Review of the literature on ready-to-use therapeutic foods in the fight against severe acute malnutrition in Africa : modes of access and uses in households

Auteurs

  • André Ngombe Kaseba School of Public Health, University of Lubumbashi, Lubumbashi, Democratic Republic of Congo, African Institute of Public Health, Ouagadougou, Burkina Faso
  • Dialo Ramata African Institute of Public Health, Ouagadougou, Burkina Faso
  • Koivogui Pokpa African Institute of Public Health, Ouagadougou, Burkina Faso
  • Youdom Kewa Laetitia African Institute of Public Health, Ouagadougou, Burkina Faso
  • Maurice Yameogo African Institute of Public Health, Ouagadougou, Burkina Faso
  • Seni Kouanda African Institute of Public Health, Ouagadougou, Burkina Faso; Health Science Research Institute, Ouagadougou, Burkina Faso

Mots-clés :

ATPE, MAS, Afrique, accès, ménage, RUTF, SAM, Africa, access, household

Résumé

Introduction

Each year in Africa, one million children under the age of 5 die from causes related to malnutritionin all its forms, at present, the treatment of severe acute malnutrition, especially without complications, is managed in the integrated community outpatient therapeutic program using RUTF, which led us to ask ourselves the question about the place of these foods in the fight against SAM. Objective

Take stock of the place of ready-to-use therapeutic foods (RUTF) in the fight against SAM in African countries.

Materials and methods

The study consisted of a documentary review on the place of ready-to-use therapeutic foods in the fight against SAM in African countries (modes of access and uses in households). Twenty-one relevant articles were searched to highlight the operation of supplementation programs, and the challenges of these programs in treatment centers.

Results

Nutritional rehabilitation centers are surrounded by technological innovations in RUTF supplementation programs, but countless consulted literatures relate the challenges and perspectives that are experienced in the availability and regularity of RUTF. Achieving this requires multisectoral collaboration.

Conclusion

To provide quality care and services to populations and households with children suffering from SAM in Africa, sufficient resources must be allocated to RUTF supplementation programs, and proper supervision of supply and care centers must be ensured rigor.

Introduction

Chaque année en Afrique, un million d’enfants de moins de 5 ans meurt de causes liées à la malnutrition sous toutes ses formes, à l'heure actuelle, le traitement de la malnutrition aiguë sévère surtout sans complications est gérée dans le programme thérapeutique ambulatoire communautaire intégré en utilisant les ATPE, ce qui nous a amené à nous poser la question sur la place de ces aliments dans la lutte contre la MAS.

Objectif 

Faire un état de lieu sur la place des aliments thérapeutiques prêt à l’emploi (ATPE) dans la lutte contre la MAS dans les pays africains.

Matériels et Méthodes

L’étude a consisté en une revue documentaire sur la place des aliments thérapeutiques prêt à l’emploi dans la lutte contre la MAS dans les pays africains (modes d’accès et les usages dans les ménages). Vingt et un articles pertinents ont été dépouillés pour faire ressortir le fonctionnement des programmes de supplémentation, et les défis de ces programmes dans les centres de prise en charge. 

Résultats 

Les centres de réhabilitation nutritionnelle sont entourés des innovations technologiques dans les programmes de supplémentation des ATPE, mais d’innombrables littératures consultées relatent les défis et perspectives qui sont vécues dans la disponibilité et la régularité des ATPE. Pour satisfaire à cela il faut une collaboration multisectorielle. 

Conclusion

Pour fournir les soins et services de qualité aux populations et ménages avec enfants souffrant des MAS en Afrique, des ressources suffisantes doivent être allouées aux programmes de supplémentation des ATPE, et la supervision correcte des centres d’approvisionnement et de prise en charge doivent être de rigueur. 

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Références

Black RE, Victora CG, Walker SP. Maternal and child undernutrition and overweight in low-income and middle-income countries. 2013 August, 382: (427-457).

WHO/Global Fund.Development of a funding proposal: guidance note in 2016. World Health Organization,World Health Organization, 2016.

World Health Organization.Global action plan for the prevention and control of noncommunicable diseases: 2013-2020., http://apps.who.int/iris/bitstream/10665/94384/1/9789241506236_eng.pdf (2013, accessed 28 January 2019).

Kramer CV, Allen S. Malnutrition in developing countries.Paediatrics and Child Health2015 ; 25: 422–427.

Kramer CV, Allen S. Malnutrition in developing countries.Paediatrics and Child Health2015 ; 25: 422–427.

Adepoju AA, Allen S. Malnutrition in developing countries: nutrition disorders, a leading cause of ill health in the world today.Paediatrics and Child Health2019; 29: 394–400.

Arzel B, Golay M, Zesiger V, et al. Malnutrition and social inequalities.Bulletin of Swiss doctors2005; 86: 1093–1099.

CARMEN. WHO | World Health Report: Reducing Risks and Promoting Healthy Lives, https://www.who.int/topics/risk_factors/en/ 2002.

Tadesse E, Ekström EC, Berhane Y. Challenges in Implementing the Integrated Community-Based Outpatient Therapeutic Program for Severely Malnourished Children in Rural Southern Ethiopia.Nutrients; 8. Epub ahead of print 27 April 2016. DOI: 10.3390/nu8050251.

Bailey J, Lelijveld N, Marron B, et al. Combined Protocol for Acute Malnutrition Study (ComPAS) in rural South Sudan and urban Kenya: study protocol for a randomized controlled trial.Trials2018; 19:251.

Bailey J, Lelijveld N, Marron B, et al. Combined Protocol for Acute Malnutrition Study (ComPAS) in rural South Sudan and urbanKenya: study protocol for a randomized controlled trial. Trials 2018; 19:251.

Lanyero B, Namusoke H, Nabukeera-Barungi N, et al. Transition from F-75 to ready-to-use therapeutic food in children with severe acute malnutrition, an observational study in Uganda.Nutr J2017; 16:52.

Akseer, N., Bhatti, ZA, Mashal, T., Soofi, SB, Moineddin, R., MD, RE, Bhutta, ZA Geospatial inequalities and determinants of nutritional status among women and children in Afghanistan: An observational study.The Lancet Global Health2018; 6: 447–459.

Arzel B, Golay M, Zesiger V. Malnutrition and social inequalities. Bulletin of Swiss doctors 2005;public health; 86::1093–1099.

Mumbere M, Katsuva Mbahweka F, Furaha Nzanzu BP. Management of severe acute malnutrition by cow milk in resource constraints settings: experience of the Nutritional Center of the University Clinics of Graben.BMC Pediatr2018; 18:140.

Briand A, Collins S.Therapeutic nutrition for children with severe acute malnutrition: summary of African experience. Springer, 2010.

Bahwere P, Akomo P, Mwale M, et al. Soya, maize, and sorghum-based ready-to-use therapeutic food with amino acid is as efficacious as the standard milk and peanut paste-based formulation for the treatment of severe acute malnutrition in children: a noninferiority individually randomized controlled efficacy clinical trial in Malawi.Am J Clin Nutr2017; 106: 1100–1112.

Armini V. Use and Improvement of Ready-to-Use Therapeutic Food (RUTF) Formulas in the Management of Severe Acute Malnutrition.In: Ferranti P, Berry EM, Anderson JR (eds) Encyclopedia of Food Security and Sustainability. Oxford: Elsevier, pp. 344–352.

Armini V. Use and Improvement of Ready-to-Use Therapeutic Food (RUTF) Formulas in the Management of Severe Acute Malnutrition. In: Ferranti P, Berry EM, Anderson JR (eds)Encyclopedia of Food Security and Sustainability. Oxford: Elsevier, pp. 344–352.

Armini V, Miele NA, Albero M, et al. Formula optimization approach for an alternative Ready-to-Use Therapeutic Food.LWT2018; 98: 148–153.

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Publiée

25-07-2023

Comment citer

André Ngombe Kaseba, Dialo Ramata, Koivogui Pokpa, Youdom Kewa Laetitia, Maurice Yameogo, & Seni Kouanda. (2023). Review of the literature on ready-to-use therapeutic foods in the fight against severe acute malnutrition in Africa : modes of access and uses in households . Revue Africaine De Médecine Et De Santé Publique, 6(2), 103–121. Consulté à l’adresse http://rams-journal.com/index.php/RAMS/article/view/143

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