Tchibindat Félicité, Martin-Prevel Yves, Kolsteren Patrick, Maire Bernard, Delpeuch Francis
Unité de Recherches en Nutrition et Alimentation Humaines, Brazzaville, The Congo.
J Health Popul Nutr. 2004 Mar;22(1):59-67.
In 1996, the Government of the Republic of Congo launched a pilot project to improve the child growth and development component of primary healthcare. The present study was carried out (i) to explore perceptions and practices of mothers and health workers regarding child growth, health, and development, and (ii) to design culturally-appropriate tools to enhance their monitoring and promotion. The study was carried out in two randomly-selected health centres in Brazzaville. Qualitative data collected included 16 focus-group discussions with 174 mothers, two focus-group discussions with 18 health workers, and 20 individual interviews with paediatricians or psychologists. The health workers reported that the main indicator of child growth was weight, while the mothers used broader concepts for evaluating growth and development of their toddlers. A strategy encompassing anthropometrics, developmental milestones, and acquisition of social skills was elaborated to enhance communication between health workers and mothers. A new growth chart was designed, and a new calendar of systematic visits, including key tasks and messages, was established. However, these new tools derived from the formative research still need to be carefully tested.
1996年，刚果共和国政府启动了一个试点项目，以改善初级医疗保健中的儿童生长发育部分。本研究的开展旨在：（i）探索母亲和卫生工作者对儿童生长、健康和发育的看法及做法；（ii）设计适合当地文化的工具，以加强他们的监测和推广工作。该研究在布拉柴维尔随机选取的两个卫生中心进行。收集的定性数据包括与174名母亲进行的16次焦点小组讨论、与18名卫生工作者进行的两次焦点小组讨论，以及与儿科医生或心理学家进行的20次个人访谈。卫生工作者报告称，儿童生长的主要指标是体重，而母亲们在评估幼儿生长发育时使用的概念更为宽泛。制定了一项涵盖人体测量学、发育里程碑和社交技能习得的策略，以加强卫生工作者与母亲之间的沟通。设计了一张新的生长图表，并制定了一个新的定期访视日程表，包括关键任务和信息。然而，这些从形成性研究中得出的新工具仍需仔细测试。
