Cookies on this website
We use cookies to ensure that we give you the best experience on our website. If you click 'Continue' we'll assume that you are happy to receive all cookies and you won't see this message again. Click 'Find out more' for information on how to change your cookie settings.

To examine the relationship between measures of mother's caretaking, practice and individual agency on acute diarrhea and respiratory tract infections (ARTIs) of Indonesian children. Using population-based household data from the Indonesian Demographic Health Surveys for 2002-2003 (n = 9,151 children) and 2007 (n = 9,714 children), we selected 28 indicators related to mother' caretaking, and applied principal component analysis to derive indices for access to care, practice and experience, and agency. The association between index quartiles (level 1-4) and the prevalence of diarrhea and ARTIs in the youngest child <5 years of age was assessed with multivariate logistic regression adjusting for socioeconomic status, residence type, mother's age and education, family size, child's age and sex, immunization status and received vitamin A supplementation. Moderate levels (level 3) of practice and experience were associated with decreased diarrheal risk (adjusted OR 0.86, 95 % CI 0.75-0.98), but not for ARTIs. Children of mothers with higher levels (level 4) of agency were protected against both diarrhea (adjusted OR 0.68, 95 % CI 0.60-0.77) and ARTIs (adjusted OR 0.77, 95 % CI 0.66-0.91). Stratified analyses with child's age and mother's education, and tests of interaction, showed that agency had a stronger effect on diarrhea and ARTIs prevalence in children <2 years of age. Maternal caretaking, especially agency, is strongly associated with lower prevalence of diarrhea and ARTIs in younger children. Interventions specifically designed to promote maternal autonomy and decision-making may lead to improved child health.

Original publication

DOI

10.1007/s10995-014-1603-z

Type

Journal

Maternal and child health journal

Publication Date

05/2015

Volume

19

Pages

1033 - 1046

Addresses

SEAMEO RECFON (Southeast Asian Ministers of Education Organization Regional Center for Food and Nutrition), University of Indonesia, P.O. Box 3852, Jakarta, 10038, Indonesia, dr.rinaagustina@gmail.com.

Keywords

Humans, Respiratory Tract Infections, Diarrhea, Health Surveys, Prevalence, Risk Factors, Health Knowledge, Attitudes, Practice, Mother-Child Relations, Maternal Age, Principal Component Analysis, Socioeconomic Factors, Adult, Middle Aged, Child, Preschool, Infant, Caregivers, Health Services Accessibility, Indonesia, Female, Male, Young Adult, Maternal-Child Health Services