CHILD GROWTH MONITORING AND PROMOTION PRACTICES AT THREE (3) PRIMARY HEALTH CARE CENTRES IN TALATA MAFARA LGA, ZAMFARA STATE

Child Growth Monitoring and Promotion (GMP) is a critical public health strategy aimed at ensuring optimal child development and reducing malnutrition and under-five mortality. Despite its importance, the implementation of GMP in Primary Health Care Centers (PHCs) in Nigeria, particularly in rural areas like Talata Mafara Local Government, Zamfara State, faces significant challenges. This study assessed the current practices, challenges, and effectiveness of GMP services in PHCs, focusing on health workers' knowledge, caregiver awareness, and systemic barriers. Using a descriptive survey research design, data were collected from 100 caregivers and 30 health workers across three PHCs through structured questionnaires and semi-structured interviews. Findings revealed that while 45% of caregivers utilized GMP services, challenges such as long wait times (40%), insufficient equipment (40%), and inadequate staffing (25%) hindered effective implementation. Health workers demonstrated high awareness (90%) and training (80%) in GMP, but gaps persisted in consistent service delivery due to time constraints and resource limitations. Caregivers' satisfaction with GMP services was moderate (55%), with 60% receiving health education, though 40% reported delays in accessing services. The study highlights the need for improved training, better equipment, and stronger community engagement to enhance GMP effectiveness. Recommendations include regular capacity-building for health workers, increased funding for PHCs, and targeted awareness campaigns to improve caregiver participation. Addressing these challenges is essential for achieving Sustainable Development Goals (SDGs) related to child health and reducing malnutrition in rural Nigeria.