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Gender influences on child survival, health and nutrition: a ... - Unicef

Gender influences on child survival, health and nutrition: a ... - Unicef

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<str<strong>on</strong>g>Gender</str<strong>on</strong>g> Influences On Child Survival, Health And Nutriti<strong>on</strong>: A Narrative Review<br />

(CEDV) which includes direct prenatal exposure <strong>and</strong> direct or indirect involvement meaning that the<br />

<strong>child</strong> may have experienced an altered envir<strong>on</strong>ment in the womb due to violence against the mother, or<br />

been involved directly in witnessing or experiencing an assault, or been told of or heard about an assault<br />

sec<strong>on</strong>d-h<strong>and</strong> (p. 1535). Although the studies referred to here may not have used this definiti<strong>on</strong><br />

c<strong>on</strong>sistently, most nevertheless refer to direct prenatal exposure <strong>and</strong> direct involvement of the <strong>child</strong> in<br />

violence.<br />

The majority of the studies included in the review are from high-income countries, however the<br />

following results are taken from studies included in the review but c<strong>on</strong>ducted in low <strong>and</strong> middle income<br />

c<strong>on</strong>texts across Latin America, South Asia <strong>and</strong> Africa. The diagram below (Figure 3) summarises the<br />

evidence <strong>and</strong> provides a visual representati<strong>on</strong> of the links between violence against mothers <strong>and</strong><br />

increased risks to <strong>child</strong> <strong>survival</strong>, <strong>health</strong> <strong>and</strong> nutriti<strong>on</strong> 17 .<br />

17 There are of course multiple effects of violence that may impact <strong>on</strong> <strong>health</strong>, by increasing fear, disempowerment<br />

<strong>and</strong> other forms of social, psychological <strong>and</strong> emoti<strong>on</strong>al risks. This diagram details those which have been identified<br />

in the literature <strong>on</strong> effects of violence <strong>on</strong> <strong>child</strong> <strong>health</strong> <strong>and</strong> nutriti<strong>on</strong>. The root causes of such violence are briefly<br />

discussed towards the end of the secti<strong>on</strong> <strong>and</strong> in Box 10.<br />

45

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