CbGMP requires a situation that is relatively stable and not an emergency. Developments need to be under way such that people have begun the importance of unconventional drawing for a child’s development improve and reconstruct their own lives. Growth promotion requires trained people at the local level with proper support, some basic guidelines and sufficient time with families.
CGPs require supervision from the local clinic nurse or health worker, or the nearest hospital nutritionist. They decide whether weight gains are adequate or not, and counsel mothers – congratulating them on healthy children or advising them on feeding and the next steps to follow. They also help facilitate and support actions at the family and community levels to address specific problems. A suitable structure to function as a weighing post needs to be identified or built, and measuring equipment and record books provided. A sufficient number of CGPs need to be trained, so that the time volunteered by one individual does not infringe on their other responsibilities. There should also be a system for referring sick children to health services. Weighing the child – monthly for the first two years of life.
Usually done by recording the weight for the age of the child on a growth curve. Determining the adequacy of weight gain or the velocity of growth between visits. Talking with the mother or other care takers to determine the causes of problems or the reasons for success over the past month. Referral to available services and tailoring the counselling to fit the individual case. Defining the next steps and when to return. Community- and programme-level decision-making and action to integrate and target services and resources in order to motivate and enhance actions in the household.
Source: Griffiths, Dickin and Favin, 1996. Local-level ownership and responsibility are essential. Growth monitoring data should be presented and discussed at a local-level forum so as to contribute to increasing pride and accountability for the well-being of all children in the community. Horizontal integration with other local-level initiatives will help communities to identify and implement actions that give them the highest gains in nutrition indicators. In these cases, innovation may be required in the design of the weight assessment, decision-making and action package, or in the infrastructure for its implementation.
Adequacy of growth as an indicator of state of health. Presentation of results at local-level meetings. Local-level initiatives to address the underlying causes of poor child growth. Food and nutrition education plays a vital role in protecting and promoting household food security and nutrition.