Abstract
BackgroundOne of the strategies to promote child health and reduce child mortality is growth monitoring and promotion services. But, there is limited information on determinants of Growth Monitoring and Promotion service utilization.ObjectiveTo identify determinants of growth monitoring and promotion (GMP) service utilization among children 0–23 months of age in Legambo district, South Wollo zone, Northern Ethiopia, 2020.MethodsCommunity based un-matched case-control study was conducted on 363 (91 cases and 272 controls) study participants from March 15 to April 15, 2020. A multi-stage sampling technique was employed to select the study participants. Bivariable and multivariable logistic regressions were performed and an adjusted odds ratio with 95% confidence intervals was estimated to identify determinants of GMP service utilization.ResultsA total of 358 mothers (89 cases and 269 controls) with 98.6% response rate were included in the study. The mean (±SD) age of child was 11.66(±6.29) months among controls and 15.02 (±6.06) months among cases. Good maternal knowledge (AOR) = 2.42; 95% CI: 1.23, 4.75), favorable attitude (AOR = 2.45; 95% CI; 1.20, 4.98), counseling on GMP (AOR = 2.34; 95% CI; 1.19, 4.56), attending ante natal care services (AOR = 2.46; 95% CI: 1.18, 5.16), index child age 12–17 months (AOR = 3.45; 95% CI: 1.26, 9.41) and 18–23 months (AOR = 4.38; 95% CI: 1.53, 12.49), and short distance to health facilities (AOR = 4.53; 95% CI; 1.99, 10.28) were determinants of GMP service utilization.ConclusionIndex child age, good knowledge, favorable attitude, attending antenatal care services, receiving nutritional counseling, and a short distance to health facility were determinants of GMP service utilization. Nutritional interventions should emphasize nutritional counseling and accessibility of growth monitoring and promotion services.
Highlights
Child malnutrition is one of the world’s serious public health problems
The district is found in the South Wollo zone Amhara region. it is situated on the beautiful highlands of south Wollo at an altitude of about 3000 m above sea level and is located 100 km to Dessie, 430 km from Bahir Dar and 501 km far from Addis Ababa
Socio-economic characteristics of study participants A total of 358 mothers (89 cases and 269 controls) with a 98.6% response rate were included in the study
Summary
Child malnutrition is one of the world’s serious public health problems. Around 45% of deaths among children under 5 years of age are linked to undernutrition [1]. 151 million under-5 years of age children were stunted, million were wasted, and million were overweight [2]. Child malnutrition is still a high public health problem in Ethiopia. According to the 2019 Ethiopian mini Demographic and Health Survey (EDHS) report, the prevalence of stunting was 37%, underweight 21%, and wasting 7% [3]. One of the strategies to promote child health and reduce child mortality is growth monitoring and promotion services. There is limited information on determinants of Growth Monitoring and Promotion service utilization
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