‘Failure to thrive’ revisited

The term ‘non‐organic failure to thrive’ (FTT) has long been used in relation to young children with faltering growth for which no organic cause is found. In this paper, problems arising from dichotomised organic/non‐organic responses to FTT are explored and reasons for the assumption that non‐organic FTT was always due to emotional abuse or neglect are presented. The case is made that, except in a minority of cases, children fail to grow because they consume insufficient calories. Research studies on reasons for poor intake, from factors related to the child and their parents to the wider family and environment, are summarised. Following a brief reference to literature on outcomes, I argue that centile charts should be routinely completed for all young children. If faltering growth is identified, a multi‐factorial assessment should be undertaken. Such an assessment reduces the risk of interventions being based on outdated assumptions about non‐organic FTT and maximises the potential for successful resolution of poor growth. After briefly summarising the literature on interventions, I conclude with suggestions for improving practice in this field, including working in partnership with families and with health and social care professionals already known to them. Copyright © 2008 John Wiley & Sons, Ltd.     

From leprosy to The Willow Tree: decoding disability and Islamic spirituality in Iranian film

The lack of attention in academic discourse to representations of disability in films from the Middle East has led to an incomplete picture of representations of disability in global cinema. For instance, the diverse meanings of disability in Iranian cinema and the influence of disability on the emergence of Iranian New Wave cinema have been almost completely ignored by scholars. A number of award-winning films from Iran have featured disability as central to their narratives – such as The House is Black (1963), Taste of Cherry (1997), The Color of Paradise (1999), The Willow Tree (2005), and The Painting Pool (2013). Disability in these films serves alternatively as a symbol of spiritual possibility, a mark of marginalization, and a covert social critique. These films examine the emotional, physical, and social implications of disability, while celebrating the cultural power of film to challenge social, religious, and artistic barriers.     

Dowry Inflation: Perception or Reality?

Population Research and Policy Review - Research on South Asia has consistently documented increasing dowry amounts over the past several decades. Although recent studies have largely concluded...     

Who Gets an Early Education? Family Income and the Enrollment of Three‐ to Five‐Year‐Olds from 1968 to 2000*

Objectives. Has inequality in access to early education been growing or lessening over time? Methods. Using the October Current Population Survey education supplement from 1968 to 2000, we look at three‐, four‐, and five‐year‐olds' enrollment in early education—including center‐based care, Head Start, nursery school, prekindergarten, and kindergarten. Results. Our analysis shows a strong link between family income and early education enrollment for three‐ and four‐year‐olds, especially when we compare the bottom two and the top two income groups. These differences remain even after controlling for a large variety of factors, including race/ethnicity, maternal employment, family structure, and parental education. Conclusions. Inequality in early education by income group varies by age of child: it is most pronounced for three‐year‐olds, who have been the least likely to benefit from public early childhood education programs; it has diminished in the past decade for four‐year‐olds, who have been increasingly likely to have access to public prekindergarten programs; and it has all but disappeared for the five‐year‐olds, who now largely attend public kindergarten. This pattern suggests a potentially important role for public policy in closing the gap in early education between children of different income groups.     

Developing Early Years Childcare in England, 1997–2002: The Choices for (Working) Mothers

The UK has long been near the bottom of the EU “childcare league”. Attitudes of policymakers towards employment for the mothers of young children were ambivalent up to and including the Thatcher years, and the problem of “reconciling” work and family was historically deemed to be a private decision. This changed in 1998, when the Labour government put forward the first ever national childcare strategy. This paper argues that the aims behind the strategy were intimately linked to the attack on poverty and social exclusion in that: (1) efforts to stimulate provision focused on disadvantaged neighbourhoods; (2) subsidy was provided for early years education , rather than care (in order to give children a better start in life); and (3) stimulating provision was intended to promote women's employment, especially among lone‐mother families, thereby improving the material welfare of poor families. The means of expanding childcare have taken the form of a complicated set of demand‐ and supply‐side subsidies, reflecting the ongoing commitment to a mixed economy of childcare. The paper argues that this has implications for access and quality, and that there are tensions between the social investment approach to childcare on the one hand, and the desire to promote mothers’ employment on the other.     

Merger in the British Voluntary Sector: The Example of HIV/AIDS Agencies

This article explores the policy and organizational drives towards cooperation and merger within the voluntary sector. We draw together theoretical and empirical literature on the topic and identify six factors which may be hypothesized to be associated with a decision to cooperate in the voluntary sector: adverse macro-economic conditions; the search for an organizational niche; severe resource dependency; a drive for organizational growth; funders' concern about duplication of provision; and perceived crisis. We then present a case study which provides detailed data about the circumstances leading to a decision to merge by several independent voluntary agencies working in the HIV/AIDS field. We analyse the multiplicity of factors which drove the agencies and the complex interrelationships between those factors. Policy pressures, pragmatism and the personal values of key managers are found to be particularly important. Finally, we consider the implications of our study for policy analysis and future research.