Evidence map›Paper›PMID 40892696›Full record

ArticlePLOS global public health2025

Associations between maternal capabilities for care and nurturing care behaviours among mother-child dyads in Malawi and South Africa.

Taryn J Smith, Emmie Mbale, Michal R Zieff, Chikondi Mchazime, Chloë A Jacobs, Pious Makaka, Sadeeka Williams, Giulia Ghillia, Donna Herr, Marlie Miles and 4 more

Abstract read
In one paragraph

Article in PLOS global public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Article
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

14 authors.

Taryn J SmithDepartment of Women's and Children's Health, Institute of Life Course and Medical Sciences, University of Liverpool, Liverpool, United Kingdom.ORCID https://orcid.org/0000-0001-9543-6461
Emmie MbaleDepartment of Paediatrics and Child Health, Kamuzu University of Health Sciences, Blantyre, Malawi.ORCID https://orcid.org/0000-0001-7134-2858
Michal R ZieffDepartment of Paediatrics and Child Health, University of Cape Town, Cape Town, South Africa.ORCID https://orcid.org/0000-0001-9352-9947
Chikondi MchazimeDepartment of Paediatrics and Child Health, Kamuzu University of Health Sciences, Blantyre, Malawi.
Chloë A JacobsDepartment of Paediatrics and Child Health, University of Cape Town, Cape Town, South Africa.ORCID https://orcid.org/0009-0003-0850-4625
Pious MakakaDepartment of Paediatrics and Child Health, Kamuzu University of Health Sciences, Blantyre, Malawi.ORCID https://orcid.org/0009-0007-3862-7369
Sadeeka WilliamsDepartment of Paediatrics and Child Health, University of Cape Town, Cape Town, South Africa.ORCID https://orcid.org/0009-0001-3453-5105
Giulia GhilliaDepartment of Women's and Children's Health, Institute of Life Course and Medical Sciences, University of Liverpool, Liverpool, United Kingdom.ORCID https://orcid.org/0009-0006-6379-7063
Donna HerrDepartment of Paediatrics and Child Health, University of Cape Town, Cape Town, South Africa.
Marlie MilesDepartment of Paediatrics and Child Health, University of Cape Town, Cape Town, South Africa.ORCID https://orcid.org/0009-0004-7526-8885
Thandeka MazubaneDepartment of Paediatrics and Child Health, University of Cape Town, Cape Town, South Africa.
Zayaan Goolam NabiDepartment of Paediatrics and Child Health, University of Cape Town, Cape Town, South Africa.
Kirsten A DonaldDepartment of Paediatrics and Child Health, University of Cape Town, Cape Town, South Africa.ORCID https://orcid.org/0000-0002-0276-9660
Melissa J GladstoneDepartment of Women's and Children's Health, Institute of Life Course and Medical Sciences, University of Liverpool, Liverpool, United Kingdom.ORCID https://orcid.org/0000-0002-2579-9301

Funding

Wellcome Trust
6 · The paper itself

Abstract

Adequate nurturing care behaviours, including feeding practices, health-seeking and psychosocial stimulation, are crucial for the optimal health, growth and development of young children. However, several factors, recognised as maternal 'capabilities for care', can influence a mother's capability to provide adequate care, namely knowledge/beliefs, physical health and nutritional status, mental health, autonomy, reasonable workload/time availability and social support. As part of the Khula birth cohort study, we aimed to investigate if maternal capabilities for care are associated with nurturing care behaviours among mother-child dyads in Malawi (n = 122) and South Africa (n = 206). When children were 10-16 months of age, mothers competed a series of self-reported sociodemographic, child diet and health and psychosocial questionnaires. Six maternal capabilities for care were considered: haemoglobin concentration, mental health, employment, decision-making autonomy, support for childcare and social support. The nurturing care behaviours were feeding practices, complete immunisation status appropriate to chid age and psychosocial stimulation within the home environment. Regression modelling assessed associations between maternal capabilities for care and each care behaviour, adjusting for child sex, maternal age and education level and household socioeconomic status. Associations between maternal capabilities for care and nurturing care behaviours differed by care behaviour and setting. Maternal employment and decision-making as measures of autonomy, support with childcare as a measure of reasonable workload and reported social support were the maternal capabilities most consistently associated with feeding practices, complete immunisation status and stimulation practices, although the direction of associations differed between settings. Maternal haemoglobin and mental health were associated with one care behaviour each (stimulation and feeding practices, respectively). Measuring and understanding how various maternal capabilities influence caregiving across contexts is essential for empowering caregivers to provide optimal care. Interventions, programmes and policies that seek to improve child health, growth and development through enhanced nurturing care practices should strengthen multiple maternal capabilities.

Identifiers

PMID40892696
PMCPMC12404457

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.