title: Factors affecting retention of child health card in a rural area.
abstract: BACKGROUND
  The child health card is a tool used by Health Management Information System in Nepal. It contains records on immunization, vitamin A and a weight-for-age growth chart. The objective of this study was to identify the magnitude of and the factors affecting retention of child health card.
  
  
  METHODS
  A cross sectional descriptive design using quantitative methodology was applied. Divyapuri VDC was selected purposively and simple random sampling was applied to obtain a sample of 282 households with children between one to 36 months. Information was collected by interview with mothers of one to 36 months children and by observation of child health cards. Descriptive analysis was performed to assess the magnitude of retention of child health card. Then, bivariate analysis was performed; odds ratio and corresponding 95% confidence interval were used to test the significance of association. Logistic regression model was used for control of confounding.
  
  
  RESULTS
  Only 41% of the mothers produced child health card at the time of survey. For about 7% respondents, child health card was not issued and only 45% of the respondents who were issued child health card have retained it. Younger age group of the child, mothers living nearer to health facility, mothers with knowledge on use of child health card for recording immunization and recording growth monitoring; and mothers who were explained child health card by health worker were found significantly higher odds of retaining it.
  
  
  CONCLUSIONS
  The retention of child health card was low in the study area. Health workers should be trained to educate mothers on retention and use of child health cards.
authors.affiliation: Department of Community Medicine and Family Health, Institute of Medicine, Tribhuvan University, Kathmandu, Nepal. dppahari@gmail.com
authors.forename: D P
authors.initials: DP
authors.lastname: Pahari
authors.forename: S P
authors.initials: SP
authors.lastname: Bastola
authors.forename: R
authors.initials: R
authors.lastname: Paudel
mesh_terms: D000328:Adult; D002675:Child, Preschool; D003430:Cross-Sectional Studies; D004522:Educational Status; D005191:Family Characteristics; D005260:Female; D006801:Humans; D007114:Immunization / Q000706:statistics & numerical data; D007223:Infant; D007231:Infant, Newborn; D008499:Medical Records / Q000706:statistics & numerical data; D009035:Mothers / Q000706:statistics & numerical data; D009390:Nepal; D012424:Rural Population / Q000706:statistics & numerical data; D055815:Young Adult