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The Growth Charts: Omans Experience

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Separate for boys & girls. NCHS/WHO standards. Based on standard deviation value system ... Training of health workers on anthropometry measurements ... – PowerPoint PPT presentation

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Title: The Growth Charts: Omans Experience


1
The Growth Charts Omans Experience
  • Ms. Hanadi J Al Rajab
  • Head, Dietetics Section
  • Ministry of Health - Oman

2
Sultanate of Oman
  • Growth Curves
  • Multicentre Growth Reference Study (MGRS) Oman
  • Baseline Study

3
The Current Charts
  • Weight-for-age
  • Separate for boys girls
  • NCHS/WHO standards
  • Based on standard deviation value system
  • Cut-off points 2 SD , - 3 SD

4
The Child Health Card
  • Growth charts Weight (0-72 months)
  • Head circumference Length (intervals)
  • Birth details
  • Immunization schedule
  • Special care details
  • Clinic visits
  • Developmental examination schedule

5
Growth Monitoring
  • Child growth is monitored through
  • Child Health Register (MR 2)
  • PEM Program (Register monthly reports)
  • Expanded Program for Immunization (EPI)
  • Integrated Management of Childhood Illnesses
    (IMCI)
  • Triple A activities (Assessment - Analysis -
    Action)

6
School Health Program
  • School children 6-18 years
  • NCHS/WHO
  • Weight-for-age
  • Height-for-age
  • Student Health Record
  • Monitoring at grades 1, 7 10

7
Program Implementation
  • National PEM Survey (1999)
  • 17.9 underweight
  • 7 wasting
  • 6 stunting
  • National program for management of PEM
  • SOP for management of PEM in primary secondary
    health care services in Oman (ML 38), 2nd ed.
    2004
  • Follow-up occurs through community support
    volunteers

8
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9
Problems faced
  • Lack of equipments
  • Lack of trained personnel
  • High staff turnover
  • Insufficient time during monitoring session

10
Uses of growth charts
  • Planning
  • Resource allocation
  • Development of Manual of Training of
    Anthropometric Measurements for Adults
    Bedridden Patients

11
The Pink Card, revised
  • Immunization schedule
  • Schedule of visits
  • Growth charts
  • Length/height

12
Recommendation
  • Chart to include child birth details,
    immunization records, clinic visits, feeding
    practices, supplementation development
    milestones
  • Clear guidelines for management action
  • Training of health workers on anthropometry
    measurements
  • Emphasis on parental understanding of the curves

13
Thank you
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