Growth Monitoring and Promotion Index Development: A Novel Approach.

Zimbabwe barriers children under five community health worker facilitators growth monitoring and promotion index

Journal

Healthcare (Basel, Switzerland)
ISSN: 2227-9032
Titre abrégé: Healthcare (Basel)
Pays: Switzerland
ID NLM: 101666525

Informations de publication

Date de publication:
12 Jul 2023
Historique:
received: 10 03 2023
revised: 06 07 2023
accepted: 10 07 2023
medline: 29 7 2023
pubmed: 29 7 2023
entrez: 29 7 2023
Statut: epublish

Résumé

There are few growth monitoring and promotion indexes, and currently none of them include any metrics that measure caregiver behaviours. No index to date combines the metrics of both community health worker activeness and caregiver barriers and facilitators towards growth monitoring and promotion (GMP). This study developed a new growth monitoring and promotion index and validated it using the Delphi Technique. The study began with phase 1, which was a scoping review of the literature on GMP indexes. Phase 2 involved a community health worker (CHW) survey which explored the process of GMP within the Umguza health system, and determined how knowledge of GMP by CHWs translated to frequency of activities. A barrier analysis was also conducted with caregivers of children under five to determine the barriers and facilitators towards GMP attendance by caregivers. Phase 3 was the construction of the index along with its validation, using the Delphi Technique where fifteen experts within the health and nutrition sector were consulted to analyse the constructs/variables of the index. A growth monitoring and promotion index was developed and validated by several technical experts in the health and nutrition sector in Zimbabwe. A new index has been developed to improve the quality of growth monitoring and promotion activities within the communities.

Sections du résumé

BACKGROUND BACKGROUND
There are few growth monitoring and promotion indexes, and currently none of them include any metrics that measure caregiver behaviours. No index to date combines the metrics of both community health worker activeness and caregiver barriers and facilitators towards growth monitoring and promotion (GMP). This study developed a new growth monitoring and promotion index and validated it using the Delphi Technique.
METHODS METHODS
The study began with phase 1, which was a scoping review of the literature on GMP indexes. Phase 2 involved a community health worker (CHW) survey which explored the process of GMP within the Umguza health system, and determined how knowledge of GMP by CHWs translated to frequency of activities. A barrier analysis was also conducted with caregivers of children under five to determine the barriers and facilitators towards GMP attendance by caregivers. Phase 3 was the construction of the index along with its validation, using the Delphi Technique where fifteen experts within the health and nutrition sector were consulted to analyse the constructs/variables of the index.
RESULTS RESULTS
A growth monitoring and promotion index was developed and validated by several technical experts in the health and nutrition sector in Zimbabwe.
CONCLUSIONS CONCLUSIONS
A new index has been developed to improve the quality of growth monitoring and promotion activities within the communities.

Identifiants

pubmed: 37510452
pii: healthcare11142011
doi: 10.3390/healthcare11142011
pmc: PMC10379847
pii:
doi:

Types de publication

Journal Article

Langues

eng

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Auteurs

Shamiso Alice Moyo (SA)

Department of Public Health, Faculty of Health Sciences, University of Venda, Thohoyandou 0950, South Africa.

Ntsieni Stella Mashau (NS)

Department of Public Health, Faculty of Health Sciences, University of Venda, Thohoyandou 0950, South Africa.

Lufuno Makhado (L)

Office of the Executive Dean, Faculty of Health Sciences, University of Venda, Thohoyandou 0950, South Africa.

Classifications MeSH