Peer-reviewed article

Growth monitoring and promotion uptake and its associated factors among mothers/ caregivers of children aged under two years in Wondo District, Ethiopia: Cross-sectional Study.

Negash T, Bolka A, Kare AP, Feleke FW, Bosha T · 2 Jul 2026

Abstract

Introduction Growth monitoring and promotion (GMP) can be used to address developmental halting before a child's health deteriorates. However, there hasn't been much research done on the GMP uptake in the Wondo district. Objective The study aimed to evaluate GMP uptake and its associated factors among children aged under two years old in the Wondo District in 2024. Methods A cross-sectional design was conducted using random sampling. The data were analysed using SPSS version 25. Descriptive statistics and logistic regression with a p-value of less than 0.05 were used. Results GMP uptake was 14.2%. Household income above $32 monthly [AOR = 4.857, 95% CI: (2.009-11.744), read and write [AOR = 10.625, 95% CI: (2.667-42.334)], primary education [AOR = 9.067, 95% CI: (3.218-25.546)], secondary and above[AOR = 8.060, 95% CI: (2.952-22.007)], ANC follow up, [AOR = 2.871, 95% CI: (1.158-7.120)], health facility delivery [AOR = 4.037, 95% CI: (1.706-9.554)], PNC follow up [AOR = 4.110, 95% CI: (1.898-8.900)], maternal community conversation [AOR = 4.162, 95% CI: (1.974-8.775)], and family health cards utilization [AOR = 6.825, 95% CI: (2.935-15.867)] were significant variables. Conclusion The GMP uptake was 14.2%. ANC follow-up, institutional delivery, PNC follow-up, family/child health card utilization, maternal community discussions, mother's educational status, and household income were associated factors. Community conversations, family health cards, ANC, institutional delivery, and PNC follow-up can improve GMP services.