Growth monitoring and promotion

Abstract Background: More than half of all deaths in under 5 children is related to malnutrition. One of the ways to reduce child malnutrition is regular monitoring of the growth and development of children through the utilisation of growth monitoring and promotion (GMP) services by mothers/care givers. We evaluated mothers’ knowledge on GMP, utilisation and associated factors among mother-child pairs from a poor socio-economic district in Northern Ghana. Methods: Using an analytical cross-sectional design, participants included mothers with children aged 0-59 months, grouped into 0-11 months, 12-24 months and 24-59 months. A semi-structured questionnaire containing both closed- and open-ended questions was used to collect data. Multivariate logistic regression was used to identify determinants of GMP utilisation. Results: Four hundred mother-child pairs were included in the study. Overall, 28.5% (n=114) of the mothers utilized GMP services. Almost 60%(n=237) of the mothers knew the recommended age to seek for GMP service for their children. Only 9% of the mothers could correctly interpret the directions of the growth curves in their children’s Health Record booklet. Mothers with children aged 0-11 years were 3.9 times more likely (p=0.009) to utilize GMP services compared to their counterparts with children aged 12-23 months and 24-59 months. Mothers who had low level of knowledge were 2.19 times (p = 0.003) more likely to utilise GMP services compared to their counterparts with high level of education. Conclusion: Utilisation of GMP services was low and particularly lower in children aged 24-59 months. Mothers’ knowledge in GMP was optimal although there were notable gaps.

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Determinants of growth monitoring and promotion service utilization among children 0–23 months of age in northern Ethiopia: unmatched case-control study

BMC Nutrition ◽

10.1186/s40795-021-00470-y ◽

2021 ◽

Vol 7 (1) ◽

Author(s):

Samuel Dagne ◽

Jemal Aliyu ◽

Yonatan Menber ◽

Yosef Wassihun ◽

Pammla Petrucka ◽

...

Keyword(s):

Service Utilization ◽

Case Control Study ◽

Case Control ◽

Growth Monitoring ◽

Northern Ethiopia ◽

Index Child ◽

Care Services ◽

Growth Monitoring And Promotion ◽

Study Participants ◽

Control Study

Abstract Background One of the strategies to promote child health and reduce child mortality is growth monitoring and promotion services. But, there is limited information on determinants of Growth Monitoring and Promotion service utilization. Objective To identify determinants of growth monitoring and promotion (GMP) service utilization among children 0–23 months of age in Legambo district, South Wollo zone, Northern Ethiopia, 2020. Methods Community based un-matched case-control study was conducted on 363 (91 cases and 272 controls) study participants from March 15 to April 15, 2020. A multi-stage sampling technique was employed to select the study participants. Bivariable and multivariable logistic regressions were performed and an adjusted odds ratio with 95% confidence intervals was estimated to identify determinants of GMP service utilization. Results A total of 358 mothers (89 cases and 269 controls) with 98.6% response rate were included in the study. The mean (±SD) age of child was 11.66(±6.29) months among controls and 15.02 (±6.06) months among cases. Good maternal knowledge (AOR) = 2.42; 95% CI: 1.23, 4.75), favorable attitude (AOR = 2.45; 95% CI; 1.20, 4.98), counseling on GMP (AOR = 2.34; 95% CI; 1.19, 4.56), attending ante natal care services (AOR = 2.46; 95% CI: 1.18, 5.16), index child age 12–17 months (AOR = 3.45; 95% CI: 1.26, 9.41) and 18–23 months (AOR = 4.38; 95% CI: 1.53, 12.49), and short distance to health facilities (AOR = 4.53; 95% CI; 1.99, 10.28) were determinants of GMP service utilization. Conclusion Index child age, good knowledge, favorable attitude, attending antenatal care services, receiving nutritional counseling, and a short distance to health facility were determinants of GMP service utilization. Nutritional interventions should emphasize nutritional counseling and accessibility of growth monitoring and promotion services.

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Exploring Reasons for Low Attendance of Mothers to Growth Monitoring and Promotion Program at Loka Abaya District, Southern Ethiopia: Exploratory Qualitative Study

Journal of Nutrition and Metabolism ◽

10.1155/2019/3510649 ◽

2019 ◽

Vol 2019 ◽

pp. 1-7 ◽

Cited By ~ 1

Author(s):

Mesfin Tekle ◽

Befikadu Tariku ◽

Amsalu Alagaw ◽

Eshetu Zerihun ◽

Habtamu Wondiye Bekele

Keyword(s):

Qualitative Study ◽

Child Nutrition ◽

Health Workers ◽

Qualitative Content Analysis ◽

Southern Ethiopia ◽

Growth Monitoring ◽

Child Feeding ◽

Evil Eye ◽

Growth Monitoring And Promotion ◽

Depth Interviews

Background. Different organizations in Ethiopia are currently working on prevention and promotion activities to fight malnutrition among children through a community-based nutrition program. One of these activities with little success is growth monitoring and promotion (GMP). Exploring the reason and better understanding of low attendance of mothers to the GMP program can help to improve the program by incorporating finding. The aim of the study was to explore reasons for low attendance to the GMP program among mothers of under-two children. Method. An exploratory qualitative study design was used to unearth reasons for low attendance of mothers with under-2-year-old child to the GMP program. In-depth interviews were carried out with 13 mothers. The data were analyzed using qualitative content analysis approach. Result. Mothers perceived that GMP is (meant) for unhealthy children (only). Again mothers mentioned community dishonor of mothers with wasted children and method of weighing a child as a community-related reason for low attendance to the GMP program. They also indicated that there was no community conversation and weak counseling of the mothers about child feeding and growth. Perception about “evil eye” was also indicated as a reason for lower attendance of the program. Conclusion. Mothers showed that there was lack of knowledge about GMP. Limited community conversation and weak counseling about child nutrition as a GMP program were explored reasons for low attendance. Other reasons mentioned by the mothers were consideration of “evil eye” and method of weighing a child. Further research is needed to explore the implementation of GMP by health workers and to evaluate the extent of the identified reasons for low attendance to the GMP program by the mother.

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Determinants of Growth Monitoring and Promotion Service Utilization Among Children 0-23 Months of Age in Northern Ethiopia: Unmatched Case Control Study

10.21203/rs.3.rs-109241/v1 ◽

2020 ◽

Author(s):

Jemal Aliyu ◽

Yonatan Menber ◽

Yosef Wassihun ◽

Netsanet Fentahun ◽

Samuel Dagne

Keyword(s):

Service Utilization ◽

Case Control Study ◽

Case Control ◽

Growth Monitoring ◽

Northern Ethiopia ◽

Index Child ◽

Care Services ◽

Growth Monitoring And Promotion ◽

Study Participants ◽

Control Study

Abstract Background: One of the strategies to promote child health and reduce child mortality is growth monitoring and promotion services. But, there is limited information on determinants of Growth Monitoring and Promotion service utilization. Objective: To identify determinants of growth monitoring and promotion (GMP) service utilization among children 0-23 months of age in Legambo district, South Wollo zone, Northern Ethiopia, 2020.Methods: Community based un-matched case control study was conducted on 363 (91 cases and 272 controls) study participants from March 15 to April 15, 2020. Multi-stage sampling technique was employed to select the study participants. Bivariable and multivariable logistic regressions were performed and adjusted odds ratio with 95% confidence intervals was estimated to identify determinants of GMP service utilization.Results: Good maternal knowledge (AOR) = 2.42; 95% CI: 1.23, 4.75), favorable attitude (AOR = 2.45; 95% CI; 1.20, 4.98), counseling on GMP (AOR = 2.34; 95% CI; 1.19, 4.56), Attending ante natal care services (AOR = 2.46; 95% CI: 1.18, 5.16), index child age 12-17 months(AOR = 3.45; 95% CI: 1.26, 9.41) and 18-23 months (AOR = 4.38; 95% CI: 1.53, 12.49), and short distance to health facilities (AOR = 4.53; 95% CI; 1.99, 10.28) were determinants of GMP service utilization.Conclusion: Index child age, good knowledge, favorable attitude, attending ante natal care services, receiving nutritional counseling and short distance to health facility were determinants of GMP service utilization. Nutritional interventions should emphasis nutritional counseling and accessibility of growth monitoring and promotion services.

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