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GROWTH AND DEVELOPMENT MONITORING

GROWTH AND DEVELOPMENT MONITORING. Dr Suzanna Mwanza. GROWTH MONITORING INDICATORS. Tool for growth assessment is the growth chart WHO Child Growth Standards, 2006/7 for boys and girls aged 0 to 60 months

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GROWTH AND DEVELOPMENT MONITORING

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  1. GROWTH AND DEVELOPMENT MONITORING Dr Suzanna Mwanza

  2. GROWTH MONITORING INDICATORS • Tool for growth assessment is the growth chart • WHO Child Growth Standards, 2006/7 for boys and girls aged 0 to 60 months • Based on healthy breastfed infants and young children from diverse ethnic backgrounds and cultural settings

  3. GROWTH MONITORING INDICATIORS • Indicators for growth monitoring (percentile and z-score curves) include: • length/height-for-age • weight for-age • weight-for-length • weight-for-height and • body mass index (BMI)-for-age

  4. GROWTH MONITORING INDICATIORS – cont’d • Head circumference-for-age • arm circumference-for-age (3 to 60 months) • triceps skinfold-for-age (3 to 60 months) • subscapularskinfold-for-age (3 to 60 months)

  5. DEVELOPMENTAL MONITORING • Based on age • Developmental assessment recommended at well child visits • Developmental screening using brief, standardised and validated instruments • Parents’ Evaluation of Developmental Status (PEDS) • Development surveillance by paediatricians

  6. DEVELOPMENTAL MONITORING • Developmental assessment of: • Physical/motor • cognitive • emotional/moral/social • communication/linguistic • Developmental tests • Gesell Developmental Schedules • Denver Developmental Screening Test (DDST)

  7. References • WHO Child Growth Standards 2006 • WHO Child Growth Standards 2007 • Nelson Textbook of Pediatrics, 18th Edition, Part II Growth, Development and Behaviour

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