[ Facteurs d'abandon de la récupération nutritionnelle des enfants de moins de cinq ans en Guinée. ]
Volume 2, Issue 2, June 2014, Pages 198–207
Emmanuel Goumou1, Marce – Amara Kpoghomou2, Nomou Alphose Kpoghmou3, Joella Eldie Soatiana4, Ghose Bishwajit5, Delpeuch Francis6, and Mesenge Christian7
1 Departement Sante en Politique Nutritionnelle, Université Senghor, Alexandrie, Egypte
2 Departement d'Epidemiologie et Biostatistiques, Sante Publique, Tongji Medical College a Huazhong University of Science and Technology, Wuhan, China
3 Departement de Chirurgie Cardio -Vasculaire, Hopital National Donka, Universite de Conakry, Guinee
4 Departement d'Ophthalmologie, Tongji Medical College a Huazhong University of Science and Technology, Wuhan, China
5 Departement de Nutrition et d'Hygiene Alimentaire, Sante Publique, Tongji Medical College a Huazhong University of Science and Technology, Wuhan, China
6 Departement Sante en Politique Nutritionnelle, Université Senghor, Alexandrie, Egypte
7 Département Santé, Université Senghor d'Alexandrie, 1, Place Ahmed Orabi, El Mancheya Alexandrie, Egypt
Original language: French
Copyright © 2014 ISSR Journals. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Guinea ratified all the conventions of the rights of the children for the food in the health. In the absence of projects of sustainable public nutrition and wide scale, it benefits punctually from the assistant of foreign NGOS of fight against acute malnutrition. Further to the intervention of one of these NGOs in the municipality of Matoto, six health centers must to be integrated to assure the continuity of the activities of nutrition. In spite of the free of the departments of nutrition and care, was noticed more and more the abandonment of the program by the beneficiaries. It is within the framework of the better understanding of the reasons and the prevention of the factors of abandonment bound to the nutritional recovery that joins this work.
A case control study allowed to identifying the family responsibilities of accompanying (44, 19 %) and the travels of accompanying (37.21 %) as the main reasons (P < 0.0001) of the abandonment. Among factors(mailmen), we identified that there are fewer abandonments when there was no absence (OR = 0,07 [ 0,03-0,18 ]) and more abandonments(relinquishments) when the likely duration of the recovery(recycling) was explained accompanying (OR=2,71 [ 1,28-5,70 ]).
The improvement of this situation is very possible in Guinea. To reach there, we propose that are taken the measures of raising sensitization of accompanying, flexibility in the distribution of foods to the beneficiaries, thorough decentralization and extension of the activities of nutrition.
Author Keywords: malnutrition, reason of abandonment, programs, nutritional rehabilitation, treatment, community, Guinea.
Volume 2, Issue 2, June 2014, Pages 198–207
Emmanuel Goumou1, Marce – Amara Kpoghomou2, Nomou Alphose Kpoghmou3, Joella Eldie Soatiana4, Ghose Bishwajit5, Delpeuch Francis6, and Mesenge Christian7
1 Departement Sante en Politique Nutritionnelle, Université Senghor, Alexandrie, Egypte
2 Departement d'Epidemiologie et Biostatistiques, Sante Publique, Tongji Medical College a Huazhong University of Science and Technology, Wuhan, China
3 Departement de Chirurgie Cardio -Vasculaire, Hopital National Donka, Universite de Conakry, Guinee
4 Departement d'Ophthalmologie, Tongji Medical College a Huazhong University of Science and Technology, Wuhan, China
5 Departement de Nutrition et d'Hygiene Alimentaire, Sante Publique, Tongji Medical College a Huazhong University of Science and Technology, Wuhan, China
6 Departement Sante en Politique Nutritionnelle, Université Senghor, Alexandrie, Egypte
7 Département Santé, Université Senghor d'Alexandrie, 1, Place Ahmed Orabi, El Mancheya Alexandrie, Egypt
Original language: French
Copyright © 2014 ISSR Journals. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
Guinea ratified all the conventions of the rights of the children for the food in the health. In the absence of projects of sustainable public nutrition and wide scale, it benefits punctually from the assistant of foreign NGOS of fight against acute malnutrition. Further to the intervention of one of these NGOs in the municipality of Matoto, six health centers must to be integrated to assure the continuity of the activities of nutrition. In spite of the free of the departments of nutrition and care, was noticed more and more the abandonment of the program by the beneficiaries. It is within the framework of the better understanding of the reasons and the prevention of the factors of abandonment bound to the nutritional recovery that joins this work.
A case control study allowed to identifying the family responsibilities of accompanying (44, 19 %) and the travels of accompanying (37.21 %) as the main reasons (P < 0.0001) of the abandonment. Among factors(mailmen), we identified that there are fewer abandonments when there was no absence (OR = 0,07 [ 0,03-0,18 ]) and more abandonments(relinquishments) when the likely duration of the recovery(recycling) was explained accompanying (OR=2,71 [ 1,28-5,70 ]).
The improvement of this situation is very possible in Guinea. To reach there, we propose that are taken the measures of raising sensitization of accompanying, flexibility in the distribution of foods to the beneficiaries, thorough decentralization and extension of the activities of nutrition.
Author Keywords: malnutrition, reason of abandonment, programs, nutritional rehabilitation, treatment, community, Guinea.
Abstract: (french)
La Guinée a ratifié toutes les conventions des droits des enfants à l'alimentation à la santé. En l'absence de projets de nutrition publique durable et de large échelle, elle bénéficie ponctuellement de l'aide d'ONGs étrangères de lutte contre la malnutrition aiguë. Suite à l'intervention d'une de ces ONG dans la commune de Matoto, six centres de santé ont été intégrés pour assurer la continuité des activités de nutrition. Malgré la gratuite des services de nutrition et de soins, il a été constaté de plus en plus l'abandon du programme par les bénéficiaires. C'est dans le cadre d'une meilleure compréhension des raisons et la prévention des facteurs d'abandon liés à la récupération nutritionnelle que s'inscrit ce travail.
Une étude cas-témoins a permis d'identifier les charges familiales des accompagnants (44, 19%) et les déplacements de l'accompagnant (37.21%) comme les principales raisons (P<0.0001) de l'abandon. Parmi les facteurs, nous avons identifié qu'il y a moins d'abandons lorsqu'il n'y a eu aucune absence (OR = 0,07[0,03-0,18]) et plus d'abandons lorsque la durée probable de la récupération a été expliquée à l'accompagnant (OR=2,71[1,28-5,70]).
L'amélioration de cette situation est bien possible en Guinée. Pour y parvenir, nous proposons que soient prises des mesures de sensibilisation des accompagnants, de flexibilité dans la distribution des vivres aux bénéficiaires, de décentralisation approfondie et d'extension des activités de nutrition.
Author Keywords: Malnutrition, raison d'abandon, programme, réhabilitation nutritionnelle, traitement, Communautaire, Guinée.
How to Cite this Article
Emmanuel Goumou, Marce – Amara Kpoghomou, Nomou Alphose Kpoghmou, Joella Eldie Soatiana, Ghose Bishwajit, Delpeuch Francis, and Mesenge Christian, “Factors abandoning the nutritional recovery of children under five years in Guinea,” International Journal of Innovation and Scientific Research, vol. 2, no. 2, pp. 198–207, June 2014.
