Gondar University Hospital, Gondar, Ethiopia.
Department of Environmental and Occupational, Institute of Public Health, University of Gondar, Gondar, Ethiopia.
BMC Pediatr. 2019 May 8;19(1):144. doi: 10.1186/s12887-019-1489-4.
Growth monitoring is used to assess the growth rate of a child by periodic and frequent anthropometric measurements in comparison to a standard. However, since the practice has been poor in Ethiopia, this study aimed to assess it and its associated factors among health workers in North Gondar zone, northwest Ethiopia.
An institution-based mixed study was conducted from April 1 to May 7, 2017, among 500 health workers. The multistage sampling technique was used to select participants. A structured questionnaire was used to collect quantitative data, while non-participant observation and in-depth interviews were used to generate qualitative information. Qualitative data were coded, grouped, and discussed using the identified themes. A binary logistic regression was fitted, odds ratio with a 95% confidence interval was estimated to identify the predictors of growth monitoring practice, and qualitative data were analyzed using thematic analysis.
Growth monitoring practice among health workers was 50.4% (95% CI: 45, 55). Work experience (AOR = 4.27, 95%CI: 1.70, 10.72), availability of growth monitoring materials (AOR = 1.52, 95%CI: 1.05, 2.20), attitude (AOR = 0.68, 95%CI: 0.47, 0.98), midwifery occupation (AOR = 0.42, 95%CI: 0.19, 0.94), and diploma level qualification (AOR = 2.20, 95%CI: 1.09, 4.45) were statistically significantly associated with growth monitoring practice.
In this study, growth monitoring practice among health workers was lower than those of most studies. Jobs, educational status, work experience, attitude, and availability of materials were significantly associated with growth monitoring practices. Therefore, giving training to health extension and less experienced staff about growth monitoring, and providing growth monitoring equipment are important to improve health workers growth monitoring practices.
生长监测通过定期频繁地进行人体测量学测量并与标准进行比较，来评估儿童的生长速度。然而，由于在埃塞俄比亚这种做法一直很差，因此本研究旨在评估该国西北贡德尔地区卫生工作者的生长监测实践情况及其相关因素。
这是一项于 2017 年 4 月 1 日至 5 月 7 日在 500 名卫生工作者中进行的基于机构的混合研究。采用多阶段抽样技术选择参与者。使用结构化问卷收集定量数据，同时使用非参与观察和深入访谈生成定性信息。对定性数据进行编码、分组，并使用已确定的主题进行讨论。使用二元逻辑回归分析，估计优势比及其 95%置信区间，以确定生长监测实践的预测因素，并使用主题分析对定性数据进行分析。
卫生工作者的生长监测实践率为 50.4%（95%CI：45，55）。工作经验（AOR=4.27，95%CI：1.70，10.72）、生长监测材料的可获得性（AOR=1.52，95%CI：1.05，2.20）、态度（AOR=0.68，95%CI：0.47，0.98）、助产职业（AOR=0.42，95%CI：0.19，0.94）和中专学历（AOR=2.20，95%CI：1.09，4.45）与生长监测实践呈统计学显著相关。
在这项研究中，卫生工作者的生长监测实践率低于大多数研究。工作、教育状况、工作经验、态度和材料的可获得性与生长监测实践显著相关。因此，为卫生推广和经验不足的工作人员提供关于生长监测的培训，并提供生长监测设备，对于提高卫生工作者的生长监测实践水平非常重要。
