Nutrition and child feeding patterns in the Sudan

Only 14% of the 208 million potentially cultivable acres in the Sudan are being cultivated. Insufficient infrastructure keeps the Sudan from reaching its socioeconomic potential. Recurring localized drought, agricultural pests, and environmental degradation plague the country. Studies estimate that moderate to severe undernutrition ranges from 15% to 75% in the Sudan. Geographical location of residence and age of child were the most significant predictors of malnutrition. Geographic differences were due to local food availability and differential availability of food aid in different regions at different times. Chronic and acute malnutrition and micronutrient deficiencies in children are endemic in the Sudan. Some relatively common micronutrient deficiencies include vitamin A deficiency, iodine deficiency, and scurvy. Child eating patterns depend largely on the cereal staple in the region. Wheat is an important cereal staple in Northern Province, while millet is important in North and South Darfour and in Kordofan. Men and older boys eat meals before women and young children. In wealthy traditional households, the two groups eat in separate areas of the house. Almost every mother breast feeds her infant. In fact, traditional breast feeding is the single most important factor protecting the health of Sudanese children. Children are breast fed for 15-21 months. A 1987 study shows that 62% of mothers in rural Khartoum supplemented breast milk with bottle feeding as early as the first few days of life. Mothers tend to directly introduce children to a household diet without transitional weaning foods at around 9 months. Mothers tend to withhold breast milk during illness. The Sudan has some taboos against some foods. For example, pregnant women should avoid fattening foods to keep the fetus small and to make for an easier delivery. These findings should be used to strengthen the nutrition communications project in the Sudan.     

Subsequent child protection contact for a cohort of children reported to child protection prenatally in one Australian jurisdiction

Repeated reporting to child protection is common. One approach to early intervention is for jurisdictions to receive and respond to child protection concerns raised before children are born. Despite this, little research has comprehensively examined subsequent child protection contact for those first reported prenatally. This study aimed to examine the subsequent child protection contact for up to a two-year period for a cohort of children who were reported about prebirth. Child protection administrative data were extracted for 640 children reported for a concern about an unborn child in a single jurisdiction during 2014. Data about child protection contacts included reports, investigations, substantiations and out-of-home placements for children reported prenatally. Of the 640 children, 79% reported about prenatally also had contact with child protection between birth and age two. From birth and up to age two, children reported prenatally had between zero and 21 reports. Twenty-two per cent of the children reported prenatally were removed from their birth parents and placed in out-of-home care prior to age two. These findings highlight the importance of intervening and supporting families prior to and during pregnancy to reduce harm to children and reduce the need for contact with child protection.     

A new look at the health and homeless experience of a cohort of five-year olds

Homelessness is increasing and health workers and others need to be ever vigilant about the risk that this has on children's health. What is that risk and what are children's experiences of homelessness? A retrospective case note study was carried out to compare the health of a group of five-year olds who had experienced homelessness and compare them with matched ‘non-homeless’ controls. A home interview questionnaire was used to give a profile of the children's housing experience and the health issues faced during their time in temporary accommodation. Fifty-three cases when compared with 41 controls showed a statistically greater prevalence of child protection issues and an increased number of health needs identified at the school nurse health appraisal. The housing profile identified that the case children moved homes many times (37 per cent more than five times), were homeless much longer than the officially registered period (67 per cent more than 12 months) and 61 per cent were made homeless through domestic violence. The study reinforces the need for us to acknowledge important environmental stress and to continue to advocate for this group of disadvantaged children.     

Social Skills in Children Adopted From Socially-Emotionally Depriving Institutions

This study assessed social skills in post-institutionalized (PI) children with respect to age at adoption, age at assessment, and gender. Parent ratings of social skills (Social Skills Rating System) and behavior problems (Child Behavior Checklist) were obtained for 214 children and 127 adolescents who were adopted from socially-emotionally depriving Russian institutions. Results showed that children adopted before 18 months of age have better social skills than those adopted after this age; those assessed in childhood demonstrate better social skills than those assessed in adolescence. PI females, especially later-adopted adolescents, have particularly poor social skills. Children with poor social skills tend to have higher rates of behavior problems.     

Use of pre-school daycare and education 1979–86

SUMMARY. Using General Household Survey data, this paper considers attendance by children under five at public and private services providing non-parental daycare and education in 1986 and compares it with 1979. Attendance of children under five rose from 32 per cent in 1979 to 42 per cent in 1986. The services included are primary schools, nursery schools and classes, playgroups, day nurseries and child minders. Playgroups are most used for two and three year olds and schools for four year olds with the majority of children attending on apart time basis. Children from higher social class backgrounds are more likely to receive care and/or education with 50 per cent of such children using pre-school services, as compared to 3 7 per cent of children with fathers in manual occupations     

Drug-endangered children need a collaborative community response

The United States is facing an epidemic of the use of methamphetamine drugs. Child welfare has not yet addressed the needs of the children living in so-called "meth homes." These children are endangered not only from the chemicals involved, but also from parental abuse and neglect. Communities are recognizing the need for interagency collaboration to address the consequences of this epidemic. Spokane, Washington, has created a Drug-Endangered Children Project, whose mission is to implement a collaborative response among law enforcement, prosecutorial, medical, and social service professionals to the needs of drug-endangered children. This article presents the findings from the evaluation of the first year of the project, including a baseline assessment of the needs of drug-endangered children and the extent of community-based collaboration achieved. This article makes recommendations for future community-based partnerships to improve the well-being of drug-endangered children.     

Compliance and Internalization in Preschool Foster Children

Child compliance and internalization are socio-cognitive developmental processes which are critical for children's social outcomes in multiple arenas. These developmental processes are found to be compromised in maltreated children. The current study was designed to add to the extremely limited literature on compliance and internalization in maltreated children in foster care. Compliance and internalization tasks were administered to preschool foster children, videotaped and later coded. Through parent-report questionnaires completed by the foster parents and observations of the foster home, the relation of compliance/internalization to child behavior problems, foster care experiences, and the foster home environment was examined. Findings revealed that most children showed committed compliance, but over 50% of children exhibited “deviation” behaviors in the internalization task. HOME acceptance scores (via observation of parent and child in home setting) significantly contributed to children's compliance levels but did not significantly contribute to their internalization. Internalization was related to children's externalizing behavior problems. These findings are considered in the context of future research and practice with respect to young children in foster care.     

‘The extreme end of a spectrum of violence’: physical abuse,hegemony and resistance in British residential care

While researching the history of traditional child care institutions – children's homes, orphanages, industrial schools and reformatories – the author was impressed by the similarities of regimen across the spectrum of traditional care. Underpinning all forms of care was a severe discipline which often became abusive. Sexual abuse was also reasonably common. There were differences but it is the similarities which are stressed in this article, which seeks reasons for the perceived sameness. Children in care came mostly from the same deprived social background, and no matter what the intentions of the carers, traditional care involved a confrontation with cherished working class values which many of the children were bound to resist. Resistance was met by severe staff reaction; hence the violent undercurrent. Copyright © 2001 John Wiley & Sons, Ltd.     

Comparing UK and Other Western Countries' Health Expenditure,Relative Poverty and Child Mortality: Are British Children Doubly Disadvantaged?

We examined the UK's effectiveness in reducing Child Mortality with 20 other Western countries, in the context of their national health expenditures, and, relative poverty — measured by ‘Income Inequality’ the gap between top and bottom 20 per cent of income. W.H.O. Child (0–14) Mortality Rates (CMR) and GDP Expenditure on Health (% GDPHE) were examined and a cost‐effectiveness ratio calculated, which is the reduced CMR over the period divided by average GDPHE. The highest average % GDPHE was USA at 13.2 per cent; the UK's 7.3 per cent was equal lowest. The widest Income Inequality was USA 8.5 times; the UK at 7.2 was third widest. The highest CMR was the USA 2436 per million (pm), the UK's 1630 pm, although representing a fall of 62 per cent was fourth highest. However, UK cost‐effectiveness ratio (1: 350) was eighth best of 21 countries. Only Income Inequality correlated significantly with CMR. UK CMR fell significantly more than five countries but ten others declined more. If UK deaths had been at the average of the 17 countries with lower CMR, there would have been 1827 fewer deaths. British children's poverty and health expenditure means they and their services are doubly disadvantaged although the NHS relatively achieved more with comparatively less.     

Education After Early-Life Deprivation: Teachers’ Experiences With a Clinical Group of Deprived Romanian Adopted Children

Little is known about the experiences of teachers working with deprived adopted children. In this qualitative study, teachers and parents of 17 deprived Romanian adopted children showing behavioral problems (10 years 8 months old at time of study, 2 years 11 months old at adoption) were interviewed. Most children (76%) visited schools for special education. Behavioral problems reported by the teachers were hyperactive behavior, social problems, aggression, and a high sensitivity to the influence of others. Teachers attributed these problems mainly to the period of deprivation before adoption. Teachers applied a highly structured, warm, and accepting approach. In general, parents were satisfied with the teachers. Almost all teachers needed the advice of colleagues or other experts about the children.     

Effects of therapeutic intervention on childhood depression

The effect of a short-term residential therapeutic intervention on childhood depression was investigated. Treatment subjects (N=99; 8 to 12 years old) were children with severe behavior problems and learning disabilities. These children were predominantly from broken homes, low socioeconomic backgrounds, and were considered culturally and socially deprived. Comparison subjects (N=27; 8 to 12 yearsold) were drawn from a traditional school setting as similar as possible to that of the treatment subjects. Pre and posttesting was conducted with the Reynolds Childhood Depression Scale. Specifically, it was hypothesized that depression levels of the treatment group would significantly decrease, while depression levels of the comparison subjects would not. Statistical results show substantial support for this hypothesis in that, in contrast with the comparison groups, the depression levels of the treatment subjects did in fact decrease significantly.     

Inclusion of children with disabilities in mainstream child development research

This study investigated whether children with disabilities are excluded from mainstream child development research. Fifteen per cent of 533 articles from Child Development and Developmental Psychology (1996–2010) were randomly selected. The exclusion rate was 89.9% when no mention of participants with disabilities was interpreted as exclusion and 66.7% when only studies mentioning disabilities were surveyed; 74% of studies did not provide justification for exclusion. Most studies could have included children with disabilities. Inclusion could be increased by adopting universal design principles and accommodations so that more children with disabilities can gain equal access to research opportunities and the benefits that accrue.     

Family Stress and Organization Following Parental Divorce or Death

This study examines whether children of separation/divorce experience more associated family disorganization and stress than those from homes broken by parental death or from intact families. Ratings of childrens' levels and types of parental attention, family problems, and economic hardship were obtained on three independent samples. The findings indicate that divorce per se, and not the more general case of family dissolution, is significantly related to increased levels of family stressors for the child. Children with histories of parental separation/divorce were seen to be experiencing significantly lower levels of educational stimulation from parents, as well as greater parental rejection, economic stress, and general family problems than those from homes broken by parental death or from intact families. This relationship was consistent across independent year samples, referred and normal populations, and urban/suburban and rural samples. The implications of these findings for previously demonstrated differences in the school adjustment patterns of children with parental separation/divorce or death histories are elaborated, and the importance of considering stressors for the child which are associated with divorce in the planning of preventive interventions is discussed.     

Pre-school immunisation: the importance of achieving adequate uptake

SUMMARY. With the anticipated introduction of a triple vaccine that protects against measles, mumps and rubella, the proportion of children vaccinated each year will need to rise from 68 per cent to 95 per cent if the target of eliminating measles is to be achieved. This article reviews the morbidity associated with preventable infectious diseases of childhood, discusses possible reasons for inadequate vaccine uptake and suggests ways for improving this situation including the case for school entry legislation.     

Children with problematic sexualized behaviors in the child welfare system

This study assessed the utility of the Child Sexual Behavior Inventory (CSBI) in a child welfare sample. In this study, 97 children from ages 10 to 12 from either foster boarding homes or a residential treatment center participated. Researchers interviewed foster parents or primary therapists about children's sexual behavior, traumatic events, clinical symptoms, and their attitudes toward the child. Findings revealed that problematic sexualized behaviors were more prevalent in the residential treatment center (RTC) sample than they were in a normative sample. The pattern of associations between sexual behavior problems, traumatic events, and clinical syndromes in both the RTC and the foster boarding home (FBH) samples was similar to what has been found in samples in which biological custodial parents were the respondents. Analyses comparing youth who met the criterion for having problematic sexualized behaviors and youth who did not meet the criterion revealed that the two groups differed on clinical symptoms, prior traumatic events, and negative reports by caregivers. Results confirm the utility of the CSBI measure for this population and highlight several important clinical and programmatic concerns for addressing problematic sexual behavior in children in the child welfare system.     

Child Sexual Behaviors in School Context: Age and Gender Differences

ABSTRACT

The main purpose of the study was to explore the child sexual behaviors that Italian teachers have observed in the school context. A representative sample of 227 children, from 5 to 10 years old, was rated by their teachers through the Child Sexual Behavior Inventory. Frequencies of sexual behaviors among children aged 5 to 6, 7 to 8, and 9 to 10 are presented. Younger children showed a broader range of sexual behaviors that decrease with the growing age, such as males in comparison to females. Moreover, findings showed that child sexual behavior is not only related to age and gender but also to family characteristics. These results suggested that child sexual behaviors reported by teachers through the Child Sexual Behavior Inventory may provide useful information about the development of children’s sexuality. The knowledge of age appropriate sexual behaviors can help teachers discern normal sexual behaviors from problematic sexual behaviors.     

The prevalence and nature of abuse and neglect in children under four: a national survey

This paper reports the results from a Danish national survey of child abuse and neglect. Data were obtained by a written questionnaire sent to all home health visitors. All newborn Danish children receive visits by a home health visitor several times during their first year of life. For children in need of special care for social reasons the visits may continue until school age (at 6 or 7 years). The questionnaire included four checklists of signs of abuse and neglect. The home health visitors were asked to record what they had actually observed visiting the children in their homes. Eighty‐three per cent (covering about 80% of all newborns) answered the questionnaire. The objective was to establish a scientific based framework that could be used to guide preventive efforts. Ten per cent of all children under 1 year of age may be characterized as children in need of special care for social reasons, the most frequent single reason being reliance on social assistance, alcohol abuse or violence against the mother. A minimum of 4% of infants are subjected to broadly defined abuse or neglect from one or more of the four categories: physical abuse, physical neglect, emotional abuse and emotional neglect, physical and emotional neglect being the most frequent and physical maltreatment the most rare. Copyright © 1999 John Wiley & Sons, Ltd.     

Remaining home: Well-being outcomes and co-occurring parental substance use following a maltreatment investigation in middle childhood

PurposeThe purpose of the study is to understand differences in child well-being related to parental substance use among children ages 6–12 who were investigated for maltreatment but not removed from their homes. Children with a substance-using parent in the home are compared to those without a substance-using parent in the home.MethodsLongitudinal data from waves 1 and 3 of the second National Study of Child and Adolescent Well-Being (NSCAW II) are used. NSCAW II is a national sample of families with children and youth aged birth to 17.5 investigated by child protective services (CPS). A subset of the data (analyzed with domain analysis methods) is used for this study (n = 575). Eight well-being outcomes from four domains (cognitive development, physical health, psychological/behavioral development and social/emotional competence) are analyzed.FindingsWe hypothesized that (among children investigated for maltreatment and not removed from home) children whose parents used substances would exhibit lower mean levels of well-being at thirty-six months follow-up compared to those whose parents did not use. Unexpectedly, we found no significant differences in well-being levels between children with parents in the home using substances and those without.ConclusionsChildren with substance-using parents may be able to remain at home over an extended period after investigation, while maintaining well-being levels similar to children at home with parents not using substances. If an effective safety plan can be put in place, this option may provide a path to maintaining safety, permanency and well-being for such children without placement in out-of-home care.     

Academic engagement and performance: Estimating the impact of out-of-home care for maltreated children

Using data from the National Survey of Child and Adolescent Well-being II, the authors examined whether being placed in foster care was associated with school engagement and performance. The authors used propensity score matching to compare children who had similar demographic characteristics, maltreatment histories, and prior levels of school engagement. Children who were in foster care at wave 2 were found to have higher levels of cognitive engagement in school compared to children who were maltreated but never removed from their homes. It is recommended that children who are maltreated but remain in their familial home receive additional intervention related to their educational engagement.     

Distribution, Inequality and Concentration of Incomeamong Older Immigrants in Canada

While there are many studies on differences in earnings between immigrants and the native‐born or among immigrant groups, they do not consider distribution and concentration of income among immigrants explicitly. These aspects are important for understanding the distribution of economic welfare and consumer behaviour among members and hence are policy relevant. Using the 1991 Census data, the distribution and concentration of incomehave been examined among 15 broad birthplace groups for population aged55 years and over. About 19 per cent of males and 15 per cent of femalesreceive less than half the median income and obtain 5 per cent and 3 per centof the aggregate income respectively. About 30 per cent of males and29 per cent of females receive more than one and half times the medianincome and obtain 61 per cent and 59 per cent of aggregate incomerespectively. About 51 per cent of males and 56 per cent of females whoreceive incomes between half and one and half times the median income aretermed middle‐class and their shares of aggregate income amount to 34 and38 per cent respectively. Although older immigrants aged 55 years and over, as a group, have roughlythe same quartile distribution and concentration of income as theirCanadian‐born counterparts, the birthplace groups differ considerably.Those from the developing regions, that is, the groups that have loweraverage annual incomes, also have more inequitable distribution of incomethan the Canadian‐born or their counterparts from the developed regions. Thus, income distribution is more polarized in populations from developingregions than in populations from developed regions or in the Canadian‐bornpopulation. On average, females receive 45 per cent less income than males, and thereis less polarization of income among them than among males regardless ofthe place of birth. A part of the explanation lies in the receipt of government transfers, whichtend to equalize rather than polarize incomes, and older women derive ahigher proportion of their income from government transfers than older men.