| dc.description.abstract | This study examined socio-cultural factors affecting child survival in Nyang'oma Sub-location,
Bondo District. Specifically, the study set out to investigate how mothers' perceptions of common
childhood illnesses (malaria, measles and diarrhea); cultural practices (like polygyny, chira and
evil eye); and maternal formal education influence child survival in the district.
The methods used in obtaining data included focus group discussions, key informant interviews,
in-depth interviews, survey technique, narratives and direct observation. The data obtained were
analyzed using quantitative and qualitative methods and the results interpreted based on the
cultural reproduction theory. The study findings showed that apart from measles, mothers'
perceptions of malaria and diarrhoea were fairly consistent with the scientific facts about the
diseases. The mothers believed that measles was caused by evil spirits and therefore the disease
could only be treated using traditional therapy. Due to its fatal nature, measles was greatly feared
while malaria was perceived as a mild infection that could easily be treated. Diarrhoea associated
with teething in children was perceived as a normal process of growth and as a result, no treatment
was given unless signs of severity were observed.
The practice of polygyny was found to negatively impact on the health of children in the area
under study. Subdivision of resources within polygynous families made the resources too scarce to
adequately provide for the basic needs of the children. Polygyny, therefore, increased poverty to
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the families in question. Practices associated with the cultural concepts of chira and the evil eye
(juog wang') were also found to lower children's cha..nces of survival through delayed treatment
seeking process. The study findings further revealed that maternal formal education was an
important factor that contributed to high chances of child survival through a number of ways.
Apart from economic empowerment, the educated mothers were more informed about factors that
generally enhance the health of children.
The study recommends that the government and other agencies like the NGOs supporting child
survival intervention:yrograms should assist the local mothers in dealing with malaria, measles
and diarrhoea in children. Health education on the appropriate recognition and management of
these common childhood illnesses WDuld be ideal. In addition, mothers' economic empowerment
and emphasis on girls' education beyond primary school would enhance child survival. | en |
