Less preferred is out-of-home relative care, and far more expensive is in-home nanny care. Supports for childcare, such as offers of free babysitting by grandparents or other relatives are not always a clear positive factor, despite economic savings and greater feelings of parental security. When a family chooses care by relatives, emotional or time-demanding reciprocal social obligations may increase stress on the family, even though the economic costs or time convenience may be a plus factor in that choice.
Besides this, another important element is socio-economic condition of working women. In this regard, the range of options for childcare varies widely by region. Parents in rural areas may have far fewer trained personnel available whether for family daycare or center care. Choosing appropriate or needed childcare may be quite different depending on family needs and resources
Kristin Droege argues that it isn't child-care itself that is dangerous to the development of children, but is simply the quality of the child-care facility that can harm children. In her opening she points out that the term "child care, is used to refer to any form of care for children that is not provided by parents. Places like churches, synagogues, community centers, and even in the workplace and schools as corporate/school sponsored programs. (Kristin, 1081-83) She continues to defend child-care by noting the work of attachment theorist John Bowlby; which basically concludes that as long as a child receives sensitive and responsive care giving during the first year of life they will develop an internal model of oneself as worthy of love and generally recognize that "others" are viewed as good and trustworthy. With this in mind the idea that it is not child-care itself but the quality of child-care is again reinforced and continues to receive reinforcement through the findings that the most common form of child-care, (about 20%), is that of placing the children in the care relatives; although it has been found that about 69% of all the relative care examined proved to be inadequate. (Bowlby, 109-12)
Thus the solution is to educate parents about high quality child-care programs, what the affects of high quality are, and how to find high quality care; though the problems of finances and illusion can still sway parents in picking less than adequate day-care facilities. On average parents only spend about 20 or so minutes inspecting different day-care facilities which is adequate to get the full spectrum and knowledge of such a facility. In addition there is always the issue of finances in which many parents sacrifice high quality care in order to save a few dollars down the road. Though in some cases the issue of finances can't be avoided Kristin Droege has proposed that the government could invest in the