Utilisation of growth monitoring and promotion services and associated factors among mothers of children younger than 2 years in Gondar Zuria District, northwest Ethiopia: a community-based, cross-sectional study.

Autor:	Belew AK; Department of Human Nutrition, University of Gondar, Gondar, Ethiopia aysheshim121@gmail.com., Worku N; Department of Human Nutrition, University of Gondar, Gondar, Ethiopia., Gelaye KA; Department of Epidemiology and Biostatics, University of Gondar, Gondar, Ethiopia., Gonete KA; Department of Human Nutrition, University of Gondar, Gondar, Ethiopia., Tamir Hunegnaw M; Department of Human Nutrition, University of Gondar, Gondar, Ethiopia., Muhammad EA; Department of Human Nutrition, University of Gondar, Gondar, Ethiopia., Astale T; International Institute for Primary Health Care, Addis Ababa, Ethiopia., Mitike G; International Institute for Primary Health Care, Addis Ababa, Ethiopia., Abebe Z; Department of Human Nutrition, University of Gondar, Gondar, Ethiopia.; Flinders University, Adelaide, South Australia, Australia.
Jazyk:	angličtina
Zdroj:	BMJ open [BMJ Open] 2024 Feb 08; Vol. 14 (2), pp. e076147. Date of Electronic Publication: 2024 Feb 08.
DOI:	10.1136/bmjopen-2023-076147
Abstrakt:	Objective: The study aimed to assess the utilisation of growth monitoring and promotion services and the associated factors among mothers of children under 2 years old in Gondar Zuria District, northwest Ethiopia. Design: Community-based, cross-sectional study. Setting: The study was conducted in Gondar Zuria District, Central Gondar Zone. Data collection was conducted from 10 March to 5 April 2022. Participants: 576 mother-child pairs, recruited via a multistage, stratified random sampling technique. Outcome Measures and Analysis: Utilisation of growth monitoring and promotion services was the outcome of the study. Data were entered into Epi Info V.7 and exported to Statistical Package for the Social Sciences V.24.0 for further analysis. Both bivariable and multivariable logistic regression analyses were used to identify factors associated with utilisation of growth monitoring services. A p value less than 0.05 was considered significant for the outcome variable. Results: The utilisation of growth monitoring and promotion services among children aged 0-23 months was 26.6% (95% CI 22.9, 30.2). Health centre delivery (adjusted OR (AOR)=1.56; 95% CI 1.02, 2.68), postnatal care visits (AOR=3.13; 95% CI 1.99, 4.90), regular growth monitoring and promotion sessions (AOR=6.53; 95% CI 2.43, 9.34), and wealth status (AOR=5.98; 95% CI 3.09, 10.58) were significantly associated with utilisation of growth monitoring and promotion services. Conclusion: Less than one in three children aged 0-23 months saw utilisation of growth monitoring and promotion services in the study setting. Birthplace, postnatal care follow-up, regular growth promotion and monitoring sessions, and wealth status were associated with utilisation of growth monitoring and promotion services. Enhancing skilled birth delivery, promoting postnatal care follow-up and expanding the availability of growth monitoring and promotion outreach sites could be useful to improve the utilisation of growth monitoring and promotion services. Competing Interests: Competing interests: None declared. (© Author(s) (or their employer(s)) 2024. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.)
Databáze:	MEDLINE
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