The constraints to good child care practices in Accra: implications for programs

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 in Accra were used to test a number of hypothesized constraints to child care, including various maternal (education, employment,...

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Autores principales: Armar-Klemesu, Margaret, Ruel, Marie T., Maxwell, Daniel G., Levin, Carol E., Morris, Saul Sutkover
Formato: Artículo preliminar
Lenguaje:Inglés
Publicado: International Food Policy Research Institute 2000
Materias:
Acceso en línea:https://hdl.handle.net/10568/156565
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author Armar-Klemesu, Margaret
Ruel, Marie T.
Maxwell, Daniel G.
Levin, Carol E.
Morris, Saul Sutkover
author_browse Armar-Klemesu, Margaret
Levin, Carol E.
Maxwell, Daniel G.
Morris, Saul Sutkover
Ruel, Marie T.
author_facet Armar-Klemesu, Margaret
Ruel, Marie T.
Maxwell, Daniel G.
Levin, Carol E.
Morris, Saul Sutkover
author_sort Armar-Klemesu, Margaret
collection Repository of Agricultural Research Outputs (CGSpace)
description 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 in Accra were used to test a number of hypothesized constraints to child care, including various maternal (education, employment, marital status, age, health, ethnic group, migration status) and household-level factors (income, calorie availability, quality of housing and asset ownership, availability of services, household size, and crowding). An age-specific child care index was created using recall data on maternal child feeding practices and use of preventive health services. A hygiene index was created from spot check observations of proxies of hygiene behaviors. Multivariate analyses showed that maternal schooling was the most consistent constraint to both the care and the hygiene index. None of the household-level characteristics were associated with the care index, but better housing quality and access to garbage collection services were associated with better hygiene. Female head of household and larger family size were associated with poorer hygiene. The programmatic implications of these findings for nutrition education and behavior change interventions in Accra are discussed. The focus is on using the information to target the right practices to be modified as well as the main constraints to their adoption.
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spelling CGSpace1565652025-11-06T07:26:41Z The constraints to good child care practices in Accra: implications for programs Armar-Klemesu, Margaret Ruel, Marie T. Maxwell, Daniel G. Levin, Carol E. Morris, Saul Sutkover child care maternal and child health developing countries urban health livelihoods urban programming 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 in Accra were used to test a number of hypothesized constraints to child care, including various maternal (education, employment, marital status, age, health, ethnic group, migration status) and household-level factors (income, calorie availability, quality of housing and asset ownership, availability of services, household size, and crowding). An age-specific child care index was created using recall data on maternal child feeding practices and use of preventive health services. A hygiene index was created from spot check observations of proxies of hygiene behaviors. Multivariate analyses showed that maternal schooling was the most consistent constraint to both the care and the hygiene index. None of the household-level characteristics were associated with the care index, but better housing quality and access to garbage collection services were associated with better hygiene. Female head of household and larger family size were associated with poorer hygiene. The programmatic implications of these findings for nutrition education and behavior change interventions in Accra are discussed. The focus is on using the information to target the right practices to be modified as well as the main constraints to their adoption. 2000 2024-10-24T12:44:38Z 2024-10-24T12:44:38Z Working Paper https://hdl.handle.net/10568/156565 en Open Access application/pdf International Food Policy Research Institute 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: implications for programs. FCND Discussion Paper 81. https://hdl.handle.net/10568/156565
spellingShingle child care
maternal and child health
developing countries
urban health
livelihoods
urban programming
Armar-Klemesu, Margaret
Ruel, Marie T.
Maxwell, Daniel G.
Levin, Carol E.
Morris, Saul Sutkover
The constraints to good child care practices in Accra: implications for programs
title The constraints to good child care practices in Accra: implications for programs
title_full The constraints to good child care practices in Accra: implications for programs
title_fullStr The constraints to good child care practices in Accra: implications for programs
title_full_unstemmed The constraints to good child care practices in Accra: implications for programs
title_short The constraints to good child care practices in Accra: implications for programs
title_sort constraints to good child care practices in accra implications for programs
topic child care
maternal and child health
developing countries
urban health
livelihoods
urban programming
url https://hdl.handle.net/10568/156565
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