Child growth as a community-surveillance indicator

Indian J Pediatr. 1988 Jan-Feb;55(1 Suppl):S16-25. doi: 10.1007/BF02810385.

Abstract

PIP: Growth monitoring has unique potential for the ability to correct malnutrition and other health problems at an early age. Monitoring must be a 2-stage process of screening and intervention. Field studies of individuals and communities need to be conducted in order to determine technological and program problems, casual factors, and epidemiology of the problems. Growth monitoring objectives include education, early detection, women's participation, and promotion of community awareness and organization. Workers must decide the priorities of program policy -- including questions of individual growth monitoring vs. monitoring of a population. Pilot programs tend to be more successful than mass implementation because they are more flexible and more open to learning. Field studies that are locally appropriate need to be conducted. These should survey and test the following areas: community situation analysis; objective and priority planning; community intervention; management of primary health care; political administration and public support; locally relevant training of personnel; and self-evaluation of the program. The individual and community-based approaches should be synthesized into 1 cohesive program. Eventually, the sequence of events within any growth monitoring program should be screening of babies, analysis of casual factors, definition of controls, and implementation of the most cost effective controls.

MeSH terms

  • Child
  • Child, Preschool
  • Community Health Services / organization & administration*
  • Developing Countries*
  • Growth Disorders / prevention & control
  • Growth*
  • Health Status Indicators*
  • Health Surveys*
  • Humans
  • Infant
  • Infant, Newborn
  • Population Surveillance