THE CONSTRAINTS TO GOOD CHILD CARE PRACTICES IN ACCRA: IMPLICATIONS FOR PROGRAMS Report as inadecuate




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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 inAccra were used to test a number of hypothesized constraints to child care, includingvarious maternal (education, employment, marital status, age, health, ethnic group,migration status) and household-level factors (income, calorie availability, quality ofhousing and asset ownership, availability of services, household size, and crowding). Anage-specific child care index was created using recall data on maternal child feedingpractices and use of preventive health services. A hygiene index was created from spotcheck observations of proxies of hygiene behaviors. Multivariate analyses showed thatmaternal schooling was the most consistent constraint to both the care and the hygieneindex. None of the household-level characteristics were associated with the care index,but better housing quality and access to garbage collection services were associated withbetter hygiene. Female head of household and larger family size were associated withpoorer hygiene. The programmatic implications of these findings for nutrition educationand behavior change interventions in Accra are discussed. The focus is on using theinformation to target the right practices to be modified as well as the main constraints totheir adoption.

Subject(s): Labor and Human Capital

Issue Date: 2000

Publication Type: Working or Discussion Paper

PURL Identifier: http://purl.umn.edu/16466

Total Pages: 43

Series Statement: FCND Discussion Paper 81

Record appears in: CGIAR > International Food Policy Research Institute (IFPRI) > FCND Discussion Papers





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

Source: http://ageconsearch.umn.edu/record/16466?ln=en







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