Ten pitfalls of growth monitoring and promotion.

Abstract:

:Growth monitoring programs are often considered failures. These failures often stem from a lack of understanding of program implementation. The 10 most common pitfalls of the system are listed as follows: 1) Health workers tend to desire a diagnostic curative approach to malnutrition where Growth Monitoring and Prevention (GM/P) is a preventative measure. 2) Most current nutrition and GM/P programs start with children who are already undernourished. GM/P's should start with infants. 3) Nutritional status is currently emphasized rather than growth. 4) Mothers need to participate in monitoring more than they are currently expected to. 5) Standard GM/P's are normally not conducted on an individual basis. GM/P's must focus on communication between mother and worker. 6) GMP is simple in concept, but certainly not easy to implement. 7) GM/P is usually conducted as an isolated nutritional activity instead of an all-encompassing primary health care service. 8) GM/P is carried out by health workers with minimal community participation. 9) Most GM/P's provide free supplemental foods as incentive for mothers to attend monthly meetings, but the food becomes a preoccupation instead of an incentive. 10) People have too many false expectations of the program that are not grounded in reality. If workers concentrated on the overall goals and objectives of GM/P, these programs would have a greater impact on the health care of children.

journal_name

Indian J Pediatr

authors

Hendrata L,Rohde JE

doi

10.1007/BF02810384

subject

Has Abstract

pub_date

1988-01-01 00:00:00

pages

S9-15

issue

1 Suppl

eissn

0019-5456

issn

0973-7693

journal_volume

55

pub_type

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