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Good care practices can mitigate the negative effects of poverty and low maternal schooling on children's nutritional status

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

Abstract

This study uses data from a representative survey of households with preschoolers in Accra, Ghana to (1) examine the importance of care practices for children's height-for-age z-scores (HAZ); and (2) identify subgroups of children for whom good maternal care practices may be particularly important. Good caregiving practices related to child feeding and use of preventive health services were a strong determinant of children's HAZ, specially among children from the two lower income terciles and children whose mothers had less than secondary schooling. In this population, good care practices could compensate for the negative effects of poverty and low maternal schooling on children's HAZ. Thus, effective targeting of specific education messages to improve child feeding practices and use of preventive health care could have a major impact on reducing childhood malnutrition in Accra.

Suggested Citation

  • Ruel, Marie T. & Levin, Carol E. & Armar-Klemesu, Margaret & Maxwell, Daniel G. & Morris, Saul Sutkover, 1999. "Good care practices can mitigate the negative effects of poverty and low maternal schooling on children's nutritional status," FCND discussion papers 62, International Food Policy Research Institute (IFPRI).
    • Handle: RePEc:fpr:fcnddp:62
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    References listed on IDEAS

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    1. Deaton, Angus, 1987. "Estimation of own- and cross-price elasticities from household survey data," Journal of Econometrics, Elsevier, vol. 36(1-2), pages 7-30.
    2. Armar-Klemesu, Margaret & Ruel, Marie T. & Maxwell, Daniel G. & Levin, Carol E. & Morris, Saul Sutkover, 2000. "The constraints to good child care practices in Accra," FCND briefs 81, International Food Policy Research Institute (IFPRI).
    3. 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.
    4. 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).
    5. Ruel, Marie T. & Garrett, James L. & Morris, Saul Sutkover & Maxwell, Daniel G. & Oshaug, Arne & Engle, Patrice L. & Menon, Purnima & Slack, Alison T. & Haddad, Lawrence James, 1998. "Urban challenges to food and nutrition security," FCND discussion papers 51, International Food Policy Research Institute (IFPRI).
    6. Maxwell, Daniel G. & Levin, Carol E. & Armar-Klemesu, Margaret & Ruel, Marie T. & Morris, Saul Sutkover & Ahiadeke, Clement, 2000. "Urban livelihoods and food and nutrition security in Greater Accra, Ghana:," Research reports 112, International Food Policy Research Institute (IFPRI).
    7. Engle, Patrice L. & Menon, Purnima & Haddad, Lawrence, 1999. "Care and Nutrition: Concepts and Measurement," World Development, Elsevier, vol. 27(8), pages 1309-1337, August.
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    10. Sahn, David E. & Alderman, Harold, 1997. "On the determinants of nutrition in Mozambique: The importance of age-specific effects," World Development, Elsevier, vol. 25(4), pages 577-588, January.
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    Cited by:

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    2. Ulrich Nguemdjo & Bruno Ventelou, 2020. "How do migrations affect under-five mortality in rural areas? Evidence from Niakhar, Senegal," Working Papers halshs-03078776, HAL.
    3. Sapkota, Pratikshya & Bastola, Umesh & Marsh, Thomas L., 2015. "Role Of Food Insecurity And Women’S Autonomy On Child Health: Empirical Evidence From Nepal," 2015 AAEA & WAEA Joint Annual Meeting, July 26-28, San Francisco, California 205721, Agricultural and Applied Economics Association.
    4. Emmanuel Quansah & Lilian Akorfa Ohene & Linda Norman & Michael Osei Mireku & Thomas K Karikari, 2016. "Social Factors Influencing Child Health in Ghana," PLOS ONE, Public Library of Science, vol. 11(1), pages 1-20, January.
    5. Agee, Mark D., 2010. "Reducing child malnutrition in Nigeria: Combined effects of income growth and provision of information about mothers' access to health care services," Social Science & Medicine, Elsevier, vol. 71(11), pages 1973-1980, December.
    6. Gibson, John, 2002. "The effect of endogeneity and measurement error bias on models of the risk of child stunting," Mathematics and Computers in Simulation (MATCOM), Elsevier, vol. 59(1), pages 179-185.
    7. Pangaribowo, Evita Hanie & Tsegai, Daniel W., 2011. "Food Demand Analysis of Indonesian Households with Particular Attention to the Poorest," Discussion Papers 116748, University of Bonn, Center for Development Research (ZEF).

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