Infant mortality and infant care: Cultural and economic constraints on nurturing in Northeast Brazil

https://doi.org/10.1016/0277-9536(84)90049-2Get rights and content

Abstract

The Brazilian ‘Economic Miracle’ has had an adverse effect on infant and childhood mortalily which has been steadily rising throughout Brazil since the late 1960s. An analysis of the reproductive histories of 72 marginally employed residents of a Northeast Brazilian rural shantytown explores the economic and cultural context that inhibits these mother's abilities to rear healthy, living children and which forces them to devise ‘ethnoeugenic’ childrearing strategies that prejudice the life chances of those offspring judged ‘less fit’ for survival under the pernicious conditions of life on the Alto. it is suggested that the selective neglect of children is a direct consequence of the selective neglect of their mothers who have been excluded from participating in the national economy. The links between economic exploitation and maternal deprivation are further discussed with reference to the social causes of the ‘insufficient breastmilk syndrome’ and the commercial powdered milk dependency of these women.

References (41)

  • I. Waldron

    Sex differences in human mortality: the role of genetic factors

    Soc. Sci. Med.

    (1983)
  • S. Robock

    Brazil's Developing Northeast

    (1963)
  • World Health Organization

    World Health Statistics Annual

    (1981)
  • S. Paim et al.

    Influencia de fatores sociais e ambientais na mortalidade infantil

    Boln Of. sanit. pan-am.

    (1980)
  • C. Wood

    Infant mortality trends and capitalist development in Brazil: the case of Sao Paulo and Belo Horizonte

    Latin Am. Persp.

    (1977)
  • J. Ramos

    Contribuicão ao estudo da mortalidade infantil no municipio do Recife no periodo 1965–1974

  • R. Puffer et al.

    Patterns of Mortality in Childhood

    PAHO/WHO Scientific Publication Number 262

    (1973)
  • H. Ware

    The relationship between infant mortality and fertility: replacement and insurance effects

  • World Health Organization

    Infant and Early Childhood Mortality in Relation to Fertility Patterns

    (1980)
  • A. Chowdhury et al.

    The effects of childhood mortality experiences on subsequent fertility

    Popul. Stud.

    (1976)
  • C. Taylor et al.

    The child survival hypothesis

    Popul. Stud.

    (1976)
  • S. Scrimshaw

    Infant mortality and behavior in the regulation of family size

    Popul. Dev. Rev.

    (1978)
  • C. Cassidy

    Benign neglect and toddler malnutrition

  • A. Aguirre

    Columbia: the family in Candelaria

    Stud. Fam. Plann.

    (1966)
  • E. Rosenberg

    Ecological effects of sex-differential nutrition

  • D. Prough et al.

    ‘Masked Deprivation’ in infants and young children

  • I. Illich

    Gender

  • M. de Andrade

    The Land and People of Northeast Brazil

    (1980)
  • J. de Castro

    Death in the Northeast

    (1969)
  • Cited by (85)

    • International Voluntary Health Networks (IVHNs). A social-geographical framework

      2018, Health and Place
      Citation Excerpt :

      Other sub-disciplines can help with seeking critical space: medical anthropology has pedigree in calling out medical complicity with socio-economic inequality (eg. Scheper-Hughes, 1984, 1995), and in problematizing an international morality that, although deploying rhetoric of advocacy and aid, colludes in silencing the voices of the global poor (eg. Butt (2002) on the ‘suffering stranger’).

    • Death Without Weeping: The Violence of Everyday Life in Brazil

      2023, Death Without Weeping: The Violence of Everyday Life in Brazil
    • Culture-bound syndromes during pregnancy and early childhood

      2019, Clinical Handbook of Transcultural Infant Mental Health
    View all citing articles on Scopus
    View full text