KNOWLEDGE, PERCEPTION AND TECHNIQUES ADOPTED BY MOTHERS IN ASSESSING AND MONITORING THE GROWTH AND DEVELOPMENT OF UNDER 5 CHILDREN IN OWERRI MUNICIPAL AND MBAITOLI L.G.A IN IMO STATE.

ABSTRACT

 Growth Monitoring is the process of following and assessing the growth rate of a child in comparison to a standard by, periodic, frequent anthropometric measurements. Only a ew have been said and researched about the maternal knowledge and attitude towards growth monitoring and its associated factors in Owerri Municipal and Mbaitoli Local Government Area. This study was conducted to determine the knowledge, perception and techniques adopted by the mothers in assessing and monitoring growth and development of under-five aged children. Methods: Community based cross sectional design was adopted for this study. Sample size was 175 (p=11.7) after correction and proportional sample size allocation was used to allocate the sample to the 2 locations and Systematic random sampling was used to select households. Data was collected using semi-structured questioners by interview and the obtained data was analyzed using SPSS v.20.0 statistical software.  Statistical significance was declared at P-value of 0.25 for bivariate and 0.05 for multivariable logistic regressions. Results :Under-fives sampled were 175.Youngest child were 2years and above(64.6%)age(months),youngest child were  less than 2years of age(35.4%)age(months), (68.6%)attended post natal clinic,(30.2%)did not attend post natal clinic,(65.1%)completed the immunization(32.6%)did not complete immunization, male comprised(53.7%) female(45.7%),(20%)monitored key motor milestone of a child correctly(9.7%)did not monitor key motor milestone of a child correctly,(92.0%)did not know how to use the growth chart,(76.0%)knew person’s should carryout growth monitoring. weight/height(30.9%)obesity, while(2.9%) sSAM(severely wasted(<-3)B.M.I Age(46.3%) Overweight, while (3.4%) severe (<-3) believed that growth charting in childhood was important (p=0.03.) Conclusion and Recommendation: Mothers have relatively good attitude than knowledge. Formal education, counselling and education from healthy professionals and a formal occupation had a positive impact on knowledge and attitude towards growth monitoring. The knowledge status of the mothers was found to below.

TABLE OF CONTENTS

TITLE PAGE.                                                                                                              i

CERTIFICATION.                                                                                                      ii

DEDICATION.                                                                                                           iii

ACKNOWLEDGEMENT.                                                                                         iv

TABLE OF CONTENTS.                                                                                          v

ABSTRACT.                                                                                                             vi

CHAPTER ONE

INTRODUCTION 

1.1 Background of the study                                                                                       1

1.2  Statement of the Problem                                                                                    2

1.3 General Objective                                                                                                 2

1.4 Specific Objectives                                                                                               2

1.5 Significance of the Study                                                                                     3

CHAPTER TWO

LITERATURE REVIEW

2.1 Growth Monitoring                                                                                               5

2.1.1 Assessing the Growth and Development                                                          6

2.1.2 Monitoring Growth and Development in A Child                                             7

2.1.3 Key Motormilestone in Growth Monitoring and Development                        8

2.1.4 Determinants of Growth and Development                                                      15

2.1.5 Normal Growth                                                                                                  16

2.2.1 Weight                                                                                                               16

2.2.2. Height                                                                                                               17

2.2.3. Mid Upper Arm Circumference                                                                       18

2.2.4 Body Fat                                                                                                            19

2.2.5 Head And Chest Circumference                                                                        20

1.2.6      Behavioral Development                                                                                21

2.2.7 Growth Chart                                                                                                     21

2.3 Effects Of Growth Monitoring Of Under 5 Children                                           24

CHAPTER THREE: MATERIALS AND METHODS

3.1 Study Design                                                                                                        26

3.2 Study Area                                                                                                            26

3.3 Population Of The Study                                                                                      26

3.4 Sampling And Sampling Technique                                                                     27

3.4.1 Sample Size Determination                                                                                27

3.4.2 Sampling Procedure                                                                                          28

3.5 Preliminary Activities                                                                                          29

3.5.1 Preliminary Visits                                                                                              29

3.5.2 Training Of Research Assistants                                                                       29

3.5.3 Ethical Approval                                                                                                29

3.6 Data Collection                                                                                                     29

3.6.1 Questionnaire Design                                                                                        30

3.6.2 Questionnaire Administration                                                                           30

3.6.3 Anthropometric Measurements                                                                         30

3.7 Data Analysis                                                                                                        31

CHAPTER FOUR: RESULTS AND DISCUSSION

4.1a Demographic/socioeconomic characteristics of the mothers                             34

4.1b Characteristics of youngest and index child                                                       36

4.4 Knowledge of Mothers on Growth Monitoring of Under Five Aged Children.         38

CHAPTER FIVE: CONCLUSION AND RECOMMENDATION

5.1       Conclusion                                                                                                      47

5.2       Recommendation                                                                                            47

            References                                                                                                      48

LIST OF TABLES

Table 4.1a       Socio demographic and economic characteristics of the mothers           35

Table 4.1b       Characteristics of youngest and Index child                                      37

Table 4.4         Knowledge of Mothers on Growth Monitoring of Under Five Aged

                        Children                                                                                              38

Table 4.2b       Knowledge of Mothers on Development of Under Five Aged Children                                                                                                                                                39

Table 4.4         Perception of mothers on growth monitoring and development of under

                        five aged  children                                                                              40

Table 4.4d       Techniques                                                                                           42

Table 4.5       Growth and Developmental Status                                                       44

Table 4.5  Anthropometric characteristics of the children                                         45

Table 4.6  Relationship between the mothers' knowledge, perception and the

growth and  developmental status of their under 5 children                                      46

CHAPTER 1

1.1    BACKGROUND OF THE STUDY        

Growth monitoring and promotion of optimal nutrition are essential components of health care for all children. Monitoring a child’s growth helps to confirm a child’s healthy growth and development, or identify early a potential nutritional or health problem (Pediatric Child Health, 2010).

Growth monitoring is defined as the process of following the growth rate of a child in comparison to a standard by periodic, frequent anthropometric measurements in order to assess growth adequacy and identify faltering early. It is not the infrequent or one-time anthropometric measurement of a child to assess nutritional status without assessing growth velocity over time. It is a regular and sequential measurement of growth, recognizing it to be the result of overall health, nutrition, environment, psychosocial and developmental factors in the child and it is based on a strategy aimed at behavioral change and adoption on improved self-help action within the family and the community to promote optimal health (Griffiths and Rosso, 2007). Growth Monitoring is a screening tool to diagnose nutritional, chronic systemic and endocrine disease at an early stage. It has been suggested that growth monitoring has the potential for significant impact on mortality even in the absence of nutrition supplementation or education.

Growth monitoring is widely accepted and strongly supported by health professionals, and is a standard component of community pediatric services throughout the world (Khadilkar et al., 2007)

There is a growing realization that a healthful diet particularly in the first few years of life are of paramount importance in laying the foundation of good health (Anyango and Ayeieko, 2011). However, these areas commonly have received little development support.

1.2  STATEMENT OF PROBLEM

Lack of co-ordination: A great deal of coordination is necessary among the government and all medical and non-medical personnel working directly with under-five age group to ensure a smooth implementation. Government should reallocate resources and raise awareness to the importance of child growth monitoring and redesign their surveillance systems to enhance good decision making on adequate monitoring by empowering trained personnel, providing them with resources and necessary support to develop and strengthen programmes to deal with the growth problems and implementation of standard. There should be feedbacks on the actions taken. Caliber of Personnel: Many health personnel lack adequate knowledge on growth monitoring thus it should be incorporated into pre-service training programmes for medical and nursing professionals. They should be well trained on the concept of growth monitoring and promotion. The training package should emphasize on the importance of accurate measurement, plotting and interpretation of growth charts for correct identification of growth problems and also, other personnel working in close contact with this age group especially mothers should be health educated on growth and factors affecting proper growth and development.

Resource constraints: Under-staffing in primary health care facilities and shortage of equipment is an important factor that cannot be over emphasized as it impedes a successful implantation of growth monitoring (De Onis et al., 2012).

1.3 GENERAL OBJECTIVE

To determine the knowledge, perception and techniques adopted by mothers in assessing and monitoring growth and development of under 5 children in Mbaitoli LGA and Owerri Municipal in Imo state.

THE SPECIFIC OBJECTIVES OF THIS STUDY WERE TO:

i.          Determine the socio-demographic/economic characteristics of mothers of under 5 children in the study areas.

ii.         Assess the knowledge of the mothers in the study areas on growth monitoring and development of under 5 children.

iii.        Assess the perception of the mothers in the study areas on growth monitoring and development of under 5 children.

iv.        Determine the techniques adopted by the mothers in assessing and monitoring growth and development of their under 5 children in the study areas.

v.         Assess the growth and developmental status of the under 5 children in the study areas using the WHO indicators.

vi.        Determine the relationship between the mothers' knowledge, perception and techniques and the growth and developmental status of their under 5 children.

1.4       SIGNIFICANCE OF THE STUDY

This work provided:

i.          Relevance of monitoring growth and development of under 5 children in selected rural locations in Imo state.

ii.         Promote growth and and development of under 5 children, There is a growing realization that a healthful diet particularly in the first few years of life are of paramount importance in laying the foundation of good health (Anyango and Ayeieko, 2011).

At the end of the study, suggestions and recommendations will be made on some factors that affect successful knowledge, perception, and techniques adopted by mothers of under 5 children in selected Mbaitoli LGA and Owerri Municipal in Imo state.

Buyers has the right to create dispute within seven (7) days of purchase for 100% refund request when you experience issue with the file received. 

Dispute can only be created when you receive a corrupt file, a wrong file or irregularities in the table of contents and content of the file you received. 

ProjectShelve.com shall either provide the appropriate file within 48hrs or send refund excluding your bank transaction charges. Term and Conditions are applied.

Buyers are expected to confirm that the material you are paying for is available on our website ProjectShelve.com and you have selected the right material, you have also gone through the preliminary pages and it interests you before payment. DO NOT MAKE BANK PAYMENT IF YOUR TOPIC IS NOT ON THE WEBSITE.

In case of payment for a material not available on ProjectShelve.com, the management of ProjectShelve.com has the right to keep your money until you send a topic that is available on our website within 48 hours.

You cannot change topic after receiving material of the topic you ordered and paid for.