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INTRODUCTION Over the last few decades the backbone of monitoring child health has been the use of growth chart and childcare records King M 1978 These have been more widely used in developing countries than in developed countries because of lower accessibility of health services Since the universal promotion of Primary Health Care in 1978 WHOUNICEF 1978 there has been an increase in the investment on child health monitoring albeit insufficient especially in deprived communities of both developing and developed countries In New Zealand monitoring of child health have been systematically developed through Plunket and Public Health nursing services MOH 1998 The focus has been the use of Well Child Health book WCH Over the years the WCH book have developed from growth monitoring using weight height and age to a comprehensive booklet to cover growth monitoring immunization nutritional status records of sickness episodes and other reasons for use of health services The latter version has also included health promotion materials for mothers and health care workers The wide use of the WCH book has not been accompanied by stringent research to assess its efficacy That is the book has been widely used but to date no research have demonstrated that the health of children using the book is better than those not using the book Much of the work done has been focussed on the utilization and coverage This project is a pilot study qualitatively assessing the use of the WCH book among Tongan mothers There is no ethnic specific data available to examine ethnic specific aspects of use of the WCH book among communities wherein English is a second language This study will also contextualise the knowledge attitude and practice of the WCH book of Tongans in Auckland The research objectives were To explore Tongan mothers attitudes towards the Well Child Health book and its usefulness To develop recommendations for better utilization
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