scholarly journals Improving nutrition in home child care: are food costs a barrier?

2011 ◽  
Vol 15 (2) ◽  
pp. 370-376 ◽  
Author(s):  
Pablo Monsivais ◽  
Donna B Johnson
Keyword(s):  
Child Care ◽  
Energy Density ◽  
Nutritional Quality ◽  
Whole Grains ◽  
Dietary Reference Intake ◽  
Child Care Providers ◽  
Care Providers ◽  
Nutrient Adequacy ◽  
Food Expenditures

AbstractObjectiveChild-care providers have a key role to play in promoting child nutrition, but the higher cost of nutritious foods may pose a barrier. The present study tested the hypothesis that higher nutritional quality of foods served was associated with higher food expenditures in child care homes participating in the Child and Adult Care Food Program (CACFP).DesignIn this cross-sectional study, nutritional quality of foods served to children and food expenditures were analysed based on 5 d menus and food shopping receipts. Nutritional quality was based on servings of whole grains, fresh whole fruits and vegetables, energy density (kJ/g) and mean nutrient adequacy (mean percentage of dietary reference intake) for seven nutrients of concern for child health. Food expenditures were calculated by linking receipt and menu data. Associations between food expenditures and menu quality were examined using bivariate statistics and multiple linear regression models.SettingUSA in 2008–2009.SubjectsSixty child-care providers participating in CACFP in King County, Washington State.ResultsIn bivariate analyses, higher daily food expenditures were associated with higher total food energy and higher nutritional quality of menus. Controlling for energy and other covariates, higher food expenditures were strongly and positively associated with number of portions of whole grains and fresh produce served (P = 0·001 and 0·005, respectively), with lower energy density and with higher mean nutrient adequacy of menus overall (P = 0·003 and 0·032, respectively).ConclusionsThe results indicate that improving the nutritional quality of foods in child care may require higher food spending.

scholarly journals Nutritional quality of foods and beverages on child-care centre menus in Mexico

2012 ◽  
Vol 16 (11) ◽  
pp. 2014-2022 ◽  
Author(s):  
Sara E Benjamin Neelon ◽  
Hortensia Reyes-Morales ◽  
Jess Haines ◽  
Matthew W Gillman ◽  
Elsie M Taveras
Keyword(s):  
Child Care ◽  
Nutritional Quality ◽  
Energy Content ◽  
High Energy ◽  
Whole Grains ◽  
Nutrition Intervention ◽  
Food Groups ◽  
Child Care Centre ◽  
Food Category

AbstractObjectiveThe purpose of the present study was to assess the nutritional quality of foods and beverages listed on menus serving children in government-sponsored child-care centres throughout Mexico.DesignFor this cross-sectional menu assessment, we compared (i) food groups and portion sizes of foods and beverages on the menus with MyPlate recommendations and (ii) macronutrients, sugar and fibre with Daily Reference Intake standards.SettingMenus reflected foods and beverages served to children attending one of 142 government-sponsored child-care centres throughout Mexico.SubjectsThere were fifty-four distinct menus for children aged 4–6 months, 7–9 months, 10–12 months, 13–23 months, 24–47 months and 48–72 months.ResultsMenus included a variety of foods meeting minimum MyPlate recommendations for each food category except whole grains for children aged 48–72 months. Menus listed excessive amounts of high-energy beverages, including full-fat milk, fruit juice and sugar-sweetened beverages for children of all ages. The mean daily energy content of menu items yielded an average of 2·76 MJ for infants, 4·77 MJ for children aged 13–23 months, 5·36 MJ for children aged 24–47 months and 5·87 MJ for children aged 48–72 months. Foods and beverages on menus provided sufficient grams of carbohydrate and fat, but excessive protein.ConclusionsMenus provided a variety of foods but excessive energy. Whole grains were limited, and high-energy beverages were prevalent. Both may be appropriate targets for nutrition intervention. Future studies should move beyond menus and assess what children actually consume in child care.

The Health of Female Child Care Providers: Implications for Quality of Care

2007 ◽  
Vol 24 (1) ◽  
pp. 1-17 ◽  
Author(s):  
Dee Baldwin ◽  
Sherry Gaines ◽  
Judith Lupo Wold ◽  
Armenia Williams ◽  
Janie Leary
Keyword(s):  
Quality Of Care ◽  
Child Care ◽  
Female Child ◽  
Child Care Providers ◽  
Care Providers

Cooking With Whole Grains: A Skills-Based Training for Child Care Providers

2016 ◽  
Vol 48 (3) ◽  
pp. 229-230.e1
Author(s):  
Mary Schroeder ◽  
Anne Dybsetter ◽  
Laura Perdue ◽  
Hyunjun Kim ◽  
Misty Blue ◽  
...  
Keyword(s):  
Child Care ◽  
Whole Grains ◽  
Child Care Providers ◽  
Care Providers

Anger Management for Parents and Child Care Providers

2007 ◽  
Author(s):  
Jo Anne Kock ◽  
Olga Soto ◽  
Murial Sanders
Keyword(s):  
Child Care ◽  
Anger Management ◽  
Child Care Providers ◽  
Care Providers

scholarly journals Policy Frameworks and Parental Choice: Using Conjoint Analysis to Understand Parental Decision Making for Child Care

2021 ◽  
pp. 0192513X2110223
Author(s):  
Adrienne M. Davidson ◽  
Samantha Burns ◽  
Delaine Hampton ◽  
Linda White ◽  
Michal Perlman
Keyword(s):  
Child Care ◽  
Latent Profile Analysis ◽  
Profile Analysis ◽  
The United States ◽  
Poor Quality ◽  
Child Care Providers ◽  
Care Providers ◽  
Care Services ◽  
Parental Decision Making ◽  
Child Care Services

Many children in Canada and the United States experience poor-quality child care on a regular basis. Under the rubric of “parent choice,” governments continue to permit a variety of licensed care providers (centers and homes) as well as unlicensed home child care providers. Research suggests, however, that parents are not well-informed consumers about child care services, unaware of even the basic characteristics of their child’s care. In this study, we provide findings from a latent profile analysis based on a conjoint survey conducted in Toronto, Canada to better understand the factors that influence parents’ decisions in selecting child care services. Based on responses from over 700 parents, we identify five classes of parents that reflect a range of preferences in selecting child care. However, most groups show a strong preference for licensed early childhood education and care (ECEC) options. Limitations of this study and implications for policy are discussed.

scholarly journals Improving the quality of child-care centres through supportive assessment and ‘communities of practice’ in informal settlements in Nairobi: protocol of a feasibility study

BMJ Open ◽  
2021 ◽  
Vol 11 (3) ◽  
pp. e042544
Author(s):  
Margaret Nampijja ◽  
Kenneth Okelo ◽  
Patricia Kitsao Wekulo ◽  
Elizabeth W Kimani-Murage ◽  
Helen Elsey
Keyword(s):  
Child Care ◽  
Qualitative Interviews ◽  
Informal Settlements ◽  
Poor Quality ◽  
Assessment Process ◽  
Child Care Providers ◽  
Care Providers ◽  
Policy And Practice ◽  
Child Care Centre ◽  
Scientific Review

IntroductionInvesting in children during the critical period between birth and age 5 years can have long-lasting benefits throughout their life. Children in Kenya’s urban informal settlements, face significant challenges to healthy development, particularly when their families need to earn a daily wage and cannot care for them during the day. In response, informal and poor quality child-care centres with untrained caregivers have proliferated. We aim to co-design and test the feasibility of a supportive assessment and skills-building for child-care centre providers.Methods and analysisA sequential mixed-methods approach will be used. We will map and profile child-care centres in two informal settlements in Nairobi, and complete a brief quality assessment of 50 child-care centres. We will test the feasibility of a supportive assessment skills-building system on 40 child-care centres, beginning with assessing centre-caregivers’ knowledge and skills in these centres. This will inform the subsequent co-design process and provide baseline data. Following a policy review, we will use experience-based co-design to develop the supportive assessment process. This will include qualitative interviews with policymakers (n=15), focus groups with parents (n=4 focus group discussions (FGDs)), child-care providers (n=4 FGDs) and joint workshops. To assess feasibility and acceptability, we will observe, record and cost implementation for 6 months. The knowledge/skills questionnaire will be repeated at the end of implementation and results will inform the purposive selection of 10 child-care providers and parents for qualitative interviews. Descriptive statistics and thematic framework approach will respectively be used to analyse quantitative and qualitative data and identify drivers of feasibility.Ethics and disseminationThe study has been approved by Amref Health Africa’s Ethics and Scientific Review Committee (Ref: P7802020 on 20th April 2020) and the University of York (Ref: HSRGC 20th March 2020). Findings will be published and continual engagement with decision-makers will embed findings into child-care policy and practice.

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