Comparative study of stunting measurement in children using WHO procedure and stunting mat in Ghana

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Abstract Objective: Height data is not useful immediately without further processing. The Stunting mat was designed to stunting. However, the mat has not been validated for use in Ghana. This study compared stunting measured with the mat and stunting measured following the WHO recommended procedure. We sampled 163 children aged 6-24-m in the Bono region of Ghana. We compared stunting prevalence measured with the mat and WHO recommended procedure. We also explored the acceptability and interpretability of the two procedures among mothers and healthcare givers.Results: The prevalence of stunting was 3.7% and 11.7% using the Stunting mat and WHO procedures respectively. However, in younger aged children, the Stunting mat was more accurate in detecting stunting: Both healthcare workers and caregivers found it easy to interpret the stunting status of children using the Stunting mat. Therefore, we can conclude that the Stunting mat was less sensitive at detecting child stunting compared to the current gold way of measuring stunting in younger children. There are possibilities to improve the accuracy and utility of the Stunting mat for measuring stunting in low-resource settings by re-designing the mat to be more age appropriate.

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