Assessing the utilization of a child health monitoring tool
S. Afr. j. child health (Online)
;
11(4): 174-179, 2017. ilus
Artigo
em Inglês
| AIM
| ID: biblio-1270318
RESUMO
Objective:
The study assessed the implementation of growth monitoring and promotion, immunisation, vitamin A supplementation, and deworming sections of the Road-to-Health Booklet. Caregivers and health care workers knowledge, attitudes and practices were investigated as well as health care workers perceptions of barriers undermining implementation.Methods:
A cross-sectional descriptive study was conducted on a proportional sample of randomly selected Primary Health Care facilities across six health districts (35%; n=143) in the Western Cape Province. Health care workers involved in the implementation of the Road-to-Health Booklet, children (0-36 months) and CGs were included. Information was obtained through scrutiny of the Road-to-Health Booklet, observation of consultations and structured questionnaires.Results:
A total of 2442 children, 2481 caregivers and 270 health care workers were recruited. Weight (94.7%) measurements were performed routinely. Less than half (40.2%) of caregivers reported that their child's growth was explained. Sixty-eight percent of health care workers correctly identified criteria for underweight, whereas only 55% and 39% could do so for stunting and wasting respectively. Road-to-Health Booklet sections were completed adequately for immunization (89.3%), vitamin A supplementation (94.6%) but not for deworming (48.8%). Most health care workers (94%) knew the correct regimes for vitamin A supplementation and deworming, but few caregivers knew when treatment was due for vitamin A supplementation (16.4%) and deworming (26.2%). Potential barriers identified related to inadequate training, staff shortages and limited time.Conclusion:
Focussed effort and resources should be channelled towards health care workers training and monitoring regarding growth monitoring and promotion to optimize utilization of the Road-to-Health Booklet. Mobilisation of community health workers is needed to strengthen community awareness of preventative healthinterventions:
Texto completo:
DisponíveL
Índice:
AIM (África)
Assunto principal:
África do Sul
/
Conhecimentos, Atitudes e Prática em Saúde
/
Prontuários Médicos
/
Saúde da Criança
/
Cuidadores
/
Promoção da Saúde
Tipo de estudo:
Estudo prognóstico
/
Pesquisa qualitativa
País/Região como assunto:
África
Idioma:
Inglês
Revista:
S. Afr. j. child health (Online)
Ano de publicação:
2017
Tipo de documento:
Artigo
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