In this article, we test the hypothesis that beliefs about the ideal mother are convergent across cultures and that these beliefs overlap considerably with attachment theory’s notion of the sensitive mother. In a sample including 26 cultural groups from 15 countries around the globe, 751 mothers sorted the Maternal Behavior Q-Set to reflect their ideas about the ideal mother. The results show strong convergence between maternal beliefs about the ideal mother and attachment theory’s description of the sensitive mother across groups. Cultural group membership significantly predicted variations in maternal sensitivity belief scores, but this effect was substantially accounted for by group variations in socio-demographic factors. Mothers living in rural versus urban areas, with a low family income, and with more children, were less likely to describe the ideal mother as highly sensitive. Cultural group membership did remain a significant predictor of variations in maternal sensitivity belief scores above and beyond socio-demographic predictors. The findings are discussed in terms of the universal and culture-specific aspects of the sensitivity construct.

Objective Stimulation in early childhood can alleviate adverse effects of poverty. In a community-randomised trial, we implemented 2 home-based interventions, each serving as an attention control for the other. One group received an integrated household intervention package (IHIP), whereas the other group received an early child development (ECD) intervention. The primary objective of the study was to evaluate the effect of IHIP on diarrhoea and respiratory infections, the details of which are described elsewhere. Here, we present the impact of the ECD intervention on early childhood development indicators. Methods In this non-blinded community-randomised trial, an ECD intervention, adapted from the Peruvian government's National Wawa Wasi ECD programme, was implemented in 25 rural Peruvian Andean communities. We enrolled 534 children aged 6–35 months, from 50 communities randomised 1:1 into ECD and IHIP communities. In ECD communities, trained fieldworkers instructed mothers every 3 weeks over the 12 months study, to stimulate and interact with their children and to use standard programme toys. IHIP communities received an improved stove and hygiene promotion. Using a nationally validated ECD evaluation instrument, all children were assessed at baseline and 12 months later for overall performance on age-specific developmental milestones which fall into 7 developmental domains. Findings At baseline, ECD-group and IHIP-group children performed similarly in all domains. After 12 months, data from 258 ECD-group and 251 IHIP-group children could be analysed. The proportion of children scoring above the mean in their specific age group was significantly higher in the ECD group in all domains (range: 12–23%-points higher than IHIP group). We observed the biggest difference in fine motor skills (62% vs 39% scores above the mean, OR: 2.6, 95% CI 1.7 to 3.9). Conclusions The home-based ECD intervention effectively improved child development overall across domains and separately by investigated domain. Home-based strategies could be a promising component of poverty alleviation programmes seeking to improve developmental outcomes among rural Peruvian children. Trial registration number ISRCTN28191222; results.

This article shows risk and protective factors for both physical and emotional intimate partner violence (IPV) against women. The study was carried out in a shanty town of Lima, Peru, which has a strong community organization. One hundred ninety-two women between 25 and 59 years old ( M = 34.09, SD = 6.5) were interviewed; 44.3% had secondary education, 75.5% were housewives, and 94% lived with their partner. The measurement instrument was a survey especially developed for this project to explore occurrence of physical and emotional IPV and to identify factors associated with them; factors were classified in individual and relational levels according to the ecological nested model (ENM). A logistic regression analysis was used to test the associations; the results showed that for emotional IPV, men’s assertiveness was a protective factor, whereas their emotional instability and jealousy were risk factors. For physical IPV, there were no identified risks or protective factors. These results are presented and discussed.

In the current study, we observed 12 mothers with a 4–21-month-old infant for around 3 hours during their daily activities such as feeding, bathing, and soothing in the multiple-caregiver cultural contexts of rural Peru. Overall, sensitivity levels were high, with an average of 7.33 (out of 9), and seven of the twelve mothers scoring in the high range (scores 7–9), and the remaining five in the good-enough range (scores 5–6). A qualitative description of sensitive responsiveness is presented through representative examples. Notable patterns were flexibility in caregiving routines that allow for very child-centered maternal behavior; mothers’ ability to multitask, combining household and agricultural work with high sensitive responsiveness to their infants’ signals; the presence of multiple caregivers that ensured that the infants were well attended when mothers were temporarily unavailable; and what seems to be a culturally normative tendency to be sensitively responsive to very young children.