Professional Documents
Culture Documents
& COMMUNITY
GROUP PRESENTATION | G2, T2, 3D
28/06/18
Presenter: Majid Salman Mohamed
0719 115 786
2
group members
MAJID SALMAN MOHAMED H31/34721/13
DAVE ANISHA GIRISH H31/35850/13
MUKHWANA SHAMMAH SILIKHANI H31/2558/13
NDUBI PETER MAIYA H31/2540/13
NYAGA NJUE GERALD H31/2554/13
ABILENE SAINAB MOHAMED ELECTIVE STUDENT
SERRAO ADELINE PRIMA H31/35439/13
MBITI DENNIS MWONDI H31/2547/13
3
objectives
✓ Define Family and community.
✓ Roles of each family member.
✓ Parents- education, occupation, hobbies.
✓ Effects of single parent on child health.
✓ Relations among family members.
✓ Siblings- number, health.
✓ Family size.
✓ Housing factors that affect health of the child (rickets, accidents).
✓ Residence (environment)- security, population density(falls, rickets,
sharps and dangerous things).
✓ Cultural practices (child raring practices, food for children)
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introduction
Despite a reduction in under-5 mortality worldwide a substantial number of
children die because they do not have access to simple life-saving interventions.
Families and communities are on the front line of care for their children.
However, to play this role effectively, families need support, knowledge and
skills to provide essential care for babies and young children.
To address this need, WHO and UNICEF have developed the Integrated
Management of Childhood Illness (IMCI) protocol, which aims to reduce death,
illness and disability, and to promote improved growth and development
among children under five years of age. One of the components of the IMCI is
improving family and community health practices. It is therefore crucial that
the family and community are seen as an integral part of child health.
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CHILD HEALTH
CHILD HEALTH
The effect of father’s education on infant and child mortality appears to be about one half that of the
mother’s education. (https://www.ncbi.nlm.nih.gov/pubmed/10298649)
The highest under-5 mortality rate by education is among those born to mothers with an incomplete primary
education (63 deaths per 1,000 live births). Children in these households experience both the highest
postneonatal and child mortality (20 and 22 deaths per 1,000 live births). –The Kenya Demographic and
Health Survey 2014, page 116
Parental Occupation: Parents with better paying jobs are able to afford better healthcare services as well
as better nutrition in quality and quantity. Parents involved in illegal activities as their means of livelihood
serve as poor role models for the children and provide early exposure o such activities for example an illicit
brewer.
12
CHILD HEALTH
DEMO SLIDE
Positive effects
Strong parent child bonding due to undivided attention.
Early independence and maturity
Learn to share responsibilities
Less exposed to parental conflict
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DEMO SLIDE
Lower socioeconomic status in homes where there is only one parent also
predisposes the children to malnutrition as their food choices are limited in
quality and quantity. Study done in 2013 showed children with single
mothers showed an increased risk regarding parent-reported poor health
status (boys: odds ratio (OR) 1.39, girls: 1.73), psychological problems
(boys: 1.90, girls: 1.58), overweight (only boys: OR 1.23) and asthma [only
girls: OR 1.90].
15
CHILD HEALTH
Poor/ bad family relations have negative health outcomes for the child in
the family. Non accidental child injury usually occurs in the setting of poor
family relations and such injury deteriorates a child’s physical health; mental
health by causing stress and probable depression; and social health by
predisposing them to have poor relations with their peers and future
families. Children of divorced parents have earlier sexual debut and higher
emergency room usage.
(https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4240051)
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CHILD HEALTH
DEMO SLIDE
This is due to the fact that mothers attention is shifted to care of the younger
child at he expense of the older, but still dependent child. It can be
hypothesized that this is because the mothers body does not fully recover
nutrients before the next pregnancy.
Housing factors 18
A ‘leaky’ house can lead to dampness and Increasing sanitation coverage above The Location of housing also have public
mould which may result in various forms of 70% has a large impact on reducing child health implications in informal settlements
respiratory illnesses and allergic reactions. deaths from diarrhoea and other causes. or slums. If housing is located on
The use of building materials such as (www.who.int/water_sanitation_health/ne floodplains or hillsides, near sources of
asbestos and lead based paint increases ws-events/sanitation-coverage-and-child-
exposure to these toxic substances. Use of traffic, industrial activity, solid waste
health/en/) dumps or vector breeding sites public
inflammable or weak material such as
wood, plastic or cardboard – particularly health and especially the children’s health
common in urban slums- poses increased will be affected directly (for example
risk of through sanitation) or indirectly through
injuries.(www.who.int/ceh/risks/cehousing/ access to food and education.
en/) Good housing should enable access (www.who.int/ceh/risks/cehousing/en/)
to sunlight exposure to prevent Vitamin D Crowded neighbourhoods with
deficient Rickets. limited access to adequate amounts of
sunlight exposure predispose children to
Rickets.
19
The number of rooms used for sleeping Building design will influence exposure to Lack of affordable housing for low income
provides an indication of the extent of disease vectors such as mosquitoes. households may mean diverting family
crowding in households. Overcrowding Inadequate ventilation especialy in the resources from expenditure on food,
increases the risk of contracting infectious context of overcrowding will cause education or health towards housing
diseases such as acute respiratory exposure to different pollutants and needs.
infections and skin diseases, which pathogens. Poor lighting or heating will (www.who.int/ceh/risks/cehousing/en/)
particularly affect children and the elderly influence both physical and mental health
population. (Kenya Demographic and as well as participation in activities such as
Health Survey 2014, page 14) education.
(www.who.int/ceh/risks/cehousing/en/)
20
CHILD HEALTH
• A study show in 2017 showed that children in densely
populated urban areas across Africa were at increased
residence risk of infection with P.falciparum Malaria.
https://malariajournal.biomedcentral.com/articles/10.1186
(ENVIRONMENT) Population dense areas however attract social amenities
which include hospitals which are within a shorter radius from
• Security: Secure neighbourhoods provide positive peer home areas.
interactions for children, there are reduced rates of non ‘Coverage is highest in the Central (90 percent) region and
accidental injuries and violent acts such as child rape. lowest in the North Eastern region, where only 51 percent of
• Population density : Population density affects child children are fully immunised. Eleven percent of children in North
health by affecting sanitation; the spread of communicable Eastern have not received any of the recommended
diseases and coverage and sharing of health services. High immunisations, as compared with 2 percent or less in the other
population density areas such as informal settlements have regions’
higher prevalence of diarrhoeal diseases and -(The Kenya Demographic and Health Survey, 2014 – page
communicable diseases such as TB. 143)
21
(https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4597609/)
cultural practices As a case study, The Malawian rite of passage involves man
initiating young girls into sexual activity as part of a rite of
passage. This is just one example where communal mores and
norms are reinforced by communities which violate human rights
whereby children and women bear to brunt.
Culture refers to the ideas, customs, and social behavior of a
particular people or society. These customs and practices can have This happens in many ways:
an impact on the health of children within those who practice them.
young girls are forced into early sexual debut and unprotected
Child raring practices. In many communities circumcision is considered sex and are at risk of contracting HIV;
a mark of initiation into adulthood. However, Female gential female genital mutilation causes health complications for girls
mutilation has been shown to have adverse effects on the health of and women around sexual health and pregnancy;
female children. It is a violation of girls’ and women’s rights. child marriages result in childbearing which often has negative
(https://data.unicef.org/topic/child-protection/female-genital- effects on their health and the child they carry;
mutilation/) In settings of poverty, many of these children suffer from
Universal declaration of Human Rights, 1948 malnutrition. This complicates maternal and child health; and,
In the long term, many of these women have poor physiological
Food for children. In the Maasai community, fathers are given and mental health outcomes.
preferential treatment over the women and children, they are served
first and in large amounts leading to poor intra-household food
distribution.
references
J.Rosenberg, WB Wilcox, 2006: The Importance of Fathers in the Healthy Development of Children
Kenya Demographic and Health Survey 2014/2015;KNBS,MOH,NACC, NCPD
https://www.princeton.edu/~accase/downloads/Parental_Behavior_and_Child_HealthA.pdf
Household and Community IMCI Summary Document, CORE GROUP,2001
https://www.childwelfare.gov/pubPDFs/fatherhood.pdf
https://www.acpeds.org/benefits-of-extended-family
https://www.ncbi.nlm.nih.gov/pubmed/10256652
https://www.ncbi.nlm.nih.gov/pubmed/22683774
https://link.springer.com/article/10.1186/s12199-017-0688-6
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5664625/
https://www.kidsmatter.edu.au/mental-health-matters/family-relationships
http://www.umu.se/english/research/database/view-research?code=925¤tView=description&languageId=1
https://www.ncbi.nlm.nih.gov/pubmed/12261326
http://www.who.int/ceh/risks/cehousing/en/
Thank you