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Problems of dual vulnerability in nutrition: A qualitative study of older persons caring for under 5-year-olds in post-disaster Haiti

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Raybould, Stephanie, Ward, Thomas, Burnett, Renée, Manikam, Logan, Tibe, Mackentoch and Munslow, Barry (2018) 'Problems of dual vulnerability in nutrition: A qualitative study of older persons caring for under 5-year-olds in post-disaster Haiti'. The International Journal of Health Planning and Management, Vol 33, Issue 2, pp. 524-531.

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Abstract

Situation
Malnutrition plays a significant role in under-five mortality rates following disasters. Older people play an important role in childcare in non-Western societies, which often increases in displacement contexts. Until now, policy, in general, and nutrition programmes, in particular, have focused on the mother-child dyad.

Aim
To gather information on possible barriers to older carers accessing nutritional services for the children they care for and explore ways to overcome these obstacles.

Method
A qualitative approach was taken to explore the experiences of the carers themselves. Focus group discussions provided data, which were analysed using grounded theory.

Results
Data collected showed older people have similar needs to other caregivers in emergency settings, needs that are often amplified by age. Moreover, many barriers to accessing services were elicited, including targeting and advertising of nutritional programmes, alongside physical and psychosocial barriers to assessing existing support. Participants generated potential solutions to each identified barrier.

Conclusion
As older people in Haiti were often the sole carers of under-fives, there is a need to recognise their importance in this role and support them within. More generally, in any emergency setting, organisations need take into account all stakeholders in child nutrition when planning and implementing programmes.

Item Type: Article
Subjects: WA Public Health > WA 30 Socioeconomic factors in public health (General)
WA Public Health > Health Administration and Organization > WA 525 General works
WD Disorders of Systemic, Metabolic or Environmental Origin, etc > Nutrition Disorders > WD 100 General works
WS Pediatrics > WS 100 General works
WS Pediatrics > Child Care. Nutrition. Physical Examination > WS 130 In childhood
Faculty: Department: Education
Digital Object Identifer (DOI): https://doi.org/10.1002/hpm.2477
SWORD Depositor: JISC Pubrouter
Depositing User: Stacy Murtagh
Date Deposited: 12 Dec 2017 15:00
Last Modified: 05 Dec 2018 02:02
URI: https://archive.lstmed.ac.uk/id/eprint/7950

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