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Published on: July 27, 2018
A model for community-based growth monitoring system
M Faber1, A Oelofse, A S Benade
1National Research Programme for Nutritional Intervention, Medical Research Council, P. O. Box 19070, Tygerbnerg, 7505, South Africa, Phone: 27 21 938-0404, Fax: 27 21 938-032 Emal: mfaber@eagle .mrc.ac.za.
A community-based health and growth monitoring system was established in rural South Africa for preschool children. This initiative, involving community centers and nutrition monitors, aims to improve child health and nutrition outcomes.
Area of Science:
- Community Health
- Pediatric Nutrition
- Public Health Interventions
Background:
- A community in Ndunakazi, South Africa, requested a comprehensive situation analysis.
- A community-based growth and health monitoring system for preschool children was developed.
- The system utilizes community centers (Isizinda) and nutrition monitors.
Purpose of the Study:
- To establish a sustainable community-based growth and health monitoring system for preschool children.
- To improve child health and nutrition through a holistic approach.
- To assess the effectiveness and community acceptance of the developed model.
Main Methods:
- Situation analysis and objective-oriented program planning workshop with community representatives.
- Establishment of community-based centers (Isizinda) in homes.
- Regular growth monitoring, health and nutritional message dissemination by nutrition monitors.
- Referral system to clinics for ill or poorly growing children.
- Regular assessment of mother and monitor attitudes and skills development.
Main Results:
- Eight community centers established, serving approximately 500 preschool children.
- Average monthly attendance of 70% for growth monitoring.
- Nutrition monitors convey health messages and collect morbidity/mortality data.
- Positive attitudes towards the program and skills development observed.
Conclusions:
- The community-based model is effective in monitoring preschool child growth and health.
- Community involvement and nutrition monitors are key to the program's success.
- Partnership with the KwaZulu-Natal Department of Health is crucial for long-term sustainability and expansion.
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