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Background: The relationship between overweight and under-nutrition, particularly in resource-poor settings, poses practical challenges for targeting nutrition interventions. Current anthropometric indicators including weight for length (WLZ) recommended by the WHO may be challenging in community settings. Objectives: The aim of this study was to assess whether MUAC can accurately identify children aged younger than two years with overweight and obesity. Method: A descriptive, cross-sectional study was used to collect data from a non-probability sample of 397 young South African children from October 2015 to February 2016. MUAC cut-off values were tested using a receiver operating characteristic and area under the curve (AUC). Results: The prevalence of overweight (WLZ > +2) and obesity (WLZ > +3) was 11% (n = 44) and 5% (21) respectively. A MUAC cut-off value for identifying male children 6 to 24 months old with overweight was determined at 16.5 cm (85% sensitivity, 71.4% specificity, AUC = 0.821) and female children at 16.5 cm (100% sensitivity, 76.6% specificity, AUC = 0.938). Conclusions: MUAC may be an appropriate tool for identifying children younger than two years old with overweight and obesity. The predicted MUAC cut-off values were able to identify infants and young children with overweight accurately. [ABSTRACT FROM AUTHOR]

Shared learning and supportive conversations between parents encourages disclosure and cultivates an environment of support. This paper presents the process evaluation through the qualitative outcomes of community parent support groups facilitated by local mentor mothers. Qualitative data collected via two (2) Focus Group Discussions (FGD) with group facilitators was followed by four (4) FGD with a total of forty of the parents from the support groups. During the two (2) FGDs with the facilitators, group values were established and adopted. The facilitators agreed amongst themselves to implement the group values to champion and promote the stability of each parent support group. Three key themes emerged from the four FGDs involving support group mothers included: (1) Awareness of mutual connection gained by attending parent groups; (2) Health and social support gained through collectively sharing knowledge and (3) Improved confidence in parenting ability through dialogue. Findings are a showcase the relevance of the group values and mutual benefits of attending parent support groups. The unique parent support initiative revealed that positive health seeking behaviour could be promoted amongst parents in the Early Childhood Development (ECD) phase using a participatory action research approach. Recommendations and implications for group work practice are provided which encourage the use of group values to enable conducive environments for participation and trust building in community based parent support groups. [ABSTRACT FROM AUTHOR]