Practical contribution of women development army on growth monitoring and promotion service at Dembya and Gondar Zuria districts, Central Gondar Zone, North West Ethiopia: a community based mixed study

BMC Pediatrics

Research

Netsanet Worku¹  Esmael Ali Muhammad¹  Aysheshim Kassahun Belew¹  Melkamu Tamir Hunegnaw¹  Kedir Abdela Gonete¹  Zegeye Abebe²  Kasahun Alemu³  Getnet Mitike⁴  Tigist Astale⁴ 

[1] Department of Human Nutrition, Institute of Public Health, University of Gondar, Gondar, Ethiopia;Department of Human Nutrition, Institute of Public Health, University of Gondar, Gondar, Ethiopia;Flinders Health and Medical Research Institute, College of Medicine and Public health, Flinders University, Adelaide, Australia;Department of epidemiology and biostatistics, Institute of Public Health, University of Gondar, Gondar, Ethiopia;International Institute for Primary Health Care -Ethiopia, Addis Ababa, Ethiopia;

关键词: Practical contribution;    Women development army;    Growth monitoring;    Child health;    North West Ethiopia;   

DOI  :  10.1186/s12887-023-04124-9

 received in 2023-01-02, accepted in 2023-06-10,  发布年份 2023

来源: Springer

【 摘 要 】

BackgroundThe United Nations’ Sustainable Development Goal (SDG)-2 aims to eliminate child hunger or end all forms of child malnutrition by 2030. To achieve this goal the cost-effective method is the implementation of growth monitoring and promotion service with the contribution of Women Development Army (WDA) as community volunteers. However, According to the data, the program’s implementation varies throughout the country and lack of evidence on the practical contribution of the WDA to enhancing child nutritional care outcomes. Therefore this study aimed to determine practical contribution of WDA and associated factors on growth monitoring and promotion service in two rural districts of central Gondar zone, Northwest Ethiopia.MethodsA community based mixed study was conducted from March 6 to April 7, 2022 among 615 Women Development Army. Multistage sampling technique was used to select study participants. A structured questionnaire was used to collect quantitative data and in-depth interview were used to generate qualitative information. Qualitative data were coded and grouped and discussed using identified themes. Binary logistic regression was fitted, odds ratio with 95% confidence interval was estimated to identify factors of practical contribution of WDA and qualitative data was analyzed using thematic analysis.ResultsIn this study practical contribution of WDA on growth monitoring was 31.4% (95% CI: 28.0-35.3%). Having GMP training (AOR = 4.2, 95%CI: 1.63, 10.58), regular community conversation (AOR = 6.0, 95%CI: 3.12, 11.54), good knowledge about GMP (AOR = 2.1, 95%CI: 1.17, 3.83) and not having regular schedule of GMP service in the area (AOR = 0.04, 95%CI: 0.02, 0.09), were statistically significantly associated with practical contribution of growth monitoring. During in-depth interview, lack of training, low motivation or commitment among WDA and low communication between WDA and health extension workers were mentioned among the problems faced during growth monitoring service.ConclusionIn this study, practical contribution of growth monitoring among WDA was low. GMP training regular community conversation, knowledge about GMP and regular schedule of GMP service in the local area were significantly associated for practical contribution of growth monitoring service. Lack of training, low motivation or commitment among WDA and low communication between WDA and health extension workers were reasons for did not contribute effectively for GMP service. Therefore, giving training for WDA and improving community conversation at kebeles level are important to improve GM service. .

【 授权许可】

CC BY   
© The Author(s) 2023

【 图 表 】

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