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World Health Organization International Growth Standards/Growth Charts

World Health Organization International Growth Standards/Growth Charts. Seven Minute Overview. World Health Organization Growth Standards/ Growth Charts. For this presentation we will: Introduce the WHO growth chart

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World Health Organization International Growth Standards/Growth Charts

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  1. World Health Organization International Growth Standards/Growth Charts Seven Minute Overview

  2. World Health Organization Growth Standards/ Growth Charts For this presentation we will: • Introduce the WHO growth chart • Discuss recommendations and adoption of the WHO International Growth Standards • Compare and contrast infant growth charts (CDC versus WHO) • Discuss strategies to reinforce consistent messages that help parents understand how their infant or child is growing and make referrals for growth concerns

  3. Worldwide Recommendation Use the WHO growth standards charts to monitor growth for: (infants and children 0-24 months of age)

  4. Overview of the WIC Program In California, services are provided • Via 84 local agencies • By 3,600 local staff • To 1.48 million people per month • To almost 60 percent of all infants born in the State

  5. Rationale for Change A growth standard; not a point on a reference chart. The growth of healthy children living in optimal environments. Breastfeeding until 12 months of age To base growth assessments on:

  6. WHO International Study Revealed When provided optimal conditions – Children grow the same on average. It does not matter where they live. Ghana Oman Brazil India Norway USA

  7. WHO Standards Reflect Breastfeeding as the Norm • In general, breastfed infants grow more: • quickly the first 3 months • slowly 3-12 months • than formula-fed infants

  8. Comparison of Infant Growth Charts

  9. For age 0-24 months: ≤ 2nd versus <5th percentile: Fewer diagnosed as underweight ≥ 98th versus >95th percentile: Fewer diagnosed as high weight Impact of Using WHO Standards

  10. Consistent Messages

  11. Understanding Infant Growth Under- weight Healthy weight High Weight-for Length At risk of underweight 2 5 98 50

  12. Understanding Child Growth 99

  13. References and Tools Centers for Disease Control and Prevention http://www.cdc.gov/nccdphp/dnpao/growthcharts/who/index.htm www.cdc.gov/mmwr World Health Organization website: http://www.who.int/childgrowth/training/en/ WIC WHO Growth Charts webpage: www.cdph.ca.gov/programs/wicworks

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