What Effect Does International Migration Have on the Nutritional Status and Child Care Practices of Children Left
Renuka Jayatissa1, Kolitha Wickramage2
1Department of Nutrition, Medical Research Institute, Ministry of Health, Colombo 00800, Sri Lanka. renukajayatissa@ymail.com.
Insights
Child malnutrition is a concern in Sri Lanka, especially for children left behind by migrant workers. While fathers migrating positively impacts care, mothers migrating correlates with higher undernutrition risks in poorer households.
Area of Science:
- Child Nutrition and Health
- Migration Studies
- Public Health
Background:
- Sri Lanka experiences increasing labor migration, leading to economic dependence on migrant workers.
- The nutritional status and care practices of "children left behind" by migrant parents are under-researched.
- Understanding these impacts is crucial for public health interventions.
Purpose of the Study:
- To examine factors influencing the nutritional status of children left behind by international migrant workers.
- To assess the care practices of these children.
- To identify specific risks associated with parental migration patterns.
Main Methods:
- Cross-sectional, nationally represented study of 321 children aged 6-59 months.
- Assessment of care practices through ten caregiving behaviors (hygiene, feeding, health services).
- Analysis of nutritional status indicators: stunting, wasting, and underweight.
Main Results:
- Prevalence of stunting (11.6%), wasting (18.2%), and underweight (24.0%) identified.
- Father's migrant status positively influenced childcare practices and child's birthweight.
- Mothers migrating were associated with higher undernutrition risks in poorer households.
Conclusions:
- Undernutrition remains a significant public health issue for children left behind in Sri Lanka.
- Maternal migration, particularly in poorer households, poses a heightened risk.
- Further research is needed to develop targeted support for migrant families and their children.
Abstract:
Despite an increasing trend in labour migration and economic dependence on foreign migrant workers in Sri Lanka, very little is known about the child care and nutritional status of "children left behind". The aim of this study was to examine the factors influencing the nutritional status and care practices of children left behind. A sample of 321 children, 6-59 months old of international migrant workers from a cross-sectional nationally represented study were included. Care practices were assessed using ten caregiving behaviours on personal hygiene, feeding, and use of health services. Results revealed the prevalence of stunting, wasting and underweight to be 11.6, 18.2 and 24.0 percent, respectively. Father being a migrant worker has a positive effect on childcare practices and birthweight of the child. This study indicates that undernutrition remains a major concern, particularly in the poorest households where the mother is a migrant worker, also each additional 100 g increase in the birthweight of a child in a migrant household, decreases the probability of being wasted, stunted and underweight by 6%, 8% and 23% respectively. In depth study is needed to understand how labour migration affects household level outcomes related to child nutrition and childcare in order to build skills and capacities of migrant families.
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