Exo-system factors do not directly affect access to child care
As stated above, exo-system factors do not directly affect access to child care. Marshall
describes the wellbeing of the family as a primary determinant of the welfare of a child. As a
result, any activity interfering with the psychology of the parents or primary caregivers
significantly affects child care access (Marshall, 2004). A good example is the demise of a
family member who was close to the primary caregivers is likely to cause psychological issues
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