Assessment Of The Quality Of Growth Monitoring And Promotion For Children Under Five Years At Chps Compounds In The Wassa Amenfi East District Of The Western Region

ABSTRACT Background: Growth Monitoring and Promotion (GMP) is a preventive programme that targets the reduction of malnutrition in children in the early periods of their lives. GMP targets the caregiver and family decisions for positive child growth outcomes and has a great potential to contribute to improving child survival if well implemented. For a GMP programme to achieve its intended objective. the following conditions need to be met; proper implementation of GMP activities by skilled health workers. adequate nutrition education and counseling for care givers. and care giver understanding of information given by health care providers. Underweight rate among children under five years in the Wassa Amenfi East District remains high despite numerous logistical and technical supports by the Western Regional and the Wassa Amenfi East District Health Directorates to health facilities in the area of growth monitoring and promotion. Objective: This study assessed the quality of the growth monitoring and promotion programme administered by Community Health Nurses at Community-based Health Planning and Services (CHPS) compounds in the Wassa Amenfi East District and caregivers' satisfaction and perception of quality of the services they received under the programme. Methodology: The study was a cross sectional survey and involved both quantitative and qualitative data collection methods. A structured questionnaire was used to collect data on caregiver-child characteristics, caregiver child feeding practices, and caregivers' perception of quality ofGMP. The weights of children were measured to determine their weight-for-age statu~. Key Informant Interviews were employed to assess the knowledge of Community Health Nurses (CHNs) on GMP and infant and young child feeding counseling and to collect data on institutional factors that affected the quality of GMP.