Abstract
The importance of child care in ensuring optimal child survival, growth, and development is increasingly recognized. Unfortunately, poor health and nutrition status of the caregivers likely limit their agility to provide adequate care in many countries. Direct evidence for this has been shown in Egypt, where poor dietary intake, low haemoglobin levels, and low vitamin B6 status of the mothers were related to less time spent on care, less response to infants’ vocalization, less vocalization to infants, and greater utilization of older siblings as caregivers. In Kenya, lower maternal caloric intake was associated with less physical contact with their toddlers. Indirect evidence can be inferred from a review of illnesses affecting women globally in the light of the physical and mental demands of adequate caregiving. For this purpose, ill health of women is evaluated from both epidemiological and anthropological perspectives.