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Life Expectancy
Complete these exercises with information from the Case Study.

Case Study 1 Exercises with Answers

1. Though the story is about a nutrition center, what other activities does the center sponsor or promote? [Immunizing children, conducting pre-school classes, giving check-ups for pregnant mothers, referring sick children to hospitals, teaching about health, gardening, and nutrition.]

2. At least three women in the story were reluctant to go to the Nutrition Center. Explain why. [It was time-consuming to go to the center every day; some did not trust the center; one was embarrassed about her pregnancy.]

3. Abhirami says, "We have to gain their trust." Why would people be suspicious about receiving nutritious food for their children? [They may not understand about vitamins and other food supplements. They have to leave their homes where they normally prepare food to receive food from strangers. Laddoos are new. They did not exist when the mothers were young.]

4. Why do you think the workers at the center weigh the children every day? [The mothers can see that the food supplements are working and that their children were growing normally. It shows if a child is experiencing other problems that interfere with growth.]

5. Why do you think that Abhirami believes that if the laddoos were prepared at home, "the children would not always get them"? [The family might decide to share the laddoos with all the children in the family, even if they are not underweight. Or they might give them to adults who are doing the heaviest work.]

6. Why do you think the two women in the story were surprised that ordinary people went to the hospital? [Few people from poor villages go to hospitals due to the distance and the cost.]

7. Why might a woman be embarrassed about her pregnancy and not want to talk about it because "she had a fourteen–year–old daughter"? [She may have considered herself too old to have another child, especially since her daughter was now old enough to have a child herself.]

8. In how many different ways did the center educate children and adults about nutrition? [Daily weighing of children, explanations of the purpose of the laddoos, pre-school lessons about food and gardening, using popular musicians to sing songs about nutrition and health.] Why would the center choose to do all of these different time consuming activities instead of simply feeding the children? [Answers will vary. By educating people instead of just feeding them, there is a greater chance that people will change their behaviors and learn to feed themselves in a healthy way. Using many different methods to teach mothers and children helps to ensure that the lessons go beyond the nutrition center walls.]

9. Find India on the Social Data Table. What is the 1998 Infant Mortality Rate? [70 deaths per 1,000 live births.] What is the 1998 average Life Expectancy at Birth? [63 years.] If India were to extend the Tamil Nadu nutrition project throughout the entire country, what changes would you expect to see in these data over time? [The Infant Mortality Rate would probably decrease and the Life Expectancy would probably increase.] Find your own country on the Social Data Table. How do the data for your country compare with those of India? How would you explain these differences? [Answers will vary.]

10. Do you think malnutrition is a problem for low– and middle-income countries only? Explain your answer. [Answers will vary. Malnutrition may occur in any country–low, middle, or high income—where segments of the population cannot afford enough nutritious food, but it is more common in low– and middle-income countries. Even where there is sufficient food people may be malnourished because they do not know how to eat a balanced diet or understand the role that vitamins and minerals play in nutrition. Also, malnutrition may occur as a result of unhealthy and extreme attempts to lose weight, a trend that appears to be growing especially among adolescent girls in some high-income countries.]

11. Is malnutrition a problem in your country? What programs do you know about that try to change eating habits or provide more nutritious food for those who need it in your country? [Answers will vary.]

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