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

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.