'It was caused by the carelessness of the parents': Cultural models of child malnutrition in southern Malawi

Maternal and Child Nutrition

Volumn 11, Issue 1, 2015, Pages 104-118

  Flax, Valerie L ^a  

^a IL   (United States)

Author keywords

Caregiving; Children; Cultural context; Low income countries; Malnutrition

Indexed keywords

ADULT; ARTICLE; ATTENTION; CHILD; CHILD CARE; CHILD HEALTH; CHILD NUTRITION; CULTURAL ANTHROPOLOGY; ETHNOGRAPHY; FEMALE; FOOD QUALITY; HUMAN; HUMAN NEEDS; KNOWLEDGE; MALAWI; MALE; MALNUTRITION; MIEN (PEOPLE); PARENTAL BEHAVIOR; RURAL AREA; SEXUAL ABSTINENCE; SPONTANEOUS ABORTION; ATTITUDE TO HEALTH; CHILD WELFARE; CLASSIFICATION; DIET; ETHNOLOGY; INFANT; MIDDLE AGED; NUTRITIONAL STATUS; PARENT; POVERTY; PRESCHOOL CHILD; PSYCHOLOGY;

CHILD WELFARE; CHILD, PRESCHOOL; CULTURE; DIET; FEMALE; FOOD QUALITY; HEALTH KNOWLEDGE, ATTITUDES, PRACTICE; HUMANS; INFANT; MALAWI; MALE; MALNUTRITION; MIDDLE AGED; NUTRITIONAL STATUS; PARENTS; POVERTY;

EID: 84919872839     PISSN: 17408695     EISSN: 17408709     Source Type: Journal    
DOI: 10.1111/mcn.12073     Document Type: Article

References (46)

1. Bentley M.E., Pelto G.H., Straus W.L., Schumann D., Adegbola C., De La Pena E. etal. (1988) Rapid ethnographic assessment: applications in a diarrhea management program. Social Science and Medicine 27, 107-116.
2. Bezner Kerr R., Dakishoni L., Shumba L., Msachi R. & Chirwa M. (2008) 'We grandmothers know plenty': breastfeeding, complementary feeding and the multifaceted role of grandmothers in Malawi. Social Science and Medicine 66, 1095-1105.
3. Black M.M. & Aboud F.E. (2011) Responsive feeding is embedded in a theoretical framework of responsive parenting. Journal of Nutrition 141, 490-494.
4. Blum L.S., Pelto G.H. & Pelto P. (2004) Coping with a nutrient deficiency: cultural models of vitamin A deficiency in northern Niger. Medical Anthropology 23, 195-227.
5. BMJ Group (2013) Best Practice: Kwashiorkor. Available at http://bestpractice.bmj.com/best-practice/monograph/1022/treatment/step-by-step.html. (Accessed 4 June 2013).
6. Cassidy C.M. (1982) Protein-energy malnutrition as a culture-bound syndrome. Culture, Medicine and Psychiatry 6, 325-345.
7. Curry K. (2000) Multicultural competence in dietetics and nutrition. Journal of the American Dietetic Association 100, 1142-1143.
8. Douglas M. (1966) Purity and Danger: An Analysis of Concepts of Pollution and Taboo. Routledge: New York.
9. Engle P.L., Bentley M. & Pelto G. (2000) The role of care in nutrition programmes: current research and a research agenda. Proceedings of the Nutrition Society 59, 25-35.
10. Engle P.L., Menon P. & Haddad L. (1997) Care and Nutrition: Concepts and Measurement. International Food Policy Research Institute: Washington, DC.
11. Flax V.L., Ashorn U., Phuka J., Malet K., Manary M.J. & Ashorn P. (2008) Feeding patterns of underweight children in rural Malawi given supplementary fortified spread at home. Maternal and Child Nutrition 4, 65-73.
12. Flax V.L., Phuka J., Cheung Y.B., Ashorn U., Maleta K. & Ashorn P. (2010) Feeding patterns and behaviors during home supplementation of underweight Malawian children with lipid-based nutrient supplements or corn-soy blend. Appetite 54, 504-511.
13. Fryberg S.A. & Markus H.R. (2007) Cultural models of education in American Indian, Asian American and European American contexts. Social Psychology of Education 10, 213-246.
14. Gove S. & Pelto G.H. (1994) Focused ethnographic studies in the WHO programme for the control of acute respiratory infections. Medical Anthropology 15, 409-424.
15. Hahn R.A. & Inhorn M.C. (eds) (2009) Anthropology and Public Health: Bridging Differences in Culture and Society. Oxford University Press: New York.
16. Harkness S. & Super C.M. (1996) Parents' Cultural Belief Systems: Their Origins, Expressions, and Consequences. The Guilford Press: New York.
17. Harkness S. & Super C.M. (2006) Themes and variations: parental ethnotheories in Western cultures. In: Parenting Beliefs, Behaviors, and Parent-Child Relations: A Cross Cultural Perspective (eds K.H. Rubin & O.B. Chung ), pp 61-80. Psychology Press, Taylor & Francis Group: New York.
18. Harris-Davis E. & Haughton B. (2000) Model for multicultural nutrition counseling competencies. Journal of the American Dietetic Association 100, 1178-1185.
19. Helitzer-Allen D.L., Kendall C. & Wirima J.J. (1997) Beliefs and practices during pregnancy in a Yao community in Malawi. In: Issues and Perspectives on Health Care in Contemporary Sub-Saharan Africa (eds E. Kalipeni & P. Thiuri ), pp 145-164. The Edwin Mellen Press: Lewiston.
20. Howard M. & Millard A.V. (1997) Hunger and Shame: Child Malnutrition and Poverty on Mount Kilimanjaro. Routledge: New York.
21. Kleinman A.M. (1980) Patients and Healers in the Context of Culture: An Exploration of the Borderland between Anthropology, Medicine and Psychiatry. University of California Press: Berkeley, CA.
22. Launiala A. & Honkasalo M.L. (2010) Malaria, danger, and risk perceptions among the Yao in rural Malawi. Medical Anthropology Quarterly 24, 399-420.
23. Leach E. (1964) Political Systems of Highland Burma: A Study of Kachin Social Structure. The Athlone Press: London.
24. Marwick M.G. (1965) Sorcery in its Social Setting. University Press: Manchester.
25. Miles M.B. & Huberman A.M. (1994) Qualitative Data Analysis: An Expanded Sourcebook. Sage: Thousand Oaks, CA.
26. Minick A. (1973) Sociological Illness: Mdulo among the Chewa (p 30). University of Zambia: Lusaka, Zambia.
27. Morris B. (1985) Chewa conceptions of disease - symptoms and etiologies. The Society of Malawi Journal. Society of Malawi (Historical and Scientific) 38, 431-439.
28. Munthali A.C. (2002) Change and Continuity: Perceptions about Childhood Diseases among the Tumbuka of Northern Malawi. South Africa: Rhodes University: Grahamstown.
29. National Statistical Office Malawi & ICF Macro (2011) Malawi Demographic and Health Survey 2010. NSO and ICF Macro: Zomba, Malawi and Calverton, MD.
30. PAHO & WHO (2003) Guiding Principles for the Complementary Feeding of the Breastfed Child. PAHO: Washington, DC.
31. Patton M.Q. (2001) Qualitative Research and Evaluation Methods, 3rd edn, Sage Publications: Thousand Oaks, CA.
32. Paul K.H., Muti M., Khalfan S.S., Humphrey J.H., Caffarella R. & Stoltzfus R.J. (2011) Beyond food insecurity: how context can improve complementary feeding interventions. Food and Nutrition Bulletin 32, 244-253.
33. Pelto G.H. (2008) Taking care of children: applying anthropology in maternal and child health and nutrition. Human Organization 67, 237-243.
34. Pelto G.H. & Armar-Klemesu M. (2011) Balancing nurturance, cost and time: complementary feeding in Accra, Ghana. Maternal and Child Nutrition 7, 66-81.
35. Pelto G.H., Levitt E. & Thairu L. (2003) Improving feeding practices: current patterns, common constraints, and the design of interventions. Food and Nutrition Bulletin 24, 45-82.
36. Pelto G.H., Armar-Klemesu M., Siekmann J. & Schofield D. (2013) The focused ethnographic study 'assessing the behavioral and local market environment for improving the diets of infants and young children 6 to 23 months old' and its use in three countries. Maternal and Child Nutrition 9 (Suppl. 1), 35-46.
37. Pelto P. & Pelto G. (1978) Anthropological Research: The Structure of Inquiry. Cambridge University Press: Cambridge, UK.
38. Phuka J., Thakwalakwa C., Maleta K., Cheun Y.B., Briend A., Manary M. etal. (2009) Supplementary feeding with fortified spread among moderately underweight 6-18-month-old rural Malawian children. Maternal and Child Nutrition 5, 159-170.
39. Phuka J.C., Maleta K., Thakwalakwa C., Cheung Y.B., Briend A., Manary M.J. etal. (2008) Complementary feeding with fortified spread and incidence of severe stunting in 6- to 18-month-old rural Malawians. Archives of Pediatrics and Adolescent Medicine 162, 619-626.
40. Pool R. (1994) Dialogue and the Interpretation of Illness: Conversations in a Cameroon Village. Berg Publishers: London.
41. Popenoe R. (2004) Feeding Desire: Fatness, Beauty, and Sexuality among a Saharan People. Routledge: New York.
42. Sikstrom L., Bezner Kerr R. & Dakishoni L. (2011) Fluid boundaries: multiple meanings in the illness 'moto' in northern Malawi. In: Infant Feeding Beliefs and Practices: A Cross-Cultural Perspective (ed. P. Liamputtong ), pp 211-227. Springer: New York, NY.
43. UNICEF (1990) Strategy for Improved Nutrition of Children and Women in Developing Countries. UNICEF: New York.
44. Van Breugel J.W.M. (2001) Chewa Traditional Religion. Christian Literature Association of Malawi: Blantyre, Malawi.
45. Wolf A. (2001) AIDS, morality and indigenous concepts of sexually transmitted diseases in Southern Africa. Afrika Spectrum 36, 97-107.
46. Zulu E.M. (1996) Social and Cultural Factors Affecting Reproductive Behaviour in Malawi. University of Pennsylvania: Philadelphia.