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Assessing the Knowledge of Aaganwadi Workers regarding Growth Monitoring of children between 0-5 Years of Age


  • Khyati Vats
  • Agency : Aaganwadi Workers, Growth Monitoring, Children 0-5 Years of Age, Vadodara
  • Objective : The purpose of this study was to assess the knowledge of aaganwadi workers regarding growth monitoring of children between 0-5 years of age and to find the motivation level and factors affecting it.



  • Background : According to a report of UNICEF, 47% of India's children below the age of three are malnourished, which is approximately 60 million out of a global estimated total of 146 million. The growth charts can prove to be an effective way to monitor the growth of the children and hence pre detecting the probability of malnourishment. AWWs prove to be a strong functionary in the ICDS program who delivers services to the community and hence assessing the knowledge of AWWs becomes necessary. If they are discontent and as a result have low motivation then this would probably affect their job performance ultimately resulting in high morbidity and mortality rates. Therefore it is important to know the reason of their low motivation and plan out the solution accordingly.



  • Methodology : The study done is an observational and cross sectional study. Two questionnaires separately for knowledge assessment and motivation level were developed with 33 and 23 questions respectively which comprised of closed ended questions. 50 AWWs were randomly selected from 17 urban health centers.



  • Findings : The findings showed that the level of maintenance of growth charts was poor i.e. only 46% of the workers maintained the registers and growth charts. The knowledge of the workers in plotting weights accurately came out to be 78% and interpretation of growth curves was 100%. The factors affecting their motivation were unsupportive nature of community, lack of supervision & training and irregular sessions of performance evaluation.



  • Recommendations :
    1.   Training: To conduct IMNCI is the need of the hour. Later refresher training can be provided.  
    2. Regular meetings: Regular meetings with medical officers should be conducted. This will help in solving the problems faced by workers.  
    3.  Home visits by ANMs/Supervisors: This will help in building relationship with the community they are working in. Slowly this will help in creating trust on workers by the community



The purpose of this study was to assess the knowledge of aaganwadi workers regarding growth monitoring of children between 0-5 years of age and to find the motivation level and factors affecting it.