Evaluation of a Pilot Project to Combat Community Malnutrition in the Health District of Korhogo, Côte d’Ivoire
American Journal of Health Research
Volume 6, Issue 1, January 2018, Pages: 1-5
Received: Nov. 14, 2017; Accepted: Nov. 28, 2017; Published: Jan. 2, 2018
Views 547      Downloads 43
Authors
Coulibaly Amed, Department of Public Health and Biostatistics, Faculty of Medical Sciences, University Félix Houphouët-Boigny (UFHB), Abidjan, Côte d’Ivoire
Coulibaly Aboubakary, Department of Health and Nutrition, Action Against Hunger, Yaoundé, Cameroon
Egnon Vivien Kouakou, Department of Nutrition and Pharmacology, Faculty of Biosciences, University Félix Houphouët-Boigny (UFHB), Abidjan, Côte d’Ivoire
Ake-Assi Marie-Hélène, Department of Mother-Child, Medical Pediatrics Unit Yopougon University Hospital Center, Abidjan, Côted’Ivoire
Article Tools
Follow on us
Abstract
In Côte d'Ivoire, to combat community malnutrition, the country has opted for the Learning and Nutritional Rehabilitation Center (FARN). Before establishing these centers, a pilot phase was initiated in the Korhogo Health District. The objective of this study was to assess the impact of this intervention in the community. This was a retrospective and prospective cross-sectional study that targeted children aged 6 to 59 months and their mothers. The variables studied were the prevalence of acute malnutrition, the nutritional status of discharged children cared in the community, and the change in mothers' behavior. The results show a significant reduction in the prevalence of malnutrition among 6- to 59-month-old children from 9.7% to 6.2%, a cure rate of 89.1% for children discharged and a consolidation rate of a good nutritional status at 85.4% at 3 months in these same children. Among mothers benefiting from FARN, there was a change in behavior favorable to good nutritional practices compared to non-beneficiary mothers. In view of these results, FARNs prove to be an effective approach to fighting malnutrition in Côte d'Ivoire. Extending this approach to the entire national territory is therefore essential.
Keywords
Malnutrition, Prevention, Community, Côte d'Ivoire
To cite this article
Coulibaly Amed, Coulibaly Aboubakary, Egnon Vivien Kouakou, Ake-Assi Marie-Hélène, Evaluation of a Pilot Project to Combat Community Malnutrition in the Health District of Korhogo, Côte d’Ivoire, American Journal of Health Research. Vol. 6, No. 1, 2018, pp. 1-5. doi: 10.11648/j.ajhr.20180601.11
Copyright
Copyright © 2018 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
References
[1]
Institut national de la Statistique (INS) (République de Côte d'Ivoire), ICF international, EDSCI III (2010-2012). Rapport préliminaire; juillet 2012.
[2]
Direction coordination programme national de nutrition DC-PNN (République de Côte d'Ivoire), enquête nutritionnelle nationale basée sur la méthodologie SMART (juillet-aout 2012). Rapport final; septembre 2012.
[3]
Ministère de la santé publique de Côte d'Ivoire, Document de Politique National de Nutrition; mars 2010.
[4]
Azagoh-K R, Enoh Js, Niangue B, Cissé L, Oulai Sm, Andoh J. Connaissances et pratiques des mères d’enfants de 6 a 18 mois relatives a la conduite du sevrage: cas de l’hôpital général de Marcory. MALI MEDICAL 2013 TOME XXVIII N°4.
[5]
Abdon W. M. Mukalay et al., « Facteurs prédictifs de la malnutrition chez les enfants âgés de moins de cinq ans à Lubumbashi (RDC) », Santé Publique 2010/5 (Vol. 22), p. 541-550.
[6]
Desalegne Amare, Birtukan Assefa, Ayenew Negesse, Birehanu Ayenie Baye Tsegaye. Prevalence of Undernutrition and Its Associated Factors among Children below Five Years of Age in Bure Town, West Gojjam Zone, Amhara National Regional State, Northwest Ethiopia. Advances in Public Health. Volume 2016, Article ID 7145708, 8 pages http://dx.doi.org/10.1155/2016/7145708.
[7]
Save the children. Rapport d'activité sur la déviance positive en nutrition dans 8 villages de la zone de santé de Sikasso. Mali; 2001.
[8]
Aïssatou WN, Serigne MD, Ismaïla T, Siaka K, et Djibril C. 2003. Stratégie de Réhabilitation Nutritionnelle à Base Communautaire par l’Approche de la Déviance Positive: Expériences de la Guinée, du Mali et du Sénégal. Publié par le Projet « Basic Support for Institutionalizing» (BASCIS II), Arligton, Va.
[9]
Maslowsky et al. The Success of the Hearth Model in Guinea. Africare Food Security Review, No. 12, March 2008.
[10]
Agueh VD, Makoutodé M, Dramaix M, Dujardin B, Hennart P. Effet de la participation à un programme de nutrition communautaire sur l’état nutritionnel des enfants au bénin. IRSP In: Rev Epidemiol Sante Publique, 2004, 52: 415-422.
[11]
Otieno Calvince Anino, Gertrude Mercy Were, Jennifer Wanjiku Khamasi. Impact evaluation of positive deviance hearth in Migori County, Kenya. African Journal of Food, Agriculture, Nutrition and Development. Vol 15, N°5 (2015).
[12]
James P, Sadler K, Wondafrash M, Argaw A, Luo H, Geleta B, et al. (2016) Children with Moderate Acute Malnutrition with No Access to Supplementary Feeding Programmes Experience High Rates of Deterioration and No Improvement: Results from a Prospective Cohort Study in Rural Ethiopia. PLoS ONE 11 (4): e0153530. doi:10.1371/ journal. pone.0153530.
[13]
Minimum Standards in Food Security and Nutrition: The Sphere Handbook. Available from: http://www.spherehandbook.org/en/management-of-acute-malnutrition-and-micronutrient-deficiencies-standard-1-moderate-acute-malnutrition/ [Last accessed on 2017 Nov 25].
[14]
Magali B. Projet de recherche Action plaidoyer Niger Médecin du Monde. Rapport mission évaluation interne S2AP. Février 2010: 16-18.
[15]
Marion L. Roche, Grace S. Marquis, Theresa W. Gyorkos, Brittany Blouin, Julieta Sarsoza, Harriet V. Kuhnlein. A Community-Based Positive Deviance/Hearth Infant and Young Child Nutrition Intervention in Ecuador Improved Diet and Reduced Underweight, Journal of Nutrition Education and Behavior. 2017, Volume 49, Issue 3, Pages 196–203.
[16]
MSLS, INS (Ministère de la Santé et de la Lutte contre le Sida et Institut National de la Statistique). 2012. Enquête de Démographie et Santé et à Indicateurs Multiple. Abidjan: s.n., 2012.
ADDRESS
Science Publishing Group
548 FASHION AVENUE
NEW YORK, NY 10018
U.S.A.
Tel: (001)347-688-8931