Evidence map›Paper›PMID 30556365›Full record

ArticleMaternal & child nutrition2019

"A child may be tall but stunted." Meanings attached to childhood height in Tanzania.

Zaina Mchome, Ajay Bailey, Shrinivas Darak, Hinke Haisma

Open access · hybridAbstract read
In one paragraph

Article in Maternal & child nutrition, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
1.2field-weighted citation impact, top 22% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.

  1. Pooled it
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  3. Review
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  7. Article
  8. What is normal, healthy growth? Global health, human biology, and parental perspectives.American journal of human biology : the official journal of the Human Biology Council · 2021
    Review
  9. Article
  10. "International journal of environmental research and public health · 2020
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 3 institutions in 3 countries.

Zaina MchomePopulation Research Centre, Faculty of Spatial Sciences, University of Groningen, Groningen, Netherlands.ORCID 0000-0002-4016-3571
Ajay BaileyInternational Development Studies, Department of Human Geography and Spatial Planning, Utrecht University, Utrecht, Netherlands.
Shrinivas DarakPrayas Health Group, Pune, India.
Hinke HaismaPopulation Research Centre, Faculty of Spatial Sciences, University of Groningen, Groningen, Netherlands.ORCID 0000-0002-9676-0463
University of Groningen · NLManipal Academy of Higher Education · INPraj (India) · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Stunting affects large numbers of under-fives in Tanzania. But do caretakers of under-fives recognize height as a marker of child growth? What meanings do they attach to linear growth? An ethnographic study using cultural schemas theory was conducted in a rural community in Southeastern Tanzania to investigate caregivers' conceptualizations of child height in relation to growth and the meanings attached to short stature. Data for the study were collected through 19 focus group discussions, 30 in-depth interviews, and five key informant interviews with caregivers of under-fives, including mothers, fathers, elderly women, and community health workers. Principles of grounded theory guided the data management and analysis. Although caregivers could recognize height increments in children and were pleased to see improvements, many held that height is not related to nutrition, health, or overall growth. They referred to short stature as a normal condition that caregivers cannot influence; that is, as a function of God's will and/or heredity. While acknowledging short stature as an indicator of stunting, most participants said it is not reliable. Other signs of childhood stunting cited by caregivers include a mature-looking face, wrinkled skin, weak or copper-coloured hair, abnormal shortness and thinness, delayed ability to crawl/stand/walk, stunted IQ, and frequent illness. Culturally, a child could be tall but also stunted. Traditional rather than biomedical care was used to remedy growth problems in children. Public health programmers should seek to understand the local knowledge and schemas of child stature employed by people in their own context before designing and implementing interventions.

Indexed as

AdolescentAdultAgedBody HeightFemaleFocus GroupsGrowth DisordersHealth Knowledge, Attitudes, PracticeHumansInterviews as TopicMaleMiddle AgedRural PopulationTanzaniaYoung Adultchild growthheightmalnutritionshort staturestuntingTanzania

Identifiers

PMID30556365
PMCPMC6617725
OpenAlexW2903682440

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.