Why is growth monitoring of children important? how would you monitor growth of children?
Growth Monitoring is a screening tool to diagnose nutritional, chronic systemic and endocrine disease at an early stage. It has been suggested that growth monitoring has the potential for significant impact on mortality even in the absence of nutrition supplementation or education. Experience in Tamilnadu, Maharashtra and other states in India indicates that individual growth monitoring of children is both feasible and extremely useful. Rate of growth of children is one of the finest indicators of the health of a community. Growth monitoring followed by suitable action prevents illness, malnutrition and even death. It provides reassurance about child’s health and prevents parental anxiety. On community and national level it helps identify children at risk of morbidity and mortality. It thus helps in implementation of national programmes for nutritional and medical interventions like supplementary feeding, foods to vulnerable group, underprivileged school children, etc. It is also a method to evaluate programs for improving child health and nutrition and can form the basis for policy making.
Through growth monitoring mothers, family and community can be guided about the importance of nutrition in child growth and survival, ultimately resulting in better child rearing practices.
Monitoring the growth of a child requires taking the same measurements at regular intervals, approximately at the same time of the day, and seeing how they change. A single measurement only indicates the child’s size at that moment. Currently, the Government policies for growth monitoring focus on children less than 5 years of age. Growth monitoring is one of the basic activities of the under 5 clinics where the child is weighed periodically at monthly intervals during the 1st year, every 2 months during the 2nd year and every 3 months thereafter up to the age of 5 to 6 years. Growth monitoring is viewed in most programs as an activity for weighing children regularly and plotting weight on growth charts to identify undernutrition (mostly severe Protein Energy Malnutrition) for feeding programs or to provide data on
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