Time-constrained mother and expanding market: emerging model of under-nutrition in India

Abstract Background Persistent high levels of under-nutrition in India despite economic growth continue to challenge political leadership and policy makers at the highest level. The present inductive enquiry was conducted to map the perceptions of mothers and other key stakeholders, to identify emerging drivers of childhood under-nutrition. Methods We conducted a multi-centric qualitative investigation in six empowered action group states of India. The study sample included 509 in-depth interviews with mothers of undernourished and normal nourished children, policy makers, district level managers, implementer and facilitators. Sixty six focus group discussions and 72 non-formal interactions were conducted in two rounds with primary caretakers of undernourished children, Anganwadi Workers and Auxiliary Nurse Midwives. Results Based on the perceptions of the mothers and other key stakeholders, a model evolved inductively showing core themes as drivers of under-nutrition. The most forceful emerging themes were: multitasking, time constrained mother with dwindling family support; fragile food security or seasonal food paucity; child targeted market with wide availability and consumption of ready-to-eat market food items; rising non-food expenditure, in the context of rising food prices; inadequate and inappropriate feeding; delayed recognition of under-nutrition and delayed care seeking; and inadequate responsiveness of health care system and Integrated Child Development Services (ICDS). The study emphasized that the persistence of child malnutrition in India is also tied closely to the high workload and consequent time constraint of mothers who are increasingly pursuing income generating activities and enrolled in paid labour force, without robust institutional support for childcare. Conclusion The emerging framework needs to be further tested through mixed and multiple method research approaches to quantify the contribution of time limitation of the mother on the current burden of child under-nutrition

Additional file 1: Table S1. of Time-constrained mother and expanding market: emerging model of under-nutrition in India

Detailed list of themes and perceptions observed during analysis. (DOC 45 kb

India: A Contradictory Record

This chapter provides a review of the role of women in Indian politics, with a focus on female legislators. It begins with an account of the entry of women into politics in the early 20th century. Second, it looks at the gradual increase in the number of women MPs and the barriers they have faced. The third section presents the debate that resulted in quotas (‘reservations’) for women in local-level politics, but not in the more influential parliament and state assemblies. The final section is about some characteristics of women MPs. This review demonstrates some of the key barriers that keep women out of elected office in India, but also highlights the diversity of the women who have come to power despite these obstacles