Moyo Shamiso Alice, Mashau Ntsieni Stella, Makhado Lufuno
Department of Public Health, Faculty of Health Sciences, University of Venda, Thohoyandou 0950, South Africa.
Office of the Executive Dean, Faculty of Health Sciences, University of Venda, Thohoyandou 0950, South Africa.
Healthcare (Basel). 2023 Jul 12;11(14):2011. doi: 10.3390/healthcare11142011.
There are few growth monitoring and promotion indexes, and currently none of them include any metrics that measure caregiver behaviours. No index to date combines the metrics of both community health worker activeness and caregiver barriers and facilitators towards growth monitoring and promotion (GMP). This study developed a new growth monitoring and promotion index and validated it using the Delphi Technique.
The study began with phase 1, which was a scoping review of the literature on GMP indexes. Phase 2 involved a community health worker (CHW) survey which explored the process of GMP within the Umguza health system, and determined how knowledge of GMP by CHWs translated to frequency of activities. A barrier analysis was also conducted with caregivers of children under five to determine the barriers and facilitators towards GMP attendance by caregivers. Phase 3 was the construction of the index along with its validation, using the Delphi Technique where fifteen experts within the health and nutrition sector were consulted to analyse the constructs/variables of the index.
A growth monitoring and promotion index was developed and validated by several technical experts in the health and nutrition sector in Zimbabwe.
A new index has been developed to improve the quality of growth monitoring and promotion activities within the communities.
生长监测与促进指标较少，目前尚无指标包含衡量照护者行为的任何指标。迄今为止，没有任何指标将社区卫生工作者的积极性以及照护者在生长监测与促进（GMP）方面的障碍和促进因素这两类指标结合起来。本研究开发了一种新的生长监测与促进指标，并采用德尔菲技术对其进行验证。
该研究始于第1阶段，即对生长监测与促进指标的文献进行范围综述。第2阶段涉及一项社区卫生工作者（CHW）调查，该调查探讨了乌姆古扎卫生系统内的生长监测与促进过程，并确定了社区卫生工作者对生长监测与促进的了解如何转化为活动频率。还对五岁以下儿童的照护者进行了障碍分析，以确定照护者参加生长监测与促进活动的障碍和促进因素。第3阶段是指标的构建及其验证，采用德尔菲技术，咨询了卫生和营养领域的15位专家以分析该指标的构成要素/变量。
津巴布韦卫生和营养领域的几位技术专家开发并验证了一种生长监测与促进指标。
已开发出一种新指标，以提高社区内生长监测与促进活动的质量。
