112 lines
3.6 KiB
YAML
112 lines
3.6 KiB
YAML
abstract: 'Introduction: The magnitude of child malnutrition including severe child
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malnutrition is especially high in the rural areas of the Democratic
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Republic of Congo (the DRC). The aim of this qualitative study is to
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describe the social context of malnutrition in a rural part of the DRC
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and explore how some households succeed in ensuring that their children
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are well-nourished while others do not.
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Methodology: This study is based on participant observation, key
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informant interviews, group discussions and in-depth interviews with
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four households with malnourished children and four with well-nourished
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children. We apply social field theory to link individual child
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nutritional outcomes to processes at local level and to the wider
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socio-economic environment.
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Findings: We identified four social fields that have implications for
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food security and child nutritional outcomes: 1) household size and
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composition which determined vulnerability to child malnutrition, 2)
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inter-household cooperation in the form of `gbisa work party'' which
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buffered scarcity of labour in peak seasons and facilitated capital
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accumulation, 3) the village associated with usufruct rights to land,
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and 4) the local NGO providing access to agricultural support, clean
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drinking water and health care.
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Conclusions: Households that participated in inter-household cooperation
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were able to improve food and nutrition security. Children living in
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households with high pressure on productive members were at danger of
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food insecurity and malnutrition. Nutrition interventions need to
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involve local institutions for inter-household cooperation and address
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the problem of social inequalities in service provision. They should
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have special focus on households with few resources in the form of land,
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labour and capital.'
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affiliation: 'Kismul, H (Corresponding Author), Univ Bergen, Ctr Int Hlth, N-5009
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Bergen, Norway.
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Kismul, Hallgeir; Van den Broeck, Jan; Moland, Karen Marie, Univ Bergen, Ctr Int
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Hlth, N-5009 Bergen, Norway.
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Hatloy, Anne, Fafo, N-0608 Oslo, Norway.
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Andersen, Peter, Univ Bergen, Dept Geog, N-5020 Bergen, Norway.
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Mapatano, Mala, Univ Kinshasa, Sch Publ Hlth, Kinshasa 1, DEM REP CONGO.'
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article-number: '47'
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author: Kismul, Hallgeir and Hatloy, Anne and Andersen, Peter and Mapatano, Mala and
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Van den Broeck, Jan and Moland, Karen Marie
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author-email: hallgeir.kismul@cih.uib.no
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author_list:
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- family: Kismul
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given: Hallgeir
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- family: Hatloy
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given: Anne
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- family: Andersen
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given: Peter
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- family: Mapatano
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given: Mala
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- family: Van den Broeck
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given: Jan
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- family: Moland
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given: Karen Marie
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da: '2023-09-28'
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doi: 10.1186/s12939-015-0175-x
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eissn: 1475-9276
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files: []
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journal: INTERNATIONAL JOURNAL FOR EQUITY IN HEALTH
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keywords: 'Malnutrition; Marasmus; Kwashiorkor; Food security; Subsistence
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agriculture; Social inequality; Social capital; The Democratic Republic
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of Congo'
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keywords-plus: 'HEALTH-CARE; FOOD SECURITY; LAND-TENURE; NUTRITION; GENDER; INEQUALITY;
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URBAN; DIFFERENTIALS; MORTALITY; UNDERNUTRITION'
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language: English
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month: MAY 19
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number-of-cited-references: '88'
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orcid-numbers: Hatloy, Anne/0000-0002-3668-3216
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papis_id: e2fe6482691bdabb961f71eccd387ec1
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ref: Kismul2015socialcontext
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times-cited: '10'
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title: 'The social context of severe child malnutrition: a qualitative household case
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study from a rural area of the Democratic Republic of Congo'
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type: article
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unique-id: WOS:000355174100001
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usage-count-last-180-days: '0'
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usage-count-since-2013: '27'
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volume: '14'
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web-of-science-categories: Public, Environmental \& Occupational Health
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year: '2015'
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