The Study of Caregivers and Community Participation about Childcare Factors to Promotion of Child Growth and Development on the Regional Health Promotion Centers 4 and 5

Abstract

The Objective of this research to study growth and development situation in 0-5 years child on the regional health promotion center 4 and 5 and study caregivers raring and community participation factors that related to child growth and development. The methodology was cross sectional survey. The samples were purposive sampling 0-5 years children in 8 subdistricts in 4 provinces in the region 4 and 5. About 1,600 samples were collected from May to August 2013. Analysis was done by percentage, mean, and chi-square test. The results showed that the general data, 1558 cases of 0-5 year children were collected 51.8 % were males and 48.2 % were females. About caregivers, 87.2 % were female, 80.19 % of caregivers marital status were married, 43 % of the children lived in extended family (family size 3-4 and 6-7 persons per family), 40.2 % of caregivers’ age were between 20-30 years, 43.83 % and 35.25 % of caregiver finished secondary school and primary school respectively, 35.25 % of caregivers were housewife and 22.54 % were employed out of their houses. Child Growth situation measured by weight for age, 73.68 % were normal Weight for age, 9.97 % were overweight. Measure by height for age (HFA), 90.34 % were appropriate height for age, 9.66 % were rather short and short. Measured by weight for height (WFH) 77.11 % were appropriate weight for height, 8.94 % were rather obesity and obesity, 5.4 % were thin child development situation. About 71.47 % were normal child development in all aspects, 28.53 % were delayed development, normal child development in social and selfcare development, fine motor development, language development, gross motor development were 97.44%, 93.59%, 75.05% and 96.17% respectively. Factor that significant related to height for age (HFA) was caregiver. Factors that significant related to weight for height (WFH) were caregivers’ marital status, Family Type.   Factors that significant related to child development were caregivers’ marital status, caregivers’ age, family income. Child bearing behavior significant related to overall child development, language development, fine motor development and social and selfcare development. The 28.5 % of 0-5-year child had the problem of delayed development especially in language development and had the problems of growth development such as overweight 9.97 %, rather obesity and obesity 8.94 %, stunt 9.66 %. Caregivers, health personnel, teachers and communities should join together to promoted child growth and development by using maternal and child Health book and all level of hospitals should improve the quality of care to comply with the standards and improve the surveillance, monitoring and evaluation system of child growth and development.