Epidemiological profile and growth rateeral malnourished children aged 6To23 months To Lubumbashi in the DRC
Mots-clés :
profil épidémiologique, croissance pondérale, malnutris, Lubumbashi, epidemiological profile, weight gain, malnutritionRésumé
IntroductionThe epidemiological profile of the infant and weight growth of malnourished is subject to several disparities depending on the environment. The objective of this study is to contribute to the understanding of the nutritional status of children aged 6 to 23 months in Lubumbashi.
MethodsThis is a cross-sectional descriptive study that took place from April 2020 to April 2021 in the ZS Kampemba and Tshamilemba. Three hundred and ninety five children were collected. Calculations of the prevalence of malnutrition in infants were carried out by descriptive analyzes with Ena software.
ResultsThe prevalence of malnutrition among infants in Lubumbashi aged 6 to 23 months ranges from 14.1% to 29.3%. That is 33.9% in Tshamilemba higher than that of Kampemba with 33.1%. GAM (<-2z-score and/or edema) was 15.1% at (95% CI [10.6; 21.1] p value <0.05) for girls and 11.9% at (95% CI [ 7.8;17.7] p value <0.05) for boys. The sex ratio is 1 in favor of the male sex, i.e. 51%. The age group of 6 to 11 months was represented with 55.6% of infants. Initiation to complementary foods was early for the majority of cases, ie 92% of infants in the two Health Zones.
ConclusionAt the end of this cross-sectional descriptive study, we note an obvious need for education of the population on infant malnutrition and the need for the involvement of state structures to promote an effective nutritional policy.
Resumé
Introduction
Le profil épidémiologique du nourrisson et croissance pondérale de malnutris est sujet à plusieurs disparités selon les milieux. L’objectif de cette étude est de contribuer à la compréhension du statut nutritionnel des enfants de 6 à 23 mois à Lubumbashi.
MéthodesIl s’agit d’une étude descriptive transversale qui s’est déroulée d’avril 2020 à avril 2021 dans les ZS Kampemba et Tshamilemba. Trois cent nonante cinq enfants ont été colligés. Les calculs de la prévalence de la malnutrition chez les nourrissons ont été effectués par des analyses descriptives avec le logiciel Ena.
RésultatsLa prévalence de la malnutrition chez les nourrissons de Lubumbashi de 6 à 23 mois varie de 14,1% à 29,3%. Soit 33,9% à Tshamilemba plus élevée que celle de Kampemba avec 33,1%. La MAG (<-2z-score et/ou œdème) était de 15,1% à (95% IC [10.6; 21.1] p value <0,05) pour les filles et 11,9% à (95% IC [7.8; 17.7] p value <0,05) pour des garçons. Le sexe ratio est de 1 en faveur du sexe masculin soit 51%. La tranche d’âge de 6 à 11 mois était représentée avec 55,6% de nourrissons. L’initiation aux aliments de complément était précoce pour la majorité des cas soit 92% des nourrissons dans les deux Zones de Santé.
Conclusion
Au terme de cette étude descriptive transversale, nous notons un besoin évident d’éducation de la population, sur la malnutrition du nourrisson et la nécessité d’une implication des structures étatiques pour promouvoir une politique nutritionnelle efficace.
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Références
L. MONDIALE, “The global nutrition situation in 2017-2018,” p. 12p, 2018.
WHO 2017, “No TitleWorld Health Organization, 2017. “Double-duty actions for nutrition: policy brief”. Available at: http://www.who.int/iris/handle/10665/255414 [accessed October 2018].,” 2017.
G. Kanem and C. Magen, “Qualitative Analysis of the Causes of Malnutrition,” 2012.
FAO, IFAD, and WFP,The State of Food Insecurity in the World 2015: 2015 International Hunger Reduction Goals: Uneven Progress. 2015.
United Nations, “WHO Growth Standards and Identification of Severe Acute
Malnutrition in Children.”
M. Juin, “Acting in the face of urgency,” pp. 2–5, 2009.
R. Ndamobissi, “The socio-demographic and political challenges of child malnutritionchildren in the African countries of the Sahel and the Horn of Africa To cite this version: HAL Id: tel-01793437 To obtain the degree of Doctor from the University of Bourgogne Franch,” p. 453, 2018, [Online].
A. Affret, “Evaluation of diet in epidemiology and study of the evolution of diet according to the socio-economic environment and the occurrence of cancer. To cite this version: HAL Id: tel-01661480 Dietary Assessment in Epidemiology,” 2017.
S. Nandy and M. Pomati, “Progress towards achieving SDG 2: assessment of multiple malnutrition among children under 5 in West and Central Africa,”Stateco, flight. 114, p. 43–62, 2020.
World Health Organization,Work of WHO in the African Region - Biennial Report of the Regional Director 2014-2015. 2015.
OM Morakinyo, AS Adebowale, TA Obembe, and EO Oloruntoba, “Association between household environmental conditions and nutritional status of women of childbearing age in Nigeria,”PLoS One, flight. 15, no. 12 December, p. 1–15, 2020, doi: 10.1371/journal.pone.0243356.
L. Getacheret al., “Food insecurity and its predictors among lactating mothers in North Shoa Zone, Central Ethiopia: A community based cross-sectional study,” BMJ Open, vol. 10, no. 11, p. 1–9, 2020, doi: 10.1136/bmjopen-2020-040627.
EDS_RDC_2013-2014, “Second Demographic and Health Survey of the DRC, EDS-RDCII 2013-2014.,” p. 34, 2017.
O.Mukukuet al., “Development of a predictive score of severe acute malnutrition among children under 5 years of age,” Pan Afr. Med. J., vol. 29, no. May, 2018, doi: 10.11604/pamj.2018.29.185.13713.
M. Mukalay and K. Mk, “Prevalence and determinants of malnutrition in children under 5 in the Bongonga district of Lubumbashi,” vol. 3, no. 3, p. 346–354, 2009.
A. Mudekereza, M. Aim, and E. Sup, “Malnutrition in children under 5 in Lubumbashi and its surroundings Department of Pediatrics B . P. 1825 Child Malnutrition,” 2017.
CAM,The state of food and agriculture - Harnessing food systems for better
nutrition. 2013.
K. Richards, Katherine Abdi, Miski Stephenson, Hannah Northcote, Callum Mathieson, “UNICEF 2020: Nutrition a critical issue,” 2020.
W. Mujinga, “Assessment of nutrition knowledge among people living with HIV/AIDS in Lubumbashi, Democratic Republic of Congo. September2010 Fisheries and HIV/AIDS in Africa: Investing in Sustainable Solutions This study was conducted,” 2010.
J. Bouville, “Conceptual models in child malnutrition,” p. 1–76, 2012.
SO Wembonyama and ON Luboya, “Development of a predictive score of severe acute malnutrition among children under 5 years of age,” vol. 8688, p. 1–8, 2018, doi: 10.11604/pamj.2018.29.185.13713.
J.-S. Massamba, J.-P. Massamba, and S. Treche, “Attitudes, beliefs, cultural perceptions and socio-economic factors that can determine the nutritional status of infants and preschool children. ,”International Conference. on Nutr. infant preschooler, p. 16–21, 1998, [Online].
L. Ndong, “Protein-Energetic Malnutrition And Education Of Nutrition And Food In Gabon,” pp. 7–10, 2012, [Online]. Available: http://sites.univ-lyon2.fr/asi6/. 24 G. Toure, “Epidemio-clinical aspects of severe acute malnutrition in children under 5 years old at the chu gabriel toure,” 2014.
ON Luboya, “Nutrition course, unpublished,” 2021, p. 243.
Mr Mutisyaet al., “Improving nutritional status among urban poor children in subSaharan Africa: An evidence-informed Delphi-based consultation,” Matern. Child Nutr., vol. 17, no. 2, p. 1–26, 2021, doi: 10.1111/mcn.13099.
MC DRC, “Statistical Summaries,” p. 1–81, 2019.
PNDE Nutrition, “Pnds nutrition component 2011-2015,” 2015.
CAM,National agrifood systems and covid-19 in the Democratic Republic of the Congo. .
E. 2007, “Demographic and Health Survey, Democratic Republic of Congo 2007,”Calverton, Maryland, USA Department of Macro Planning Int., p. 1–499, 2008, [Online]. Available: https://dhsprogram.com/pubs/pdf/FR208/FR208.pdf.
PK Abla, “Thesis Specialty: Food Sciences Determinants of the nutritional status of children in Tébessa,” 2018.
JF Bouville, “The relational approach to child malnutrition in a tropical environment,”Science. Soc. Health, flight. 14, no. 1, p. 101–115, 1996, doi:10.3406/sosan.1996.1354.
J. Habicht, “What is undernutrition? What is undernutrition? What does undernutrition Inapparent undernutrition Inapparent undernutrition Causes of undernutrition,” p. 12, 2011.
FANTA, “Module 2 Malnutrition Diagnosis,” 2017.
F. Delpeuch, “Anthropometric Indices and Indicators Choice, Interpretation, Presentation and Use,” 1991.
U. 2019, “Screening of Acute Malnutrition by the Family at community level,” p. 25, 2019.
CDC Atlanta, “Rapid SMART Nutrition Surveys for Emergencies Document developed by,” pp. 1–20, 2014.
USAID, “Emergency Nutrition Assessment Guidelines for Field Workers,” vol. 375, p. 147, 2006.
R. PNF PF, “National Family Planning Program, Ministry of Health, DR Congo. http://planificationfamiliale-rdc.net/fiche-pays.php,” no. 5.
Ministry of Health, “2020 Vaccination Calendar and Vaccination
Recommendations,”J.Off., p. 21, 2020, [Online]. Available: www.sante.gouv.fr.
EM 2017-2018, “Prevalence of Chronic
Malnutrition_RetardCroiss_3L_20190902.pdf.”
