Growth Chart

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Yenepoya Nursing College 1
Growth Chart
• Growth charts are visible display
of child’s physical growth and
development. Also called as
“road-to-health" chart.
• It was first designed by David
Morley for growth assessment
and was later modified by WHO
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• Important tools in the assessment of growth
and nutritional status for clinical as well as
epidemiological use.
• Consist of a series of percentile curves that
illustrate the distribution of selected body
measurements in the study population
• Indicates the state of the child's health,
nutrition and well being
NEED FOR ASSESSMENT
Child growth is monitored to:
• Assess adequacy of nutrition
• Identify weight status and potential for
obesity
• Screen for disease related to abnormal growth
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NEED FOR GROWTH CHARTS AT
COMMUNITY LEVEL
• For early identification of children’s growth failure for
detection of malnutrition and taking appropriate
interventions
• For early identification of overweight/obesity in the
children
• To sensitize health workers
• To educate parents and allay their anxiety by showing
normal growth in chart
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HOW GROWTH IS ASSESSED??
• The assessment of growth may be longitudinal
or cross sectional.
• Longitudinal assessment of growth entails
measuring the same child at regular intervals.
• Cross sectional comparisons involve large
number of children of same age.
• Basic growth assessment involves measuring a
child’s weight and length or height
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• Growth indicators are used to assess growth
considering a child‘s age and measurements
together.
• length/height-for-age
• weight-for-age
• weight-for-length/height
• BMI (body mass index)-for-age
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WHO GROWTH CHART
X-axis:
• In WHO Growth chart, x-axes show age. Points
plotted on vertical lines corresponding to
completed age (in months, or years)
y-axis:
• y-axes show length/height, weight, or BMI. Points
plotted on or between horizontal lines
corresponding to length/height, weight or BMI as
precisely as possible
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Interpretation of growth curves
• Suspect Risk,
• A child’s growth line crosses a z-score line.
• There is a sharp incline or decline in the child’s
growth line.
• The child’s growth line remains flat (stagnant);
i.e. there is no gain in weight or length/height.
• Normal growth curve runs parallel to the
median curve.
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• In India….
• India has adopted the new WHO Child Growth
Standards (2006) in February 2009
• These standards are available for both boys
and girls below 5 years of age.
• WHO growth chart has been incorporated with
"Mother and Child Protection Card"
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NEW ICDS GROWTH CHARTS
• Also known as “Road to Health” Charts.

• Is a part of the Mother & Child Protection
• (MCP) Card
• Contains weight-for-age growth charts based
on New WHO Child Growth Standards
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• The first half of the register has growth charts
for girls with ‘pink border’ and the second
half is for boys with the ‘blue border’
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GROWTH CURVE
• Formed by joining the plotted points on a

growth chart
• Direction of the growth curve indicates whether
the child is growing or not
• Helps in determining the growth pattern of a
child.
• It is very important to consider the child’s whole
situation while assessing the growth pattern
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DIRECTION OF CHILD’S GROWTH CURVE
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Management
• Weight b/w curves 1 & 3-

undernourished,require supplementary
feeding at home
• Weight below curve 3 - consult the doctor and
follow his advice.
• Weight below curve 4 - hospitalized for
treatment
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Interpreting growth curve
The nutritional status of the child is assessed as per the
plotted weight-for-age, as given in the box below.
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USES
1.For growth monitoring which is of great value in
child health care
2. Diagnostic tool: for identifying “high risk” children.
3. Planning and policy making: by grading
malnutrition, it provides an objective basis for
planning and policy making in relation to child
health care.
4. Educational tool: for mothers
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5. Tool for action : helps health worker on the
type of intervention needed
6. Evaluation: of the effectiveness of corrective
measures and the impact of the programme
or of special intervention
7. Tool for teaching
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REFERENCES
• WHO. WHO child growth standards.
Geneva(Switzerland): WHO;2007
• World Health Organization. Training Course on Child
Growth Assessment. Geneva, WHO, 2008
• Park K. Textbook of Preventive and Social Medicine.
23rd edition
• AFMC Textbook of Public Health and Community
Medicine – 1st edition
09/16/21 16:50
THANK YOU
09/16/21 16:50

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https://www.yenepoya.edu.

• Also known as “Road to Health” Charts.

for girls with ‘pink border’ and the second

half is for boys with the ‘blue border’

• Formed by joining the plotted points on a

• Weight b/w curves 1 & 3-

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