NATURAL RESOURCES DEVELOPMENT COLLEGE

DEPARTMENT OF FOOD AND NUTRITION

A STUDY ON THE FACTORS LEADING TO EARLY CESSATION ON

MOTHERS TAKING THEIR UNDERFIVE CHILDREN FOR GROWTH
MONITORING AND PROMOTION (GMP) AGED 36 – 59 MONTHS

BY

MISOZI KABWADU P/N/18/26

BANJI MWIINGA P/N/18/07

A PROPOSAL SUBMITTED TO THE NATURAL RESOURCES

DEVELOPMENT COLLEGE IN PARTIAL FULFILMENT OF THE
REQUIREMENT OF THE DILOMA IN FOOD AND NUTRITION.
December, 2020
 TABLE OF CONTENT

1) INTRODUCTION
2) BACK GROUND
3) PROBLEM STATEMENT
4) JUSTIFICATION
5) AIM
6) SPECIFIC OBJECTIVE
7) HYPOTHESIS
8) METHODOLOGY
9) RESEARCH DESIGN
10) STUDY SITE
11) TARGET POPULATION
12) SAMPLE SIZE
13) SAMPLING TECHNIQUE OR METHOD
14) DATA COLLECTION
15) DATA ANALYSIS
16) WORK SCHEDULE
17) BUDGET
18) REFERENCES
Introduction

Background

Growth monitoring and promotion is a regularly measuring the weight of a child to find out how
the child is growing

The world health organization (WHO) defines growth monitoring as nutritional intervention that
measure and charts the weight of children and use this information to counsel parents so that they
can take action to improve child growth.

The use of growth monitoring and promotion (GMP) has become widespread. It is a potential
contribution toward achieving the millennium development goals of halving hunger and reducing
child mortality by two-thirds witeun 2015. Yet growth monitoring and promotion appears to be
precondition for good child health but several studies have shown that there is a disagreement
between the purpose and the practice of GMP. The high prevalence of malnutrition in many
developing countries seems to confirm this fact (bill al et, 2015)

Among the child’s right, is growth monitoring and promotion of which countries were called to
institutionalize child growth and promotion programs as one of the action to prevent malnutrition
(UNICEF 2008). Meanwhile, the have a right to know if their child is growing well and able to
correct any condition causing poor growth. Equally, the Zambian government identifies growth
monitoring and promotion program as a key strategy for early detection of growth faltering: this
program is implemented in all health centers and at community levels, the ideal situation being
that all the children under the age of five years are to be taken for growth monitoring every
month, where they are weighted and the weight are recorded in the under five cards or growth
monitoring chart (shaw, JD 2007).

The importance of growth monitoring lies in helping to monitor the growth of the child; it is an
important indicator of the health and nutritional status old a child. It is very important to measure
and monitor the child’s height to judge the adequacy of diets or supplementary food being given
because of their high nutritional requirements to support growth and development (ministry of
health, 2018).
Statement problem

Growth monitoring and promotion (GMP) function as the core activity in integrated nutrition and
child health programs and its objective is to improve individual children nutritional outcomes
(Griffith, 2007). Approximately 6 million children under the age of five die every year and
around 45% of these deaths are estimated to be directly linked to malnutrition (WHO, 2016).

Zambia has among the highest prevalence of malnutrition in the world. According to (ZDHS,
2018) it estimated that 35% of children under five years are stunted, 4% are wasted and 12% are
underweight. Growth monitoring and promotion is carried out worldwide as a strategy to tackle
malnutrition and functions as a key element in Zambia’s pursuit for better child health.

Henceforth there is need to find out factors that lead to early cessation of mother’s taking there
under five for growth monitoring and promotion (GMP)

Justification

 This research will help us to reduce the rate of malnutrition in Mumbwa district
 The study is important for the researcher, the mothers and the children.
 The research will benefit the mothers and they will have the need to acquire more
knowledge about growth monitoring and promotion (GMP) and its importance

Aim

 To find out the factors leading to early cessation of mother taking children for groeth
monitoring and promotion (GMP) aged 30 to 59 months.

Specific objectives

 To find out the factors leading to early cessation of mothers taking children to growth
monitoring and promotion (GMP)
 To investigate the level of knowledge of growth monitoring and promotion which the
mothers have.

Hypothesis

H0: they are no factors leading to early cessation of mothers taking under five children for
growth monitoring and promotion.
H1: they are factors leading to early cessation of mothers taking under five children for growth
monitoring and promotion.

Methodology

Research design

The study approach will be cross sectional

Study site

The research will be conducted at mumbwa district hospital located in central province.

Target population

The mothers with children under five aged 36 – 59 months.

Sample size

(Zscore)2 x S . D(1 – S . D)
Sample size =
Margin of error 2
(1.654) 2 x 0.5(1 – 0.5)
=
0.1 x 0.1
0.675
=
0. 0 1
= 67.5

= 68

Where:

 90% confidence level (z-score) = 1.654

 Standard deviation (SD) = 0.5
 Margin of error = 0.1

Sampling techniques or methods

Non-probability sampling method (convenience sample) will be used.

Data collection

Data will be collected using questionnaires and under five cards

Data analysis

Data will be analyzed using Microsoft excel and SPSS software frequencies in descriptive
statistics.
 Work schedule
TIME PERIOD ACTIVITIES

NOVEMBER-DECEMBER RESEARCH PROPOSAL

DECEMBER-FEBRUARY ORIENTATION

FEBRUARY-MARCH DATA COLLECTION

MAY-JUNE DATA CLEANING

AUGUST-SEPTEMBER DATA ANALYSIS

SEPTEMBER-NOVEMBER REPORT WRITING

DECEMBER DATA PRESENTATION

Budget
ITEM QUANTITY UNIT COST (K) TOTAL (K)

Ream Of Paper 1 85 85

Pens 12 4 48

Pencils 2 2 4
Hardcover 2 15 30
Books
k 167
References

 UNICEF (2008); expert’s consultation on growth monitoring and promotion strategies

 Ministry of health 2018; the importance of growth monitoring and promotion
 Shaw JD 2007 world summit for children, 1990. 10.1057/9780230589780-25
 World health organization; definition of growth monitoring and promotion
 ZDITs 2018; prevalence of malnutrition
 Griffith 2007; function of growth monitoring and promotion
 WHO 2016; prevalence rate of death