Abstract

ABSTRACT A descriptive cross-sectional study was conducted within the immunization clinics of MOH Rikillagaskada, to evaluate knowledge, attitudes, and practices relevant to the Child Health Development Record (CHDR) among mothers with children under five years of age. Employing a systematic random sampling technique, the study enrolled 216 participants, utilizing an interviewer-administered structured questionnaire in three languages. The questionnaire included sociodemographic data, along with information on knowledge, attitudes, and practices associated with growth and developmental milestones included within the CHDR. Results: The findings revealed varied levels of understanding and engagement relevant to CHDR, uncovering notable gaps in knowledge. A positive attitude towards CHDR was observed, though necessary improvements were identified. Practices related to growth and developmental milestones included in the CHDR exhibited a mixed pattern. The study underscores the need for targeted interventions to enhance maternal awareness and optimize the use of CHDR for a comprehensive child health monitoring process. The identified gaps in knowledge, attitudes and practices highlight areas which require focused educational efforts. Health education initiatives should be strategically implemented during clinic visits to bridge knowledge gaps, while behavior change interventions can enhance positive attitudes towards CHDR. The development and implementation of a review tool within the clinic and ward setup are recommended to analyze and facilitate a good practice related to CHDR. These recommendations aim to improve overall awareness, attitudes, and practices concerning CHDR, fostering its optimal use for the holistic health monitoring of children. The integration of these conclusions and recommendations is crucial for shaping effective strategies for improving child health outcome.