According to Sommerfelt et al., (1994), there is a negative
association between the mother’s education and underfive child
malnutrition. The higher the level of mothers’ education, the lower the
percentage of under-five children classified as undernourished.
According to the study, malnutrition was most prevalent among children
whose mothers attended primary school. It is however important to note
that the decline in the levels of malnutrition with increasing
maternal education is not always gradual. In some countries,
malnutrition levels are fairly similar among children whose mothers
attended primary or secondary school while elsewhere there is a
greater similarity with children whose mothers attended primary school
or had no formal schooling. Median levels of malnutrition across all
countries range from 36 percent for children whose mothers had some
primary education to 16 percent for children of mothers with secondary
or higher education.
With increasing level of mother’s education, the
proportion of children who are malnourished goes down as found out in
the Uganda Demographic and Healthy Survey of 2006 (UBOS and Macro
International Inc., 2007).This result is consistent with the findings of
Webb and Block (2004) that highlighted the importance of human
capital investment in improving child nutrition status. This implies
that educated mothers are better aware about the nutrition requirements
of their children by providing improved health care (Babatunde, 2011).In
a similar study in Bangladesh, children of mothers with no education
and primary education were 28% and 33% respectively more stunted than
children of mothers with secondary or higher education. Wasted and
underweight children also showed similar results.
Children whose mother had no education or had primary education were more times significantly stunted and underweight than children whose mothers had secondary or higher level. However for wasting, children whose mothers had primary or secondary education had0.87 times lower odds of wasting than those of mothers with higher education (Nure, Nuruzzaman and Goni, 2011).
According to Lisa (2000), education of a mother has several potentially positive effects on the quality of care of children and consequently malnutrition. More educated women are better able to process information, acquire skills and model positive caring behaviours. More educated women tend to be better able to use healthcare facilities to interact effectively with health care providers, to comply with treatment recommendations and to keep their living environment clean. Education also increases women’s ability to earn income but this increases the opportunity cost of their time which may mitigate against some important care giving behaviours for example breastfeeding.
More to note is that mother’s education is associated with more efficient management of limited household resources, greater utilization of available health care services, better health promoting behaviours, lower fertility as well as child centred caring practises. All this consequently results into a reduction in malnutrition among under-five children (Nguyen and Kam, 2008). Indeed from the above study, children whose mothers had primary or no education were less likely to be stunted, underweight or even wasted perhaps because most of these mothers were unemployed and were able to stay home and care for their children.
2.4.2 MARITAL STATUS
On the study about mothers’ marital status and under-five child nutrition, findings in Ethiopia reveal that child's malnutrition is significantly associated with marital status. It was found out that under-five child malnutrition is higher among unmarried rural and divorced/separated women compared to married ones (Teller, 2000). Similarly, being a married mother was positively associated with good nutritional status among children under five years in the Volta region of Ghana (Appoh and Krekling., 2005). Contrary to the above, a study in Tanzania revealed that mothers who are married were more likely to have undernourished children unlike those that were unmarried perhaps because of the cost of maintaining families hence sometimes these families fail to produce nutritious supplements to the under-five children (Nyaruhucha et al., 2006).
It is however important to note that there is scanty literature linking mothers marital status and malnutrition among under-five children in developing countries. During the study done inAraba and Kalmalodistricts, marital status of the mother was also assessed in comparison to under-five malnutrition.