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  • Title: Assessment of knowledge and skills about growth monitoring amongst multipurpose workers in an ICDS project.
    Author: Kapil U, Sood AK, Gaur DR, Bhasin S.
    Journal: Indian Pediatr; 1991 Aug; 28(8):895-9. PubMed ID: 1808077.
    Abstract:
    Knowledge and skills amongst 34 multipurpose workers working in an ICDS project about growth monitoring was assessed using interview technique. All workers had correct knowledge about rationale of growth monitoring. A total of 73.5% and 94.1% had knowledge that flattened growth curve indicates no weight gain and descending growth indicates decrease in weight, respectively. Researchers interviewed 34 multipurpose workers (MPWs) from a rural Integrated Child Development Services (ICDS) block of District Rohtak in Haryana State, India to examine their knowledge and skills concerning growth monitoring (GM) and to identify knowledge gaps so ICDS can design an active on-the-job training in GM. MPWs received 18 months of training before working for ICDS. Most of the MPWs (70%) had worked in this ICDS area for 10 years. All MPWs knew that a rising growth curve means improved nutritional status, the direction of the curve allows early detection of growth retardation, and a flattened growth curve after a bout of measles means growth stagnation due to infection. Many MPWs were aware that an ascending growth curve indicates a healthy child (76.5%), a flattening of the growth curve indicates the child is not gaining weight (73.5%), and a falling curve indicates a reduced nutritional status (94.1%). All MPWs agreed that the best method to monitor growth is serial periodic weighing of children. Yet only 29.4% knew that health workers should weigh children =or3 years old every 3 months. Further most MPWs were familiar with 2.5kg being the cut-off point for low birth weight (82.3%), with 15kg the optimum weight of a 1 year old (76.5%), and with 20kg the optimum weight of a 3 year old (70.6%). All MPWs agreed to teach mothers how to interpret the growth curve and that mothers should take active part in weighing and plotting of weight on growth chart. These results indicated high MPW knowledge about anthropometry in determining nutritional status. This may have occurred because they underwent intense, repeated, and action oriented inservice training on a regular basis. These results indicated that inservice training on GM should emphasize GM's importance as a tool to detect early growth retardation and to intervene early to prevent continual growth retardation.
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