title: Child diet and healthy growth in the context of rural poverty in the peruvian andes: what influences primary caregivers' opportunities and choices?
abstract: This study explored opportunities and choices related to child feeding among women living in a remote and low-income district in the Andean highlands. Data were collected through in-depth interviews with mothers (N = 7) with reputations for providing good child care, and who participated in an NGO-run social and health programme. The aim of this study was to learn about women's positive experience with child feeding, in the context of living in low-income communities. Such knowledge could be of substantial practical value to health promotion practitioners, in illuminating existing local circumstances and practices that produce good child nutrition. The women who were most knowledgeable about child health and diet were better educated and had relatively higher social positions in the community. Regarding contextual factors related to child feeding, numerous references were made to the extensive use of own crops and food stuffs, seen to provide a better diet than that available in cities where people buy their food. In discussing food and meal preparation habits, there were clear references to child welfare and health as motivating factors in the choices that were made. The NGO programme was not mentioned by the interviewer, to avoid prompting, yet the respondents referred to it explicitly, and attributed improved health-related knowledge and skills to the NGO education interventions (e.g. education about nutritious meal preparation, child care skills, and sanitation practices). It is concluded that the women were concerned about providing a good diet to their children, they were aware of the impact of feeding practices on child health, and that education about health and diet helped them to improved feeding practices.
authors.affiliation: Department of Health Promotion and Development, Faculty of Psychology, University of Bergen, Norway. helga.urke@psych.uib.no
authors.forename: Helga B
authors.initials: HB
authors.lastname: Urke
authors.forename: Torill
authors.initials: T
authors.lastname: Bull
authors.forename: Maurice B
authors.initials: MB
authors.lastname: Mittelmark
mesh_terms: D000383:Agriculture / Q000191:economics / Q000193:education / Q000379:methods; D002648:Child; D002654:Child Care / Q000191:economics / Q000379:methods* / Q000592:standards; D053198:Child Nutrition Sciences / Q000191:economics / Q000193:education*; D002755:Choice Behavior; D004032:Diet / Q000191:economics* / Q000208:ethnology; D005260:Female; D005523:Food Supply / Q000191:economics / Q000592:standards; D007722:Health Knowledge, Attitudes, Practice / Q000208:ethnology; D006801:Humans; D007199:Indians, South American; D007407:Interviews as Topic; D009035:Mothers / Q000193:education* / Q000523:psychology; D009938:Organizations; D010568:Peru; D011204:Poverty Areas; D036301:Qualitative Research; D012423:Rural Health
keywords: health determinants; nutrition; rural; socioeconomic status