| Assessment of Child Growth [message #16775] |
Fri, 01 March 2019 14:11  |
DataDENT
Messages: 11
Registered: January 2019
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Screening for acute malnutrition is being mainstreamed into health systems and growth monitoring remains a priority intervention for many low- and middle-income countries. To assess the coverage of growth monitoring and acute malnutrition screening activities, we propose four indicators that can be calculated with the addition of a single question that asks whether a child 0-59 months of age had specific dimensions of growth (length/height, weight, and Mid-Upper Arm Circumference (MUAC)) during the last 3 months.
1. Weight measured in the last 3 months
Definition: Percentage of children 0-59 months who had their weight measured in the last 90 days
2. Weight and height measured in the last 3 months
Definition: Percentage of children 0-59 months who had their height and weight measured in the last 90 days
3. MUAC measured in the last 3 months
Definition: Percentage of children 0-59 months who had their MUAC measured in the last 90 days
4. All three measured in the last 3 months
Definition: Percentage of children 0-59 months who had their height, weight and MUAC measured in the last 90 days
Attached to this post is a completed submission form with full justification for the recommendation.
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This recommendation originated in the September 2018 Technical Consultation on Measuring Nutrition in Population-Based Household Surveys and Associated Facility Assessments a 2-day working meeting convened by the Bill & Melinda Gates Foundation and United States Agency for International Development in collaboration with the World Health Organization (WHO) and UNICEF, and coordinated by Data for Decisions to Expand Nutrition Transformation (DataDENT). The consultation included more than 60 technical experts, survey program representatives from DHS, MICS, LSMS and SMART, country data stakeholders, and donors from the nutrition measurement community.
This recommendation was authored by Rebecca Heidkamp (JHU) and reviewed by Mduduzi Mbuya (GAIN).
This recommendation is endorsed by the WHO-UNICEF Technical Expert Advisory Group on Nutrition Monitoring (TEAM). Out of the 10 sets of recommendations endorsed by TEAM, this recommendation was prioritized as Tier 2 of 3 (high priority data need).
This recommendation is also endorsed by Countdown to 2030, Alive & Thrive, the nutrition team at the Bill & Melinda Gates Foundation, and the Department of International Health at the Johns Hopkins Bloomberg School of Public Health.
[Updated on: Fri, 01 March 2019 14:37] Report message to a moderator |
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| Re: Assessment of Child Growth [message #16928 is a reply to message #16775] |
Thu, 14 March 2019 05:24  |
Mauro Brero
Messages: 12
Registered: March 2019
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UNICEF Tanzania Nutrition team concurs with all the indicators.
In Tanzania, Growth Monitoring and Promotion is among the key interventions adopted both at community and at facility level within the overall stunting reduction strategy. Information will be used to support efforts to further scale-up this interventions.
UNICEF Tanzania Nutrition team
[Updated on: Thu, 14 March 2019 05:25] Report message to a moderator |
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| Re: Assessment of Child Growth [message #17134 is a reply to message #16775] |
Fri, 15 March 2019 14:43 |
jruelbergeron
Messages: 8
Registered: March 2019
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The Global Financing Facility (GFF) Secretariat supports the proposal put forth by DataDENT.
The GFF Secretariat feels strongly that data on growth monitoring and promotion coverage should be included in the new DHS 8 questionnaires. The GFF Secretariat further argues that data on the coverage not only of growth monitoring but also of growth promotion that is tied to growth monitoring activities should be collected. This could be done through the addition of questions in either one of two categories of proposed sub-questions put forth by DataDENT. The first is through an addition to this proposal on child growth assessment (labeled #6, this thread), which would ask about whether the mother received counseling on IYCF based on the child's weight and/or length measurement (if she says yes to either of the preceding questions on weight/height measurement). The second option would be to include the source of information from which counseling on IYCF was received, building on DataDENT's proposal on IYCF counseling 6-23 months questions (labeled as #5, see comment there). Both of these recommendations are tied to the need to better understand how much growth promotion is being done as part of national growth monitoring and promotion programs/activities.
Evidence has demonstrated that growth monitoring as a stand-alone intervention produces little to no effect on child nutrition outcomes (Mangasaryan et al., 2011; Bhutta et al., 2008; Garner et al., 2000). Thus, its use is not recommended without adequate nutrition counselling and referrals (Bhutta et al., 2008). Without data on the extent to which growth monitoring is accompanied by promotion as it is meant to be by design, however, policy makers and program planners are limited in the degree to which they can inform program improvement decisions. As stated in DataDENT's proposal, 61% of the 167 member states who responded to the WHO 2016-17 Global Nutrition Policy review are implementing GMP, making it the second most widely implemented nutrition intervention globally. Moreover, over half of countries report that GMP happens monthly, representing an important opportunity to seize data on its coverage and functioning to stimulate appropriate, data-informed action.
References:
Ashworth A, Shrimpton R, Jamil K. Growth monitoring and promotion: review of evidence of impact. Maternal & child nutrition. 2008 Apr;4:86-117.
Bhutta ZA, Ahmed T, Black RE, et al. Maternal and Child Undernutrition 3 What works ? Interventions for maternal and child undernutrition and survival. 2008;371.
Garner P, Panpanich R, Logan S. Is routine growth monitoring effective? A systematic review of trials. Arch Dis Child 2000;82(3):197201.
Mangasaryan N, Arabi M, Schultink W. Revisiting the concept of growth monitoring and its possible role in community-based nutrition programs. Food Nutr Bull 2011;32(1):4253.
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| Re: Assessment of Child Growth [message #17420 is a reply to message #16775] |
Fri, 15 March 2019 23:31 |
Olutayo
Messages: 12
Registered: March 2019
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The knowledge that measuring this indicator will bring is quite key. It is incredible that so much attention goes into encouraging growth monitoring and promotion, but for the many decades of the intervention there is no data to track coverage/progress. I quite agree with the inclusion of the indicator and questions.
[Updated on: Fri, 15 March 2019 23:31] Report message to a moderator |
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