The objectives of this study were to assess Bahrain mothers' understanding
and interpretation of currently used home-based growth monitoring chart, an
d how their education effects their comprehension of it. A sample of 472 mo
thers of children who were less than 6 years old were selected from 18 heal
th centres in Bahrain. About 73% brought the growth chart with them during
their visits. The education of the mothers had a significant effect on the
comprehension of the growth chart. Highly-educated mothers were more likely
to read the information in the growth chart (69%) than middle (52%) and lo
w-educated mothers (16%) (P <0.0001). Also highly-educated mothers got more
benefit from the growth chart (P <0.0001) and more of them understood the
reason for the colour in the chart (P <0.0001) than other groups. The major
ity of husbands (85%) showed no interest in reading the growth chart. Of th
e mothers, 42% did not know at which age the growth chart should be used. I
t is important, therefore, that the current growth chart should be reviewed
and the mothers and health workers should be involved in the process of de
signing the chart. Suggestions for improvement of the growth chart currentl
y used were provided.