Skip to main content

Advertisement

Log in

Psychosocial Stimulation: A Qualitative Study on Kenyan Mother’s Motives and Challenges to Promote Children’s Development

  • Original Paper
  • Published:
Journal of Child and Family Studies Aims and scope Submit manuscript

Abstract

Interventions designed to enhance the mental and socio-emotional development of children in low and middle income countries through improving psychosocial stimulation are the subject of national and international organizations research and programs. Before new interventions can be designed and tested in low income countries, it is important to understand what psychosocial stimulation mothers are already providing, how beliefs influence the stimulation used, and what challenges are faced by mothers when trying to do this. We aimed to find out what types of stimulation are being commonly used by mothers in Kenya, alongside exploring the beliefs and associated challenges in providing psychosocial stimulation. This is a qualitative study using focus group discussions held in Kisumu, a regional urban centre in Western Kenya, with 35 mothers caring for at least one child under the age of 5 years. Mothers in this study identified four key themes of commonly employed stimulation: singing, play, dancing and story-telling. A range of challenges were raised such as ensuring their child’s basic physiological needs were met, managing marital conflict, and trusting non-familial caregivers, with mothers concerned that their child may be mistreated through accidental or purposeful harm. Findings indicate that mothers in a low income country are faced with multiple challenges when trying to provide psychosocial stimulation for their child’s development. It is important to consider these results when designing an intervention for this setting.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  • Aboud, F. E., & Yousafzai, A. K. (2015). Global health and development in early childhood. Annual Review of Psychology, 66, 433–457.

    Article  PubMed  Google Scholar 

  • Affleck, W., & Pelto, G. (2012). Caregivers’ responses to an intervention to improve young child feeding behaviours in rural Bangladesh: A mixed method study of the facilitators and barriers to change. Social Science and Medicine, 75, 651–658.

    Article  PubMed  Google Scholar 

  • Bornstein, M. H., & Putnick, D. L. (2012). Cognitive and socio-emotional caregiving in developing countries. Child Development, 83, 46–61. doi:10.1111/j.1467-8624.2011.01673.

    Article  PubMed  PubMed Central  Google Scholar 

  • Chan, M. (2013). Linking child survival and child development for health, equity, and sustainable development. The Lancet, 381, 1514–1515.

    Article  Google Scholar 

  • Craig, L. (2006). Does father care mean fathers share? A comparison of how mothers and fathers in intact families spend time with children. Gender and Society, 20, 259–281. doi:10.2307/27640883.

    Article  Google Scholar 

  • Engle, P. L., Black, M. M., Behrman, J. R., Gertler, P. J., Kapiriri, L., Martorell, R., & Young, M. E. (2007). Strategies to avoid the loss of developmental potential in more than 200 million children in the developing world. The Lancet, 369, 229–242.

    Article  Google Scholar 

  • Engle, P. L., Fernald, L. C., Alderman, H., Behrman, J., O’Gara, C., Yousafzai, A., & Iltus, S. (2011). Strategies for reducing inequalities and improving developmental outcomes for young children in low-income and middle-income countries. The Lancet, 378, 1339–1353.

    Article  Google Scholar 

  • Grantham-McGregor, S., Cheung, Y. B., Cueto, S., Glewwe, P., Richter, L., & Strupp, B. (2007). Developmental potential in the first 5 years for children in developing countries. The Lancet, 369, 60–70. doi:10.1016/S0140-6736(07)60032-4.

    Article  Google Scholar 

  • Kenya Census. (2009). County data sheet: Kisumu. https://opendata.go.ke/Poverty/Poverty-Rate-by-District/i5bp-z9aq

  • Malterud, K. (2012). Systematic text condensation: A strategy for qualitative analysis. Scandinavian Journal of Public Health, 40, 795–805.

    Article  PubMed  Google Scholar 

  • Tamis-LeMonda, C. S., Bornstein, M., & Baumwell, L. (2001). Maternal responsiveness and children’s achievement of language milestones. Child Development, 72, 748–767.

    Article  PubMed  Google Scholar 

  • The World Bank. (2013). Mortality rate, under-5 (per 1,000 live births). http://data.worldbank.org/indicator/SH.DYN.MORT

  • UNICEF. (2013). Kenya statistics. http://www.unicef.org/infobycountry/kenya_statistics.html

  • United Nations. (2013). We can end world poverty. Millennium development goals and beyond 2015. http://www.un.org/millenniumgoals/pdf/Goal_4_fs.pdf

  • United Nations. (2013). World statistics pocketbook Kenya. http://data.un.org/CountryProfile.aspx?crName=kenya

  • Walker, S. P., Wachs, T. D., Grantham-McGregor, S., Black, M. M., Nelson, C. A., Huffman, S. L., & Richter, L. (2011). Inequality in early childhood: Risk and protective factors for early child development. The Lancet, 378, 1325–1338.

    Article  Google Scholar 

  • Wilson, K. R., & Prior, M. R. (2011). Father involvement and child well-being. Journal of Paediatrics and Child Health, 47, 405–407. doi:10.1111/j.1440-1754.2010.01770.x.

    Article  PubMed  Google Scholar 

  • World Health Organisation. (2013). Meeting report: Nurturing human capital along the life course: Investing in early child development. Geneva: WHO Press.

    Google Scholar 

  • Yousafzai, A., Rasheed, M., Rizvi, A., Armstrong, R., & Bhutta, Z. (2014). Effect of integrated responsive stimulation and nutrition interventions in the Lady Health Worker programme in Pakistan on child development, growth, and health outcomes: A cluster-randomised factorial effectiveness trial. The Lancet, 6736, 60455-4. doi:10.1016/S.

    Google Scholar 

Download references

Funding

This project was partially funded by a National Medical and Research Council of Australia Postgraduate Scholarship.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Sarah E. Watts.

Ethics declarations

Conflict of interest

None.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Watts, S.E., Oburu, P., Lah, S. et al. Psychosocial Stimulation: A Qualitative Study on Kenyan Mother’s Motives and Challenges to Promote Children’s Development. J Child Fam Stud 25, 1840–1847 (2016). https://doi.org/10.1007/s10826-016-0371-3

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10826-016-0371-3

Keywords

Navigation