ArticleBMC nursing2018
Understanding why child welfare clinic attendance and growth of children in the nutrition surveillance programme is below target: lessons learnt from a mixed methods study in Ghana.
Article in BMC nursing, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.
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Who cites it
19 citing papers in PubMed, 1 synthesis or guideline pooled it, 39 citations in OpenAlex.
- Mixed Methods Studies Using Secondary Analysis in Nursing and Midwifery: A Methodological Review.Journal of advanced nursing · 2025Pooled it
- Impact of a bottom-up community engagement intervention on maternal and child health services utilization in Ghana: a cluster randomised trial.BMC public health · 2019Trial
- Insights into immunization practices: community health nurses' experiences at Fanteakwa North District child welfare clinics.BMC pediatrics · 2026Article
- Accreditation as a catalyst for improving child nutrition services in residential care: A case study.Journal of education and health promotion · 2026Article
- Multi-faceted nutritional interventions are imperative to reduction of stunting among children in low- and middle-income countries.Frontiers in nutrition · 2025Review
- Article
- Factors Influencing Child Welfare Clinic Attendance in a Periurban Community: A Descriptive Cross-Sectional Study.TheScientificWorldJournal · 2025Article
- Article
- Article
- Non-adherence to growth monitoring and promotion sessions amongst caregivers of children under 5 years in Polokwane Municipality, Limpopo province.South African family practice : official journal of the South African Academy of Family Practice/Primary Care · 2023Article
- Attitudes of Caregivers of Children under Five Years Regarding Growth Monitoring and Promotion in Polokwane, Limpopo Province.Children (Basel, Switzerland) · 2022Article
- Beneficiary and Local Stakeholder Participation in Community-Based Nutrition Interventions.Current developments in nutrition · 2022Article
- Socio-cultural barriers to the delivery and utilisation of child healthcare services in rural Ghana: a qualitative study.BMC health services research · 2022Article
- Co-creation and prototyping of an intervention focusing on health literacy in management of malaria at community-level in Ghana.Research involvement and engagement · 2021Article
- Article
- Utilization of growth monitoring and promotion is highest among children aged 0-11 months: a survey among mother-child pairs from rural northern Ghana.BMC public health · 2021Article
- Factors Influencing Sustained Utilization of Child Welfare Services among Children Aged 18 to 59 Months in a Low-Income Rural Community, Ghana.TheScientificWorldJournal · 2021Article
- Barriers and facilitators to growth monitoring and promotion in Nepal: Household, health worker and female community health volunteer perceptions.Maternal & child nutrition · 2020Article
- Knowledge and Other Predictors of Child Welfare Clinic Completion among Children Aged 24-59 Months in the Garu-Tempane District of Northern Ghana: A Cross-Sectional Study of Caregivers.Advances in preventive medicine · 2020Article
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Authors and funding
4 authors at 3 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundGrowth monitoring and promotion (GMP) programmes promote not only child health but serve as a service delivery strategy to enhance coverage for other crucial nutrition-specific interventions. This study compared community-based and facility-based GMP programme with respect to attendance rates, children's nutritional status, caregivers' satisfaction with services received and perceptions of service providers and users on factors influencing utilization.
methodsExplanatory sequential mixed methods study conducted in Ga West municipality, Ghana. It comprised 12-month secondary data analysis using growth monitoring registers of 220 infants aged 0-3 months enrolled in two community-based (CB = 104) and two facility-based (FB = 116) child welfare clinics; cross-sectional survey (exit interview) of 232 caregiver-child pairs accessing CB (
resultsMean annual attendance to both programmes was similar with an average of six visits per year. Only 13.6% of caregiver-child pairs attained more than nine visits in the 12-months period. At least 60% of children in both programs had improved weight-for-age z-scores (WAZ) scores during participation. Predictors for improved WAZ were being underweight at baseline (AOR:11.1, 95%CI:4.0-31.0), annual attendance of at least six visits (AOR:2.2, 95%CI:1.1-4.1) and meeting the Ghana Health Service target of nine visits (AOR:4.65, 95%CI:1.4-15.1). Compared to 31.5% CB users, significant proportion of FB caregivers (57.4%) were visited at home. Half were dissatisfied with services received (CB:55.6% vs. FB:62.0%,
conclusionThe association of increased attendance with improved growth reaffirms the need to strengthen primary healthcare systems to improve service delivery; sensitize caregivers on contribution of growth monitoring and promotion to early child development; and increase contacts through home visits.
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