TABLE OF CONTENTS
FACTORS AFFECTING GM……………….……………..……………………….…..i
ABSTRACT...........................................................................................................ii
COPY RIGHT©....................................................................................................iii
AUTHORIZATION................................................................................................iv
DEDICATION........................................................................................................v
DECLARATION...................................................................................................vi
ACKNOWLEDGEMENT......................................................................................vii
TABLE OF CONTENTS.....................................................................................viii
LIST OF TABLES...............................................................................................xiv
LIST OF FIGURE...............................................................................................xvi
DEFINITION OF TERMS..................................................................................xvii
ACRONYMS/ABBREVIATIONS.......................................................................xviii
CHAPTER ONE: INTRODUCTION......................................................................1
1.0 Introduction.....................................................................................................1
1.1 Background to the study.................................................................................1
1.2 Problem statement.........................................................................................3
1.3 Purpose of the study.......................................................................................3
1.4Specific Objectives of the study......................................................................4
1.4Research questions.........................................................................................4
1.6 Justification/Significance of the Study............................................................5
CHAPTER TWO: LITERATURE REVIEW...........................................................6
2.1 Introduction.....................................................................................................6
2.1 Socio-demographic factors of the mothers affecting continued GM..............6
viii
2.2.0 Maternal knowledge factors affecting continued growth monitoring...........8
2.3 Health related factors affecting Continued GM of children 10-23 months.....8
CHAPTER THREE: METHODOLOGY...............................................................11
3.1 Introduction...................................................................................................11
3.2 Study design and rationale...........................................................................11
3.4 Study population...........................................................................................12
3.4.1 Sample size determination........................................................................12
3.4.2 Sampling procedure..................................................................................13
3.4.3 Inclusion criteria.........................................................................................14
3.5 Definition of variables...................................................................................14
3.5.1 Independent Variable................................................................................14
3.5.2 Dependent Variable...................................................................................14
3.6 Research instrument..................................................................................14
3.7 Data collection methods/ procedures...........................................................16
3.7.1 Data management.....................................................................................17
3.7.2 Data analysis.............................................................................................17
3.7.1 Data management.....................................................................................17
3.7.2 Data analysis.............................................................................................17
3.8 Ethical Consideration...................................................................................18
3.9 Study limitations...........................................................................................18
3.10Dissemination of results..............................................................................18
CHAPTER FOUR: RESULTS............................................................................19
DATA ANALYSIS AND INTERPRETATION......................................................19
4.0 Introduction...................................................................................................19
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4.1 proportion of children aged 10-23 months whose mothers took them for
growth monitoring promotion as per schedule...................................................19
4.2 Socio-demographic factors affecting continued GM....................................21
CHAPTER FIVE: DISCUSSION, CONCLUSION AND RECOMMENDATIONS.
............................................................................................................................30
5.0. Introduction..................................................................................................30
5.1 Discussion....................................................................................................30
2.3.0 Health related factors affecting Continued GM of children 10-23 months
old.......................................................................................................................34
5.2 Conclusions..................................................................................................37
5.3 Recommendations........................................................................................38
Recommendation for practice............................................................................38
5.4 Implication of this research to nursing science............................................40
REFFERENCES.................................................................................................41
APPENDIX I: INFORMED CONSENT...............................................................45
APPENDIX II: QUESTIONNAIRE/RESEARCH TOOLS....................................46
APPENDIX III: LETTER OF APPROVAL...........................................................50
APPENDIX IV: THE MAP OF UGANDA SHOWING MOROTO DISTRICT......51
Appendix V:........................................................................................................53
MAP OF MOROTO SHOWING KATANGA VILLAGE.......................................53
ABSTRACT Despite all efforts to improve child survival, through growth monitoring-promotion, by Government , health worker efforts and non-governmental organizations, the unmet need for continued GM still remained a challenge at 45% nationally in Uganda, Regionally in Karamoja north eastern Uganda the gap was even alarming at 63%, 66% in Moroto district and was estimated at 69.9% in the selected study village of Katanga. The purpose of the study was to determine the factors affecting the continued GM among children 10-23 months old at Katanga village Moroto Municipality. This was a descriptive cross-sectional study design, in which both qualitative and quantitative methods were applied due to their rapidity, cost effectiveness and ability to obtain data in depth among 40 respondents. The study found out that 21(52.5%) of the children in the study had been attending growth monitoring promotion while 19(47.5%) had not been. Married mothers were 25(62.5%) and were more likely to take children for GMP. Less than average 16(40%) of mothers were knowledgeable and understood the importance of continued GM, slightly more than half 22(55%) understood the information displayed on the child health card. Half of the health workers 21(52.5%) were committed and 23 (57.5%) of the respondents reported availability of health facilities beyond 5 km return journey and majorly affected the continued GM of children 10-14 months of age. In conclusion: Mothers with lower education levels, those who did not know the health benefits of GM, and those with less knowledge about information displayed on the child health card, were less likely to continue with growth monitoring promotion program. Additionally, long distance to the health facility also greatly contributed to low utilization of growth monitoring promotion program among children 10-23 months of age.
