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    267015

    Introduction of a home- and clinic-based growth chart in Dominica.

    Wit JM; Davies C; Molthof J

    Tropical Doctor. 1984 Jan; 14(1):34-40.

    A description of the Dominican Child Health Passport (CHP) and its clinic-based counterpart are presented. These are adaptions of the World Health Organization (WHO) growth chart. A prototype of the chart was introduced in June, 1980 for a pilot project in the town of Portsmouth. At 7 consequtive child welfare clinics all parents who received a CHP at an earlier visit were interviewed. Questions were asked about some aspects of clinic attendance, the use of and attitude towards the CHP; and understanding of it. The children ranged in age from 1-21 months with a mean of 7 months. 31 parents (61%) had visited the clinic 4 weeks ago (the usual period between visits) and the average was 5 weeks. Weighing was the reason that 49% of the mothers brought their children to the clinic. This could mean that there is already an awareness of the importance of weighing for monitoring child health. Of the 51 parents, only 1 had forgotten the CHP. 10 children possessing a CHP were taken to a doctor. 6 mothers took the CHP along, and on 5 occasions the doctor showed an interest. Opinions on various aspects of the CHP are given. The price--60 cents Eastern Caribbean Currency (=US $0.22) was considered acceptable. Almost all mothers liked to have the CHP at home. However, a substantial % did not like the idea of having child spacing methods entered on the card. 4 CHPs with different weight curves were shown to mothers, who were asked if they would worry about a child who showed the growth pattern indicated. Severe underweight with loss of weight was recognized by 51% of the interviewees. Obesity was not usually considered something to worry about; this is understandable in a place where undernourishment is common in infants. About 1/3 of the respondents recognized the danger if an infant was still in the normal range of weight-for-age but was losing weight.
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