "Women's work and infant care in the Philippines," Social Science & Medicine, Elsevier, vol. 36(3), pages 297-304, February.
- Cleland, John G. & van Ginneken, Jerome K., 1988. "Maternal education and child survival in developing countries: The search for pathways of influence," Social Science & Medicine, Elsevier, vol. 27(12), pages 1357-1368, January.
- Onyango, Adelheid & Tucker, Katherine & Eisemon, Thomas, 1994. "Household headship and child nutrition: A case study in Western Kenya," Social Science & Medicine, Elsevier, vol. 39(12), pages 1633-1639, December.
- Duncan Thomas & John Strauss & Maria-Helena Henriques, 1991. "How Does Mother's Education Affect Child Height?," Journal of Human Resources, University of Wisconsin Press, vol. 26(2), pages 183-211.
- Baksh, Michael & Neumann, Charlotte G. & Paolisso, Michael & Trostle, Richard M. & Jansen, A. A. J., 1994. "The influence of reproductive status on rural Kenyan women's time use," Social Science & Medicine, Elsevier, vol. 39(3), pages 345-354, August.
- Wolfe, Barbara L. & Behrman, Jere R., 1982. "Determinants of child mortality, health, and nutrition in a developing country," Journal of Development Economics, Elsevier, vol. 11(2), pages 163-193, October.
- Engle, Patrice L. & Castle, Sarah & Menon, Purnima, 1996. "Child development," FCND discussion papers 12, International Food Policy Research Institute (IFPRI).
- Philip Amis & Carole Rakodi, 1994. "Urban poverty: Issues for research and policy," Journal of International Development, John Wiley & Sons, Ltd., vol. 6(5), pages 627-634, 09.
- Engle, Patrice L., 1993. "Influences of mothers' and fathers' income on children's nutritional status in Guatemala," Social Science & Medicine, Elsevier, vol. 37(11), pages 1303-1312, December.
- Kennedy, Eileen & Peters, Pauline, 1992. "Household food security and child nutrition: the interaction of income and gender of household head," World Development, Elsevier, vol. 20(8), pages 1077-1085, August.
- Engle, Patrice L. & Castle, Sarah & Menon, Purnima, 1996. "Child development: Vulnerability and resilience," Social Science & Medicine, Elsevier, vol. 43(5), pages 621-635, September.
- Guilkey, David K & Stewart, John F, 1995. "Infant Feeding Patterns and the Marketing of Infant Foods in the Philippines," Economic Development and Cultural Change, University of Chicago Press, vol. 43(2), pages 369-99, January.
- Engle, Patrice L. & Menon, Purnima & Haddad, Lawrence James, 1996. "Care and nutrition," FCND discussion papers 18, International Food Policy Research Institute (IFPRI).
- John Stewart & Barry Popkin & David Guilkey & John Akin & Linda Adair & Wilhelm Flieger, 1991. "Influences on the Extent of Breast-Feeding: A Prospective Study in the PhiLippines," Demography, Springer, vol. 28(2), pages 181-199, May.
- Bryant, Carol Anne, 1982. "The impact of kin, friend and neighbor networks on infant feeding practices : Cuban, Puerto Rican and Anglo families in Florida," Social Science & Medicine, Elsevier, vol. 16(20), pages 1757-1765, January.
- Adedoyin, Michael A. & Watts, Susan J., 1989. "Child health and child care in Okelele: An indigenous area of the city of Ilorin, Nigeria," Social Science & Medicine, Elsevier, vol. 29(12), pages 1333-1341, January.
- Mansbach, Ivonne Kleinfeld & Greenbaum, Charles W. & Sulkes, Jaqueline, 1991. "Onset and duration of breast feeding among Israeli mothers: Relationships with smoking and type of delivery," Social Science & Medicine, Elsevier, vol. 33(12), pages 1391-1397, January.
- Barrera, Albino, 1990. "The role of maternal schooling and its interaction with public health programs in child health production," Journal of Development Economics, Elsevier, vol. 32(1), pages 69-91, January.
- Guldan, Georgia S. & Zeitlin, Marian F. & Beiser, Alexa S. & Super, Charles M. & Gershoff, Stanley N. & Datta, Sabita, 1993. "Maternal education and child feeding practices in rural Bangladesh," Social Science & Medicine, Elsevier, vol. 36(7), pages 925-935, April.
- David M. Blau & David K. Guilkey & Barry M. Popkin, 1996. "Infant Health and the Labor Supply of Mothers," Journal of Human Resources, University of Wisconsin Press, vol. 31(1), pages 90-139.
- Johnson, F. Catherine & Rogers, Beatrice Lorge, 1993. "Children's nutritional status in female-headed households in the Dominican Republic," Social Science & Medicine, Elsevier, vol. 37(11), pages 1293-1301, December.
- Engle, Patrice L. & Menon, Purnima & Haddad, Lawrence, 1999. "Care and Nutrition: Concepts and Measurement," World Development, Elsevier, vol. 27(8), pages 1309-1337, August.
- Castle, Sarah E., 1995. "Child fostering and children's nutritional outcomes in rural Mali: The role of female status in directing child transfers," Social Science & Medicine, Elsevier, vol. 40(5), pages 679-693, March.
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