Growth Monitoring and Promotion Index Development: A Novel Approach

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...

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Main Authors: Shamiso Alice Moyo, Ntsieni Stella Mashau, Lufuno Makhado
Format: Article
Language:English
Published: MDPI AG 2023-07-01
Series:Healthcare
Subjects:
Online Access:https://www.mdpi.com/2227-9032/11/14/2011
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author Shamiso Alice Moyo
Ntsieni Stella Mashau
Lufuno Makhado
author_facet Shamiso Alice Moyo
Ntsieni Stella Mashau
Lufuno Makhado
author_sort Shamiso Alice Moyo
collection DOAJ
description 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: 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: A growth monitoring and promotion index was developed and validated by several technical experts in the health and nutrition sector in Zimbabwe. Conclusions: A new index has been developed to improve the quality of growth monitoring and promotion activities within the communities.
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spelling doaj.art-733ffac48af44835b0e375b304b854292023-11-18T19:32:39ZengMDPI AGHealthcare2227-90322023-07-011114201110.3390/healthcare11142011Growth Monitoring and Promotion Index Development: A Novel ApproachShamiso Alice Moyo0Ntsieni Stella Mashau1Lufuno Makhado2Department of Public Health, Faculty of Health Sciences, University of Venda, Thohoyandou 0950, South AfricaDepartment of Public Health, Faculty of Health Sciences, University of Venda, Thohoyandou 0950, South AfricaOffice of the Executive Dean, Faculty of Health Sciences, University of Venda, Thohoyandou 0950, South AfricaBackground: 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: 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: A growth monitoring and promotion index was developed and validated by several technical experts in the health and nutrition sector in Zimbabwe. Conclusions: A new index has been developed to improve the quality of growth monitoring and promotion activities within the communities.https://www.mdpi.com/2227-9032/11/14/2011growth monitoring and promotion indexbarriersfacilitatorscommunity health workerchildren under fiveZimbabwe
spellingShingle Shamiso Alice Moyo
Ntsieni Stella Mashau
Lufuno Makhado
Growth Monitoring and Promotion Index Development: A Novel Approach
Healthcare
growth monitoring and promotion index
barriers
facilitators
community health worker
children under five
Zimbabwe
title Growth Monitoring and Promotion Index Development: A Novel Approach
title_full Growth Monitoring and Promotion Index Development: A Novel Approach
title_fullStr Growth Monitoring and Promotion Index Development: A Novel Approach
title_full_unstemmed Growth Monitoring and Promotion Index Development: A Novel Approach
title_short Growth Monitoring and Promotion Index Development: A Novel Approach
title_sort growth monitoring and promotion index development a novel approach
topic growth monitoring and promotion index
barriers
facilitators
community health worker
children under five
Zimbabwe
url https://www.mdpi.com/2227-9032/11/14/2011
work_keys_str_mv AT shamisoalicemoyo growthmonitoringandpromotionindexdevelopmentanovelapproach
AT ntsienistellamashau growthmonitoringandpromotionindexdevelopmentanovelapproach
AT lufunomakhado growthmonitoringandpromotionindexdevelopmentanovelapproach