Abstract of Dissertation

Agency : Anaganwadi worker, Growth Monitoring, Electronic Weighing Machine, knowledge of AWW

Objective : The key objective of the study is to assess the current knowledge among Anganwadi Workers on growth monitoring of children enrolled in Anganwadi center and counseling

Background : Growth monitoring has unique and as yet, incompletely applied potential for promotion of child health and nutrition and is an educative tool for the mother with regard to child feeding, appropriate response to illness and an understanding of the various factors which play a role in growth and development of the child by the AWWs .

Methodology : Descriptive Cross sectional study with convenient sampling was undertaken. Structured questionnaires were prepared addressing the objectives of the study and face-face interviews with AWWs were conducted

Findings : The study findings highlight that all the AWWs are having the knowledge regarding the services provided under ICDS at AWC. In terms of knowledge regarding the weight gain by the children more than half of the AWWs don’t, have proper idea and knowledge. Knowledge regarding the ideal weight gain of children increases in AWWs with the increase in the work experience. Three fourth of the AWW do not know how to use the electronic weighing machine to weight the children even after the training. Depending on response to question regarding the growth chart almost ninety per cent of AWW know the importance of growth chart and the color difference provided in growth chart and for what color code stands for. Almost 91% of Anganwadi worker know the name of MUAC Tape but do not know how to use the MUAC tape.

Recommendations : All the AWWs who have less work experience should get on the job or re fesher training regarding the ideal weight gain of children at specific age. Similarly planning should be done to reorient the AWWs to operate the Electronic Weighing Machine at Block level. This can be done by providing, training of supervisors, block co-ordinators, and CDPOs at block level who can further train the AWWs at SEJA Level. Age and work experience do not have any relation with filling of growth monitoring charts. More than 60 per cent of AWWs do not know on which principle ICDS follow i, e Weight for age. With the help of health department schedule training for AWWs at SEJA level to train the AWWs regarding the MUAC Tape, so that proper growth monitoring data can be received and children with the special attention regarding malnutrition can be track down and provide the care. The present Study shows AWWs really need the training on time and time-to-time refresher training to keep the impotent aspects of growth monitoring in their mind.

Introduction: Growth monitoring consists of routine measurements to detect abnormal growth, combined with some action when this is detected. It aims to improve nutrition, reduce the risk of death or inadequate nutrition, help educate carers, and leads to early referral for conditions manifest by growth disorders. As Anganwadi Worker invests time in this activity, evidence for its benefits and harms was sought. Growth monitoring is one of the important functions of AWWs, for which they should be sufficiently trained.