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Do growth monitoring and promotion programs answer the performance criteria of a screening program? A critical analysis based on a systematic review

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dc.contributor.author Roberfroid, D. en_US
dc.contributor.author Kolsteren, P. en_US
dc.contributor.author Hoerée, T. en_US
dc.contributor.author Maire, B. en_US
dc.date.accessioned 2007-12-06T14:43:31Z
dc.date.available 2007-12-06T14:43:31Z
dc.date.issued 2005 en_US
dc.identifier.issn 1360-2276 en_US
dc.identifier.doi http://dx.doi.org/10.1111/j.1365-3156.2005.01498.x
dc.identifier.other ITG-H1A en_US
dc.identifier.other ITG-H2A en_US
dc.identifier.other ITG-H3A en_US
dc.identifier.other HEALTH en_US
dc.identifier.other U-VOED en_US
dc.identifier.other DOI en_US
dc.identifier.other JIF en_US
dc.identifier.other FTB en_US
dc.identifier.other ABSTRACT en_US
dc.identifier.uri http://hdl.handle.net/10390/1410
dc.description The definitive version is available at www3.interscience.wiley.com
dc.description.abstract Objective Growth Monitoring and Promotion programs (GMP) have been intensively promoted to improve children's health in developing countries. It has been hoped that regularly weighing children would result in the early detection of growth falterers, and that the growth chart would serve as an educational tool to make that state apparent to both health workers and caretakers in order to trigger improved caring practices. Our objective was to review whether GMP answers the theoretical grounds of a screening and intervention program. Method A systematic literature review was performed. The WHO framework developed by Wilson and Jungner for planning and evaluating screening programs guided the analysis. Results Sixty-nine studies were retrieved. Overall, evidence is weak on the performance of GMP as a screening program for malnutrition through early detection of growth falterers. The main results are: (1) malnutrition remains a public health problem, but its importance is context specific; (2) the value of a low weight velocity to predict malnutrition is unknown and likely to vary in different contexts; (3) the performance of GMP for improving nutrition status of children and in reducing mortality and morbidity is unknown; (4) the performance of the screening is affected by the unreliability of weight measurements; (5) the promotional and educational effectiveness of GMP is low, in particular the growth chart is poorly understood by mothers; (6) the acceptability seems low in regards of low attendance rates; (7) evidence is lacking regarding cost-effectiveness. Conclusions We conclude that there is too little scientific evidence to indiscriminately support international promotion of GMP. However GMP could constitute a valid strategy of public nutrition in specific situations. We indicate paths for further research and how prevention programs could be developed. en_US
dc.language English en_US
dc.publisher Blackwell Publishing
dc.subject Child growth en_US
dc.subject Child development en_US
dc.subject Growth monitoring en_US
dc.subject Screening en_US
dc.subject Growth charts en_US
dc.subject Efficacy en_US
dc.subject Malnutrition en_US
dc.subject Primary prevention en_US
dc.subject Review of the literature en_US
dc.title Do growth monitoring and promotion programs answer the performance criteria of a screening program? A critical analysis based on a systematic review en_US
dc.type Article en_US
dc.citation.issue 11 en_US
dc.citation.jtitle Tropical Medicine and International Health en_US
dc.citation.volume 10 en_US
dc.citation.pages 1121-1133 en_US
dc.publisher.place Oxford
dc.identifier.pmid http://www.ncbi.nlm.nih.gov/pubmed/16262737
dc.citation.jabbreviation Trop Med Int Health en_US


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