Infant Attachment to Mother and Child Caretaker in an East African Community

1986 ◽  
Vol 9 (4) ◽  
pp. 455-469 ◽  
Author(s):  
Rosanne Kermoian ◽  
P. Herbert Leiderman

Child rearing among the Gusii of Kenya is distinctive in that (a) infants are routinely cared for by both mothers and child caretakers, and (b) infant-mother interaction is primarily limited to activities which provide for the infant's physical needs, whereas infant-caretaker interaction is primarily limited to play and social activities. In this study a separation/reunion paradigm and Ainsworth classification procedures were used to assess security of attachment in a sample of Gusii infants 8 to 27 months of age. The proportion of infants classified as securely attached to mother and caretaker was 61% and 54%, respectively. Although the establishment of a secure relationship was not affected by differences between infant-mother and infant-caretaker activities, correlates of attachment security were specific to each. Whereas attachment to mother was related to nutritional status, attachment to the caretaker was related to Bayley MDI performance. These findings suggest that the pervasive association between security of attachment and infant functioning in American studies is a reflection of the diversity of activities in which infants and mothers engage.

Author(s):  
Abbie Barry ◽  
Sten Olsson ◽  
Christabel Khaemba ◽  
Joseph Kabatende ◽  
Tigist Dires ◽  
...  

Monitoring the safety of medicines used in public health programs (PHPs), including the neglected tropical diseases (NTD) program, is a WHO recommendation, and requires a well-established and robust pharmacovigilance system. The objective of this study was to assess the pharmacovigilance systems within the NTD programs in Ethiopia, Kenya, Rwanda, and Tanzania. The East African Community Harmonized Pharmacovigilance Indicators tool for PHPs was used to interview the staff of the national NTD programs. Data on four components, (i) systems, structures, and stakeholder coordination; (ii) data management and signal generation; (iii) risk assessment and evaluation; and (iv) risk management and communication, were collected and analyzed. The NTD programs in the four countries had a strategic master plan, with pharmacovigilance components and mechanisms to disseminate pharmacovigilance information. However, zero individual case safety reports were received in the last 12 months (2017/2018). There was either limited or no collaboration between the NTD programs and their respective national pharmacovigilance centers. None of the NTD programs had a specific budget for pharmacovigilance. The NTD program in all four countries had some safety monitoring elements. However, key elements, such as the reporting of adverse events, collaboration with national pharmacovigilance centers, and budget for pharmacovigilance activity, were limited/missing.


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