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Beyond the dyad: making Developmental Origins of Health and Disease (DOHaD) interventions more inclusive

Part of: DOHaD on International Women's Day 2020 Advancing the DOHaD Agenda in Africa

Published online by Cambridge University Press:  08 August 2017

M. Pentecost Open the ORCID record for M. Pentecost [Opens in a new window] ,
F. C. Ross  and
A. Macnab
M. Pentecost*
Affiliation:
Institute for Social and Cultural Anthropology, University of Oxford, Oxford, UK Anthropology, School of African and Gender Studies, Anthropology and Linguistics, University of Cape Town, Cape Town, South Africa
F. C. Ross
Affiliation:
Anthropology, School of African and Gender Studies, Anthropology and Linguistics, University of Cape Town, Cape Town, South Africa
A. Macnab
Affiliation:
Wallenberg Research Centre, Stellenbosch Institute for Advanced Study, Stellenbosch University, Stellenbosch, South Africa Department of Pediatrics, University of British Columbia, Vancouver, BC, Canada
*
*Address for correspondence: M. Pentecost, Institute for Social and Cultural Anthropology, University of Oxford, 53 Banbury Road, Oxford, OX2 6PE, UK. (Email [email protected])
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Abstract

Pregnant women, children under 2 and the first thousand days of life have been principal targets for Developmental Origins of Health and Disease interventions. This paradigm has been criticized for laying responsibility for health outcomes on pregnant women and mothers and through the thousand days focus inadvertently deflecting attention from other windows for intervention. Drawing on insights from the South African context, this commentary argues for integrated and inclusive interventions that encompass broader social framings. First, future interventions should include a wider range of actors. Second, broader action frameworks should encompass life-course approaches that identify multiple windows of opportunity for intervention. Using two examples – the inclusion of men, and engagement with adolescents – this commentary offers strategies for producing more inclusive interventions by using a broader social framework.

Keywords

adolescentsdyadfathersinclusive frameworkslife-course
Type
Brief Reports
Information
Journal of Developmental Origins of Health and Disease , Volume 9 , Issue 1: Themed Issue: DOHaD AFRICA , February 2018 , pp. 10 - 14
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Copyright
© Cambridge University Press and the International Society for Developmental Origins of Health and Disease 2017 

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References

1. Winett, L, Wallack, L, Richardson, D, et al. A framework to address challenges in communicating the developmental origins of health and disease. Curr Environ Health Rep. 2016; 169–177.CrossRefGoogle ScholarPubMed
2. Richardson, S. Maternal bodies in the postgenomic order: gender and the explanatory landscape of epigenetics. In Postgenomics: Perspectives on Biology and the Genome (eds. Richardson S, Stevens H), 2015; pp. 210–231. Duke University Press: Durham.Google Scholar
3. Murphy, KE, Jenkins, TG, Carrell, D. How the father might epigenetically program the risk for developmental origins of health and disease effects in his offspring. In The Epigenome and Developmental Origins of Health and Disease. (ed. Rosenfield C), 2015; pp.361–375. London: Elsevier Academic Press.CrossRefGoogle Scholar
4. Falconi, A, Gemmill, A, Dahl, RE, Catalano, R. Adolescent experience predicts longevity: evidence from historical epidemiology. J Dev Orig Health Dis. 2014; 5, 171–177.Google Scholar
5. Prentice, AM, Ward, KA, Goldberg, GR, et al. Critical windows for nutritional interventions against stunting. Am J Clin Nutr. 2013; 97, 911–918.Google Scholar
6. Viner, RM, Ozer, EM, Denny, S, et al. Adolescence and the social determinants of health. Lancet. 2012; 379, 1641–1652.Google Scholar
7. Truyts, C. One meal at a time. Unpublished MA dissertation, 2017. Cape Town: University of Cape Town.Google Scholar
8. Prescott, SL, Logan, AC. Transforming life: a broad view of the developmental origins of health and disease concept from an ecological justice perspective. Int J Environ Res Public Health. 2016; 13, 1–44.CrossRefGoogle ScholarPubMed
9. Sternberg, P, Hubley, J. Evaluating men’s involvement as a strategy in sexual and reproductive health promotion. Health Promot Int. 2004; 19, 389–396.Google Scholar
10. Panter-Brick, C, Burgess, A, Eggerman, M, et al. Practitioner review: engaging fathers – recommendations for a game change in parenting interventions based on a systematic review of the global evidence. J Child Psychol Psychiatry. 2014; 55, 1187–1212.CrossRefGoogle ScholarPubMed
11. Mayekiso, A. Ukuba yindoda kwelixesha (To be a man in these times): Fatherhood, marginality and forms of life among young men in Gugulethu, Cape Town. Unpublished PhD dissertation, 2017. Cape Town: University of Cape Town.Google Scholar
12. Connell, R. Masculinities. 2005. Allen & Unwin: Melbourne.Google Scholar
13. Ratele, K. Liberating Masculinities. 2016. HSRC Press: Cape Town.Google Scholar
14. Mavungu, E. Provider expectations and father involvement: learning from experiences of poor “absent fathers” in Gauteng, South Africa. Afr Sociol Rev. 2013; 17, 65–78.Google Scholar
15. Richter, L, Morrell, R. (eds.) Baba: Men and Fatherhood in South Africa. 2006. HSRC Press: Cape Town.Google Scholar
16. Moses, S. Infant feeding in the context of HIV: exploring practice and decision-making. Unpublished dissertation, 2011. Cape Town: University of Cape Town.Google Scholar
17. Macnab, AJ. The Stellenbosch consensus statement on Health Promoting Schools. Global Health Promot. 2013; 20, 78–81.Google Scholar
18. Vergnani, T, Flisher, AJ, Lazarus, S, Reddy, P, James, S. Health promoting schools in South Africa: needs and prospects. S Afr J Child Adolesc Mental Health. 1998; 10, 44–58.Google Scholar
19. Bay, JL, Mora, HA, Sloboda, DM, et al. Adolescent understanding of DOHaD concepts: a school-based intervention to support knowledge translation and behaviour change. J Dev Orig Health Dis. 2012; 3, 1–14.Google Scholar
20. Bay, JL, Yaqona, D, Tairea, K, et al. The healthy start to life education for adolescents project: indicators of early success in adaptation for use in Small Island Developing States. J Dev Orig Health Dis. 2015; 6(Suppl. 2), S77.Google Scholar
21. International Society for Developmental Origins of Health and Disease. The Cape Town Manifesto – November 2015. International Society for Developmental Origins of Health and Disease: Cape Town, 2015. Retrieved 26 September 2016 from https://dohadsoc.org/wp-content/uploads/2015/11/DOHaD-Society-Manifesto-Nov-17-2015.pdf Google Scholar
22. Ross, FC. The first thousand days of life and a mode of critical engagement. Psychopathologie Africaine (In Press).Google Scholar
23. Darnton, A. Practical guide: an overview of behaviour change models and their uses. In GSR Behaviour Change Practice Guide 2 (ed. Government Social Research Unit), 2008; pp. 1–40. London: HM Treasury.Google Scholar
24. Viitanen, AP, Colvin, CJ. Lessons learned: program messaging in gender transformative work with men and boys in South Africa. Glob Health Action. 2015; 8:1, 27860, doi: 10.3402/gha.v8.27860.Google Scholar
25. Cabrera, N, Tamis-Lemomda, C. Handbook of Father Involvement: Multidisciplinary Perspectives. 2013. Routledge: New York.Google Scholar