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Volumn 27, Issue 6, 1988, Pages 627-636

The effect of child fostering on feeding practices and access to health services in rural Sierra Leone

Author keywords

[No Author keywords available]

Indexed keywords

CHILD FEEDING PRACTICES; CHILD FOSTERING; CHILD MORTALITY; HEALTH CARE PROGRAMS; MALNUTRITION;

EID: 0023822461     PISSN: 02779536     EISSN: None     Source Type: Journal    
DOI: 10.1016/0277-9536(88)90011-1     Document Type: Article
Times cited : (90)

References (42)
  • 1
    • 84913878493 scopus 로고    scopus 로고
    • Technically, children with a father and his other wife should not be ‘foster children’. However, they frequently suffer discrimination because their father's other wife sees them as potential competitors with her own children and, worse, as a reminder of a marriage she herself may have helped to end.
  • 2
  • 4
    • 0038862946 scopus 로고
    • The fostering of children in urban Ghana: problems of ethnographic analysis in a multicultural context
    • (1973) Urban Anthrop. , vol.2 , pp. 48-73
    • Schildkrout1
  • 7
    • 84925977423 scopus 로고
    • Child fosterage among the Mende of Upper Bambara Chiefdom Sierra Leone rural-urban and occupational comparisons
    • (1982) Ethnology , vol.21 , pp. 243-257
    • Isaac1    Conrad2
  • 10
    • 84913822196 scopus 로고    scopus 로고
    • Bledsoe C. and Isiugo-Abanihe U. Strategies of child fosterage among Mende “grannies” in Sierra Leone. In African Reproduction and Social Organization (Edited by Lesthaeghe R.). University of California, Berkeley Calif. In press.
  • 13
    • 84913853457 scopus 로고    scopus 로고
    • Page H. Child-bearing versus child-rearing: co-residence of mother and child in sub-Saharan Africa. In African Reproduction of Social Organization (Edited by Lesthaeghe R.). University of California, Berkeley, Calif. In Press.
  • 19
    • 0022884984 scopus 로고
    • Separation from the mother at time of weaning
    • (1986) Trop Doct , vol.16 , pp. 176-177
    • Schmutzhard1
  • 21
    • 0015723974 scopus 로고
    • Family structure, child location and nutritional disease in rural Haiti
    • For analogous findings in other regions, see
    • (1973) Environ. Child Hlth , vol.19 , pp. 288-298
    • Rawson1    Berggren2
  • 22
    • 0019825635 scopus 로고
    • The social background of childhood nutrition in the Ciskei
    • (1981) Soc. Sci. Med. , vol.15 A , pp. 551-555
    • Thomas1
  • 23
    • 84934870106 scopus 로고    scopus 로고
    • Some observations on the development of kwashiorkor: a study of some 205 cases
    • 1565
    • S. Afr. med. J. , vol.30 , pp. 396-399
    • Petrorius1
  • 30
    • 84913841114 scopus 로고    scopus 로고
    • Liberia has even higher rates of fosterage than Sierra Leone. From the 1974 Liberian census, U. Isiugo-Abanihe [Child Fostering in West Africa: Prevalence, Determinants and Demographic Consequences. Ph.D. dissertation, Univ. of Pennsylvania, Philadelphia, Penn., 1983] estimated that 36% of all surviving children of women 15–19 (children mostly 2 and under) were away from their mothers. Forty percent of all fosters were 5 and under. For Ghana in 1971 he found that 20% of all children from 0–5 were away from their mothers. And in Nigeria, Changing African Family project data from 1973 showed that 32% of all men reported some children under 15 were away, as did 24% of all women. The Nigerian figures, however, exclude children living with fathers but not with mothers.
  • 33
    • 84913822756 scopus 로고    scopus 로고
    • Bledsoe C. Tinned milk and child fosterage: side-stepping the post-partum sex taboo. Paper for a Rockefeller Foundation Conference on the Cultural Roots of African Fertility Regimes, Ife, Nigeria.
  • 35
    • 84913866428 scopus 로고    scopus 로고
    • An irony of modernization is that tinned milk helps school girls, working women, and unmarried women to send their small children to caretakers (Ref. [27]). Yet if such a caretaker lacks the money to buy milk, she may dilute it or substitute starchy mixtures.
  • 37
    • 84913844573 scopus 로고    scopus 로고
    • We assume that in each age group the number of girls and boys is the same.
  • 38
    • 84913876383 scopus 로고    scopus 로고
    • A mother may visit her child, and, seeing his condition, bring him to the hospital. Alternatively, guardians may send for a sick child's parents to bring him to the hospital. Consequently, children rarely die with guardians or remain very ill for long periods with them.
  • 39
    • 84913856275 scopus 로고    scopus 로고
    • Whereas these problems tend to contaminate the ‘mother’ category, the guardian category could contain some mothers; someone else might bring the child to the hospital although the mother herself had been taking care of him. However, though the ‘guardian’ category is small by comparison with the number of children who were likely living with guardians when they got sick, we believe it is much less contaminated than the ‘mother’ category.
  • 40
    • 84913813848 scopus 로고    scopus 로고
    • We separate anemia, oedema, and weight loss from nutrition-related maladies because of possible associations with other illnesses. Moreover, malnutrition may not stem from food deprivation; it can result from a prior disease that decreases the child's consumption and increases caloric requirements.
  • 42
    • 84913833387 scopus 로고    scopus 로고
    • Additional data reveal that malnourished foster children die in the hospital more frequently than children with mothers (33% vs 26.5%), although foster children spent on average much less time in the hospital: less than 1 day vs 2.6 days for children with mothers. Moreover, malnutrition was associated with the deaths of young foster children to a much greater extent than children with mothers: 42.9% vs 20.5%, respectively.


* 이 정보는 Elsevier사의 SCOPUS DB에서 KISTI가 분석하여 추출한 것입니다.