211603 Discourses on infant malnutrition and “Bad Mothering” in a West African setting

Monday, November 9, 2009: 2:50 PM

Barbara M. Cooper, PhD , Department of History, Rutgers, The State University of New Jersey, New Brunswick, NJ
Reflections on the crisis of 2005 in Niger provide an occasion to reflect upon how health crises are “read” in the media, by NGOs, and in policy circles. Analysis of the crisis shifted gradually from a drought- and locust- induced famine, to a moderate food shortage aggravated by the slow response of national and international actors, to a failure of market mechanisms that called into question the warning systems in place to monitor food conditions in the Sahel. Most recently it has become clear that among other things we also witnessed the real implications of a chronic but largely ignored malnutrition crisis in Niger that was rendered more acute by an unusually sharp spike in the price of staple foods and of forage and was rendered more visible by the presence of the disaster relief specialists of Doctors Without Borders, for whom an incidence of malnutrition of this scale was tantamount to humanitarian disaster in a war zone. As the causes and responses to the crisis have been evaluated in the wake of the disaster, more and more attention has been given, at long last, to the problem of malnutrition. This paper responds to the common perception that malnutrition in the West African Sahel is a “cultural” problem rather than an economic problem. The paper explores the history of the trope of the “bad mother,” whose irrational behavior governed by “tradition' is implicitly argued to be responsible for high infant and child mortality. The study concludes by offering a rather different image of mothers, one emphasizing their willingness to seize upon a novel treatment for sick children offered at Doctors Without Borders treatment centers using ready to eat nutrition packets.

Learning Objectives:
To recognize the role of culture in the practice of public health and identify the interplay with science and politics. To apply a historical and anthropological framework to the analysis of contemporary policy regarding the control of malnutrition and infant mortality.

Keywords: Infant Mortality, Nutrition

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: Qualified on the content I am responsible for because: Professor of History at the History Department of Rutgers University. Her work focuses on the history of debates about fertility and reproduction in the Sahel. Author of Evangelical Christians in the Muslim Sahel and Marriage in Maradi: Gender and Culture in a Hausa Society in Niger, 1900-1989.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.