Pediatrics and Child Health

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Browsing Pediatrics and Child Health by Subject "early child hood, Growth and developmental milestone assessment, Practice"

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    Practice of early childhood growth and developmental milestone assessment and its determinants among health professionals working at public hospitals in Addis Ababa, Ethiopia
    (Addis Ababa University, 2018-06) Tesfay, Haileslassie; Tesfaye, Tewodros(BSc, MSc)
    Background: In developing nations, 200 million children (~39%) under age five have developmental delay. In USA, 13-16% children under five have developmental difficulties. This huge gap between developed and developing countries is due to lack of early detection and intervention in low and middle-income countries. Universal use of standardized assessment tools was only (2.6%). The practice of growth and developmental assessment is also poor even in the western countries 1.1% practice of filling developmental assessment tools and 75% inconsistent use of growth monitoring charts. Objective: To assess practice in early childhood growth and developmental assessment and its determinants among health professionals working in public hospitals in Addis Ababa, Ethiopia, 2018 Method: Facility based descriptive cross-sectional study design was conducted with a total sample size of 268 health professionals from six public hospitals in Addis Ababa, Ethiopia The data were collected using pretested structured questionnaire adapted from literatures and evaluated by eight experts for content validity. Data had entered in to Epi Data Software version 4.2 and then exported and analyzed by SPSS version 23, software for bivariate and multivariable logistic regression (LR) analysis. Significant association was seen at p<0.05 & the strength of association were expressed using odds ratio. Results: Practice of early child hood growth and developmental milestone assessment were less than average (38.2% and 27.8%) respectively. Female sex [(AOR = 2.025(1.012-4.037) at P= 0.046, general practitioners (AOR = 7.416 (2.455-22.401) at P = 0.000, work experience greater than eleven years (AOR =7.281(1-53.171) at P=0.005, additional training [AOR =3.97(1.585-6.445) at P = 0.001] were significantly associated with early childhood good growth assessment practice with 95% CI. General practitioners [(AOR = 23.826 (6.77- 83.9) at P = 0.000, health officer (AOR = 11.02, 95%CI: 2.1-58.812) at P = 0.005, and work experience greater than eleven years (AOR=20.897(1.5-291.49)] at P =0.024] were significantly associated with good practice. Conclusion and recommendation: Assessment of early childhood growth and development practice remains poor. Training and experience sharing among different professions & assigning professionals with highest work experience at the service could improve the practice level.