Mothers’ caregiving resources and practices for children under 5 years in the slums of Hyderabad, India: a cross-sectional study
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Background: The extended care model of the United Nations Children’s Fund(UNICEF) identifies knowledge/beliefs, nutritional status, mental health, control ofresources/autonomy, workload/time constraints and social support as importantcaregiver resources for childcare. The aim of this paper is to examine the role ofmothers’ caregiving resources in child-care practices in slums.Methods: A cross-sectional study was conducted in 10 slums of Hyderabad, toappraise the caregiving practices and health status of children under 5 years. Datawere collected from 506 households, selected through multistage stratified randomsampling, and data relating to 451 children aged 6–59 months were analysed.Four caregiving practices were studied: psychosocial stimulation, as assessed bythe Home Observation Measurement of the Environment inventory; hygienic carerated by spot-check observation; and meal frequency and dietary diversity basedon maternal recall. The role of the mother’s caregiving resources was examinedusing bivariate and multivariate logistic regression analyses.Results: More than 50% of the children received good psychosocial stimulationand close to 60% had good hygienic care. About 75% of the children aged 6–23months had the recommended minimum meal frequency and 13% had therecommended dietary diversity. Mother’s media exposure (odds ratio [OR] 2.25,95% confidence interval [CI] 1.35–3.77), participation in household budgeting(OR 2.19, CI 1.25–3.83) and husband’s support (OR 2.04, CI 1.28–3.24) werepredictors of psychosocial stimulation. Mother’s younger age (OR 1.11, CI 1.04–1.18), poor media exposure (OR 1.95, CI 1.15–3.29), dissatisfaction with life (OR1.84, CI 1.05–3.24), workload (OR 1.79, CI 1–3.18) and having no money for theirown use (OR 1.52, CI 0.95–2.45) placed children at higher odds for receiving poorhygienic care. Leisure time (OR 2.75, CI 1.25–6.06) and participation in budgeting(OR 1.97, CI 1–3.86) were predictors of meal frequency.Conclusion: Mother’s workload, poor media exposure, dissatisfaction with life,lack of husband’s support and absence of economic autonomy are constraints togood child care in slums.Zitat
Rajini Peter & K Anil Kumar. (2014). Mothers’ caregiving resources and practices for children under 5 years in the slums of Hyderabad, India: a cross-sectional study. WHO South-East Asia Journal of Public Health, 3 (3-4), 254 - 265. World Health Organization. Regional Office for South-East Asia. https://iris.who.int/handle/10665/329756
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WHO South-East Asia Journal of Public Health, 3 (3-4): 254 - 265ISSN
2224-3151 (Print)2304-5272 (Electronic)