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Table 2 Observations before and during Weighing and Recording of Children’s Weight on Growth Chart

From: Nutritional counselling interactions between health workers and caregivers of children under two years: observations at selected child welfare clinics in Ghana

Abbreviated checklist items

Frequency (%)

Number of HWs per CWC facility

 1–2

3 (18.8)

 3–4

7 (43.8)

 5–6

5 (31.2)

 > 6

1 (6.2)

Activities done before and during Weighing of Children

 Calibrating the weighing scales using known standardized weights (n = 16)

0 (0.0)

 Starts by checking zero-setting on the weighing scales before weighing

481 (91.0)

 Ensures child undresses and is in minimal clothing before weighing

528 (100.0)

 Positions infant correctly on suspended balances (Salter type) (n = 218)

218 (100.0)

Growth promotion actions taken by HWs after weighing and charting child’s weight

 Health worker tells caregiver weight of child

271 (51.3)

 Health worker explains growth pattern of child using the growth chart

146 (27.7)

 Health worker enquires about previous illness (n = 131) (only in cases where growth pattern decreased or remained same as compared with previous month)

93 (70.9)

 Health worker enquires about feeding (in all cases) (n = 528)

214 (40.5)

 Health worker praises caregiver (only in cases where growth curve is increasing) (n = 397)

211 (53.1)

 Procedure for Recording and Charting of weights after referring to child’s growth chart and recorded details of the growth curve (N = 528 observations)

 Weights recorded to the nearest 0.1 kg

521 (98.7)

 Weight recorded on appropriate chart for sex of child

523 (99.1)

 Weight charted properly

528 (100.0)

 Weight recorded accurately against appropriate age of child (counts the number of months since birth and check if recorded in appropriate place)

528 (100.0)