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Protocols for Growth faltering

This question was posted the Prevention and treatment of moderate acute malnutrition forum area and has 1 replies. You can also reply via email – be sure to leave the subject unchanged.

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Suranjeen

Normal user

8 Aug 2012, 07:50

We have been working on performance improvement of the local government program. A recent workshop highlighted amongst many gaps that Growth monitoring rates are low and that Growth monitoring often does not lead to growth promotion.
There is no clarity on
1. When do we consider a child has growth faltering? Literature from UK are very complicated. I am looking for simple cutoffs - like not gaining weight for three months in a row - that can be handled by community workers, with or without growth curves
2. Protocols for referring such children and what should the referral health personnel do.

I would like to hear field experiences and tested protocols in third world situations.

Marie McGrath

ENN

Forum moderator

8 Aug 2012, 20:20

Dear Suranjeen
There was an interesting and relevant review by UNICEF 'Revisiting the concept of growth monitoring and its possible role in community-based programmes', published in the Food and Nutrition Bulletin in 2011, and summarised in Field Exchange 42.

You can access the Field Exchange summary at:
http://www.ennonline.net/pool/files/fex/fieldexchange42.pdf

The review highlights that the act of growth monitoring alone does not support growth rates in the community, it is what you do with that information and intervene to address faltering growth that is critical.

Best regards
Marie

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