families should listen to the “experts”rather than the inadequate knowledge ofthe older generation.EXAMPLES FROM ASIABangladesh: The influential role of gr<strong>and</strong>mothersin families, particularly paternalgr<strong>and</strong>mothers, was revealed in key informantinterviews conducted with NGO fieldstaff involved in ECD programs supportedby CARE (Munmun 2004), Save theChildren/US (Mahmud & Mitra 2004), <strong>and</strong>Plan International (Akhter 2004). There isa saying in Bengali that,“<strong>Gr<strong>and</strong>mothers</strong><strong>and</strong> Gr<strong>and</strong>fathers know everything” (DaduNani janen), reflecting the respect thatyounger family members are expected tohave for the experience <strong>and</strong> wisdom ofthe elders. All interviewees stated thatgr<strong>and</strong>mothers have two main roles inmost Bangladeshi families. First, they assistwith all aspects of childcare, particularly foryoung children <strong>and</strong> when mothers arebusy with other tasks. In most familiesthey are the main caregiver after themothers. Second, they teach both theirchildren <strong>and</strong> gr<strong>and</strong>children about allaspects of life, based on their life-longexperiences. One of the key methodsused by gr<strong>and</strong>mothers <strong>and</strong> gr<strong>and</strong>fathers toteach children is storytelling, in which values<strong>and</strong> traditional ideas are passed on tothe next generation.India: In Bihar, rapid assessments carriedout both by CARE (Capps 2004) <strong>and</strong> CRS(Harvey 2004), in the context of theirrespective child survival projects, revealedthe strong influence of the mothers-in-law,or paternal gr<strong>and</strong>mothers, both on decision-makingby husb<strong>and</strong>s <strong>and</strong> their wives,<strong>and</strong> on all matters related to child rearing<strong>and</strong> health. In some cases gr<strong>and</strong>mothersdescribed beneficial traditional practices,such as exclusive breastfeeding, <strong>and</strong>expressed regrets that many youngerwomen have not adopted this same practice.On the other h<strong>and</strong>, many gr<strong>and</strong>mothersdescribed harmful practices thatthey recommend, such as advising awoman who has just delivered to not eatfor three days. The assessments documentedtwo attitudes of the gr<strong>and</strong>mothersobserved during the interviews thatappear to be significant. First, in both casesit is reported that they were very assertivewhen describing their beliefs <strong>and</strong> practices.This suggests the level of confidence theyhave in their own experience <strong>and</strong> the convictionwith which they probably tell theirdaughter-in-laws what to do. Second, inboth cases they expressed their interest inlearning about new concepts related tochild health in order to improve their practices.Another dimension of gr<strong>and</strong>mothers’ roles,related to pregnancy <strong>and</strong> childbirth, isreported by Wiley (2002). In rural northwestIndia, both during <strong>and</strong> after pregnancy,women’s practices with themselves <strong>and</strong>their newborns are greatly influenced bythe advice they receive from their networksof female neighbors <strong>and</strong> relatives,<strong>and</strong> especially by the experienced, olderwomen, viewed as authorities on thesetopics. The authority <strong>and</strong> influence thatthese senior women have on youngerwomen is clearly revealed in Wiley’s referenceto their role in the informal “managementof pregnancy” (1098) wherein widerangingadvice is provided to women on64 UNITED STATES AGENCY FOR INTERNATIONAL DEVELOPMENT
diet, work, fetal development, sexual relations,<strong>and</strong> traditional preventive measuresto protect the woman <strong>and</strong> child.Pakistan: In Pakistan, most women moveinto the house of their husb<strong>and</strong>’s parentswhen they marry, although in urban areassome live in separate residences that areoften close to their in-laws. Even in caseswhere women live in a different town,their mothers-in-law continue to exercisestrong influence over them <strong>and</strong> their childrearingpractices. Iqbal’s study in urbanIslamabad (1995) found that advice bymothers-in-law has considerable influenceon the decision by daughters-in-lawregarding whether or not to breastfeed.sNepal: A rapid assessment carried outwith NTAG, a local NGO in Nepal, documentedthe important role of gr<strong>and</strong>mothersin the Kathm<strong>and</strong>u Valley (Aubel et al.1999). <strong>Gr<strong>and</strong>mothers</strong> play multiple rolesthat contribute to the well-being of children,women, <strong>and</strong> the family at large,including care for gr<strong>and</strong>children, housework,kitchen gardening, care for small animals,guarding the house, <strong>and</strong> giving adviceon various family matters including childhealth <strong>and</strong> development. <strong>Gr<strong>and</strong>mothers</strong>state that their most important contributionto the family is their teaching <strong>and</strong> caringfor their gr<strong>and</strong>children, to which theyare clearly very committed. Buddhismteaches that gr<strong>and</strong>parents have an obligationto teach the younger generation <strong>and</strong>that younger family members shouldrespect their advice. In both rural <strong>and</strong>urban areas of Nepal today, it seems thatin most families the knowledge <strong>and</strong> experienceof these senior family members isacknowledged <strong>and</strong> that for matters relatedto children <strong>and</strong> women the gr<strong>and</strong>mothersare frequently consulted <strong>and</strong> involved indecision-making. <strong>Gr<strong>and</strong>mothers</strong> statedthat their two greatest sources of satisfactionin life are passing on their knowledge<strong>and</strong> traditions to their gr<strong>and</strong>children <strong>and</strong>feeling useful in caring for their gr<strong>and</strong>children.Laos: In 1996, a WHO-sponsored studylooked at the roles <strong>and</strong> influence of familymembers on child health matters (Aubelet al. 1996), specifically related to diarrhealdisease <strong>and</strong> acute respiratory infection. Itwas concluded that in Laotian families seniormen <strong>and</strong> women are respected fortheir knowledge <strong>and</strong> experience but inchild health matters it is the gr<strong>and</strong>motherswho are particularly influential, given theirmany years of experience in this domain.Other family members recognize that it isthe gr<strong>and</strong>mothers who have the expertiseto diagnose childhood illnesses <strong>and</strong> identifythe most appropriate treatment.“Theiropinion regarding how to manage thechild’s illness is usually sought <strong>and</strong> theiradvice is usually followed.” (53). Mothersrarely decide on their own how to dealwith a sick child given their easy access tosenior women advisors either within oroutside of the family.Thail<strong>and</strong>: In a study in Northeast Thail<strong>and</strong>,in an area that is socio-culturally similar toparts of Laos (Shawyer et al. 1996), it wasconcluded that gr<strong>and</strong>mothers play a significantrole in managing childhood illnesses atthe household level. They are responsiblefor passing on to the next generation thefolk taxonomy for different types of diarrheathat determines the diagnosis <strong>and</strong>, inturn, the treatment strategy. While someGRANDMOTHERS:THE LEARNING INSTITUTION65
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EXECUTIVE SUMMARYSociety itself fai
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Education, the Bernard Van LeerFoun
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SEVERAL FACTORS CONTRIBUTE TO THELI
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social work, including family syste
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mation from Azerbaijan (McNulty 200
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- Page 97 and 98: Sear, R., R. Mace, and I. A. McGreg
- Page 99 and 100: ABOUT THE AUTHORThis review was pre