Sociodemographic and nutritional correlates of neurobehavioral development: a study of young children in a rural region of Ecuador

To identify and describe the sociodemographic and nutritional characteristics associated with neurobehavioral development among young children living in three communities in the northeastern Andean region of Cayambe-Tabacundo, Ecuador. Women in the study communities who had a child 3 to 61 months of age completed a questionnaire about maternal and child health and sociodemographic characteristics. The Ages and Stages Questionnaire (ASQ) was directly administered to 283 children by two trained interviewers. Growth measurements and a hemoglobin finger-prick blood test were obtained in 2003–2004. Prevalence of developmental delay was calculated, and associations between child development and maternal, child, and household characteristics were explored. High frequencies of developmental delay were observed. Children 3 to 23 months old displayed delay in gross motor skills (30.1%), and children 48 to 61 months old displayed delay in problem-solving skills (73.4%) and fine motor skills (28.1%). A high frequency of both anemia (60.4%) and stunting (53.4%) was observed for all age groups. Maternal educational level was positively associated with communication and problem-solving skills, and monthly household income was positively associated with communication, gross motor, and problem-solving skills. The results suggest a high prevalence of developmental delay and poor child health in this population. Child health status and the child’s environment may contribute to developmental delay in this region of Ecuador, but sociodemographic factors affecting opportunities for stimulation may also play a role. Research is needed to identify what is causing high percentages of neurobehavioral developmental delay in this region of Ecuador.

Towards a Theoretical Understating of How to Study the State: Governmentality, Power and Governmental Regimes

Artículo teórico que se origina a partir de un proyecto más amplio que investiga la construcción del Plan Nacional del Buen Vivir 2013-2017 (PNBV 2013-2017) en Ecuador. Su primordial preocupación teórica es responder a la siguiente pregunta: cómo estudiar los procesos de formación del Estado en Ecuador desde el año 2008. El documento responde a esta amplia cuestión argumentando, a nivel general, que el Estado se reproduce en parte mediante la creación de espacios donde efectivamente puede intervenir en la sociedad. Este trabajo se refiere, por lo tanto, con el examen de las formas particulares en que los Estados penetran la sociedad a través de regímenes gubernamentales. En términos más específicos, este trabajo sostiene que los procesos de intervención del Estado pueden ser ampliamente entendidos por la observación de tres procesos complementarios e interrelacionados: a. La forma en la que el Estado busca legitimar su presencia en la sociedad; b. Prácticas gubernamentales: las formas en las que el Estado aprende, organiza, distribuye y en última instancia crea campos específicos de intervención; c. El ejercicio de diferentes y complementarias modalidades de poder. En base a los citados elementos analiza la construcción de un "régimen gubernamental".